Step 1 of 6

Start your doctor consultation questionnaire.

A few short questions help a qualified Australian doctor understand your situation before your consultation. This is an intake questionnaire, not a consultation, and it is not used on its own to make clinical decisions. Answer at your own pace, and more than one question appears on each page.

Prefer to talk it through first? Book a free 10-minute call, direct with our founders, Ken and Adam. They'll talk through your goals, answer your questions about how the clinic works, and help you find the right next step. It is a quick intro chat, not a medical consultation. Your care itself is always led by a qualified Australian doctor.

Book a free discovery call

What are you looking to improve?

Select all that apply.

What is your #1 priority right now?

Choose the one that matters most to you today.

Step 2 of 6

How have you been feeling lately?

There are no right or wrong answers. Share what feels true for you.

Are you currently experiencing any of the following?

Select all that apply.

How long have you been experiencing these?

How much do these impact your daily life?

Step 3 of 6

A little about you.

We use these details to confirm your consultation and to arrange any pathology with an accredited lab, where relevant.

Your details

Full name

Email address

Contact number

Gender

Date of birth

Address

I confirm I am 18 years or older. Our telehealth consultations are for adults aged 18 and over.

We see members Australia-wide via telehealth.

Step 4 of 6

Your health and medical history.

This helps your doctor review your circumstances safely and properly. Share what you can, and mention anything else in your own words at the end.

Do you have any diagnosed medical conditions?

Medical history

Select all that apply.

Are you currently taking any medications?

Do you have any current injuries?

Have you had any past surgeries?

Cardiovascular risk

Select any that apply to you or your immediate family.

Do you experience any of the following?

Select all that apply.

Step 5 of 6

Your lifestyle.

A snapshot of your training, diet and habits gives your doctor helpful context.

Training frequency

Sessions per week.

Training type

Select all that apply.

Diet quality

Alcohol consumption

Smoking

Have you previously used any hormone optimisation or peptide therapies?

Select all that apply.

Is there anything else you'd like your clinician to know before your consultation?

How did you hear about Advanced Performance Clinic?

This helps us understand where our members find us.

By submitting, you agree to our Privacy Policy and Terms of Service. We use your details to assess your suitability for a consultation and to arrange it with you.