Your health questionnaire, secure and confidential
With this questionnaire, the doctors learn the key points about your health in advance. This helps in assessing whether and how an operation might be an option for you. Completing it is voluntary and takes about five minutes. It does not replace the consultation with your doctor and is not a diagnosis.
Your information is health data. It is transmitted and stored in encrypted form, only the CZ-Wellmed team and the treating clinic receive it, and only with your consent. You can withdraw this consent at any time. Please send photos via the secure photo upload.
Thank you, your questionnaire has been received.
We will usually get in touch with you personally within 2 to 3 working days. If you have any questions, you can reach us on 07161 304 8150.
General information. It replaces neither medical consultation nor a personal advisory conversation. As of: October 2026.