The document contains a questionnaire for patients of Romford & Ilford Family Chiropractic Ltd, located in Romford, Essex. The questionnaire asks patients questions about stress levels and where they hold stress in their body, emotional traumas, sleep habits, happiness levels, financial stressors, and beliefs about health, illness, and the body's ability to heal itself. The purpose is to understand sources of stress and beliefs that may be impacting a patient's health and ability to heal.