Client Questionnaire

You need to finish the questionnaire in one sitting and cannot save it, however you can print it, with your answers included, at any time by clicking here. If you prefer to download a word version of this form, click here.

The questionnaire must be returned before your examination, by email to or by post to Medicolegal Associates, 1 Frances Cottages, Denby Road, Cobham, Surrey KT11 1JT. When you post it, please keep a copy and ensure that it has the correct postage.

Please note, all information given on this proforma remains confidential and is held securely by Medicolegal Associates Limited in accordance with the Data Protection Act 1998. The information is used to help simplify and speed up the medicolegal report writing process. It is in no way a substitute for a full consultation and examination. The outcome will be based on the information you have provided. Therefore, Medicolegal Associates Limited accepts no responsibility for advice/information given relating to any incomplete, inaccurate or incorrect information you have provided.

Print your form here