Why questionaire? this questionnaire removes the need to ask these questions in the form in the first session. This means you can start your counselling assessment or self-paid counselling talking about yourself rather than answering questions about your EDS.

All information you put into this questionnaire is private and confidential, it will only be shared with your specialist counsellor. If you have been asked to complete this for NHS funding application the information will form part of the NHS application for free funding & be shared with the NHS funding panel.

This questionnaire should take no more than 4 minutes to complete.

Ehlers Danlos Syndrome

Ehlers Danlos Syndrome?

EDS Symptoms

Joint Hyper Mobility
Loose, unstable joints that dislocate easily
Velvety skin that is stretchy
Wounds that are slow to heal and leave wide scars
Joint pain and clicking joints
Skin that bruises easily
Heartburn
Constipation
Dizziness and an increased heart rate after standing up
Mitral valve problems
Organ prolapse
Urinary incontinence
Visible small blood vessels
Curvature of the spine
Fragile eyes
Constipation

Any, Additional Disabilities

Hearing Loss
Sight Loss
Epilepsy Type?
Best describe what other Epilepsy is
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