Patient Memo: New Weekly Treatment Questionnaire

Beginning soon, a Weekly Treatment Questionnaire will be uploaded to your patient portal every Saturday. This questionnaire will replace the Daily Treatment Symptoms Form.

The questionnaire will ask about your overall progress and how you felt during the week, including:

• How your treatments went this week
• How you feel compared to the previous week
• Your current energy and strength levels
• Whether you are eating regular meals and drinking adequate fluids
• Whether you are taking your supplements as directed
• Whether you are passing gas and having regular bowel movements
• Any new symptoms, concerns, or changes you experienced during the week

When completing the questionnaire, please report only new information or concerns that have not already been addressed by your care team. You do not need to list symptoms or health concerns that you had before coming to our clinic or information that has already been discussed and addressed.

Please complete the questionnaire each Saturday so your care team can monitor your progress, identify new changes, and determine whether additional support may be needed.

Please do not wait for the weekly questionnaire to report an urgent concern or a significant change in your condition. Contact your care team promptly if you need immediate assistance.

Thank you for helping us stay informed about your treatment experience and overall well-being.