24 Chapel Market · Angel N1 9EZ

How are you doing since your visit?

A short check-in from the clinical team. Your answers help Dr Ravi and Dr Shyam look after you better — and if anything needs a quick chat, we'll call you today.

About you

Your details

So we can match your feedback to your notes.

Date of birth

Your visit

Who did you see?

Dr Ravi Ponniah Dr Shyam Ravrani Both

Was this your first consultation, or a follow-up?

First consultation Follow-up visit

How the consultation felt

How was your visit overall?

Excellent Good Okay Disappointing

Do you feel clear about your next steps?

Any tests, protocol, supplements, lifestyle changes, next appointment.

Very clear — I know exactly what to do Clear enough A bit unclear on parts of it Not clear at all

How the treatment is working

Since your last visit, how have you felt overall?

Noticeably better A little better About the same Slightly worse Too soon to tell

How much of the recommended protocol have you been able to follow?

Honest answer helps us adjust — no judgement.

All of it Most of it About half Very little I haven't started yet

Right now

How are your energy levels today?

Very good Good Average Low Very low

Any new symptoms, side effects, or concerns to flag? (optional)

Anything unexpected since your visit or since starting the protocol. Even if you're not sure it's related.

Would you like a quick review call back today?

Yes please No thanks — just for the team's notes

Best number to reach you on

Anything else you'd like the team to know? (optional)

Something went wrong. Please try again, or let us know at reception on 020 7278 1212.

✓

Thank you for your feedback.

Your check-in has gone straight to the clinical team at Insight. We read every response.

WE'LL BE IN TOUCH SOON You asked for a quick review call today — we've got your number and someone will phone you before the end of clinic hours.

— The Insight team

24 Chapel Market · Angel N1 9EZ · 020 7278 1212

Insight Integrative Health Clinic · insightclinic.care