Skip to content

Elumind - mental health clinic

HOME
CONDITIONS
SERVICES
BLOG
ABOUT US

Menu

HOME
CONDITIONS
SERVICES
BLOG
ABOUT US

Book your free phone consultation

Instagram Twitter Linkedin Facebook

Book phone consultation

HOME
CONDITIONS
SERVICES
BLOG
ABOUT US

Menu

HOME
CONDITIONS
SERVICES
BLOG
ABOUT US

Initial Assessment Survey

( * means mandatory fields )

Client's Full Name:*

What results are you hoping to get from Elumind treatments? (Please list and explain)*

Initial Phone Consultation:

1. How satisfied were you with the ease of booking your initial 15-minute phone consultation?*

Very poor Poor Fair Good Very good

Appointment Reminders and Booking:

2. How satisfied were you with the reminder calls/texts from our admin team 24-48 hours prior to your appointment?*

Very poor Poor Fair Good Very good

3. Were our admin team helpful in facilitating your appointment on the day of your visit?*

Yes No

Therapeutic Assessment:

4. Did you feel that the clinical consultant effectively gathered all necessary medical background, family history, and condition status during the assessment?*

Very poor Poor Fair Good Very good

5. How satisfied are you with our clinical consultants' explanation of our treatments and services as well as your personalized treatment plan?*

Very poor Poor Fair Good Very good

Please provide comments or suggestions regarding your therapeutic assessment session:*

QEEG Brain Map and Review:

6. How satisfied were you with the process of receiving the QEEG Brain Map?*

Very poor Poor Fair Good Very good

7. Did you find the 60-minute brain map review session with our doctor helpful in understanding your treatment plan?*

Very poor Poor Fair Good Very good

Please share feedback or suggestions on how we can enhance the QEEG Brain Map process and review sessions:*

Treatment:

8. How well was the initial treatment session and use of equipment explained to you?*

Very poor Poor Fair Good Very good

9. How satisfied were you with your treatment session experience?*

Very poor Poor Fair Good Very good

Please share feedback or suggestions on how we can improve the treatment session experience:*

General Feedback:

10. Overall, how satisfied are you with your experience at our mental health clinic so far?*

Very poor Poor Fair Good Very good

Please share comments, suggestions, or concerns you would like to share with us:

Join Our Newsletter

Sign up with your email address to receive news and updates.

Elumind - mental health clinic

Elumind Centres For Brain Excellence is a private out-patient healthcare centre specializing in optimizing brain functions through various neurotherapeutic modalities. We deliver a comprehensive, personalized case managed collection of holistic therapies that create long-lasting lifestyle changes.

Book a free phone consulation

CONDITIONS WE TREAT

ADHD / ADD
ANXIETY DISORDERS
AUTISM SPECTRUM DISORDER
CHRONIC PAIN
DEPRESSION AND MOOD DISORDERS
FIBROMYALGIA
HEADACHES AND MIGRAINES
MEMORY DISORDERS AND DEMENTIA
OBSESSIVE COMPULSIVE DISORDER

Menu

ADHD / ADD
ANXIETY DISORDERS
AUTISM SPECTRUM DISORDER
CHRONIC PAIN
DEPRESSION AND MOOD DISORDERS
FIBROMYALGIA
HEADACHES AND MIGRAINES
MEMORY DISORDERS AND DEMENTIA
OBSESSIVE COMPULSIVE DISORDER

HOW WE CAN HELP

Therapeutic Assessment
BIOFEEDBACK
QEEG Brain Map
COUNSELLING & PSYCHOTHERAPY
FUNCTIONAL MEDICINE
IV NUTRIENT THERAPY
LIFE COACHING / HEALTH COACHING

Menu

Therapeutic Assessment
BIOFEEDBACK
QEEG Brain Map
COUNSELLING & PSYCHOTHERAPY
FUNCTIONAL MEDICINE
IV NUTRIENT THERAPY
LIFE COACHING / HEALTH COACHING

CONTACT

Head Quarters: 210 – 221 Esplanade W, North Vancouver, BC V7M 3J3

Kelowna: Landmark 6, 1631 Dickson Ave Suite 1100, Kelowna, BC V1Y 0B5

Langley: 8661 201 St 2nd Floor, Langley, BC V2Y 0G9

Phone: (604) 220-8866 | Fax: (604) 243-0486

Monday—Friday: 9:00 AM-7:30 PM

Saturday: 10:00 AM-6:00 PM

Privacy Policy | FAQ | Evidence

© 2020 Elumind Centres For Brain Excellence. All Rights Reserved.

Instagram Linkedin Facebook

Join Our Newsletter

Sign up with your email address to receive news and updates.

Elumind Centres For Brain Excellence

Elumind Centres For Brain Excellence is a private out-patient healthcare centre specializing in optimizing brain functions through various neurotherapeutic modalities. We deliver a comprehensive, personalized case managed collection of holistic therapies that create long-lasting lifestyle changes.

START YOUR JOURNEY

CONDITIONS WE TREAT

ADHD / ADD
ANXIETY DISORDERS
AUTISM SPECTRUM DISORDER
CHRONIC PAIN
DEPRESSION AND MOOD DISORDERS
FIBROMYALGIA
HEADACHES AND MIGRAINES
MEMORY DISORDERS AND DEMENTIA
OBSESSIVE COMPULSIVE DISORDER

Menu

ADHD / ADD
ANXIETY DISORDERS
AUTISM SPECTRUM DISORDER
CHRONIC PAIN
DEPRESSION AND MOOD DISORDERS
FIBROMYALGIA
HEADACHES AND MIGRAINES
MEMORY DISORDERS AND DEMENTIA
OBSESSIVE COMPULSIVE DISORDER

HOW WE CAN HELP

Therapeutic Assessment
BIOFEEDBACK
QEEG Brain Map
COUNSELLING & PSYCHOTHERAPY
FUNCTIONAL MEDICINE
IV NUTRIENT THERAPY
LIFE COACHING / HEALTH COACHING

Menu

Therapeutic Assessment
BIOFEEDBACK
QEEG Brain Map
COUNSELLING & PSYCHOTHERAPY
FUNCTIONAL MEDICINE
IV NUTRIENT THERAPY
LIFE COACHING / HEALTH COACHING

CONTACT

Head Quarters: 210 – 221 Esplanade W, North Vancouver, BC V7M 3J3

Kelowna: Landmark 6, 1631 Dickson Ave Suite 1100, Kelowna, BC V1Y 0B5

Langley: 8661 201 St 2nd Floor, Langley, BC V2Y 0G9

(604) 220-8866

Saturday: 10:00AM-6:00PM

Monday—Friday: 9:00AM-7:30PM

Privacy Policy | FAQ | Evidence

Instagram Linkedin Facebook

Send us a message