Pre-consultation: The Sinclair Method

First name *

Last name *

Email *

Phone *

Date of birth *

Which tier would you like to start with? *

You can switch tiers later. We may also recommend a different tier based on your safety screening answers.

Direct (£99) — I want a doctor to review my form and prescribe if suitable

Access (£199) — I want two 15-minute doctor consultations to talk it through

Programme (£499) — I want the full 90-day doctor-led, nurse-delivered programme

Not sure — recommend a tier based on my answers

What would you like to achieve? *

Reduce how much I drink

Stop drinking completely

Get in control and decide later

Continue something I already started on naltrexone elsewhere

Briefly, in your own words, what's prompting you to try this now?

How did you hear about the Sinclair Method?

How often do you have a drink containing alcohol? *

The AUDIT is a WHO-validated screener used worldwide. Your honest answers help us recommend the right tier.

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

How many drinks containing alcohol do you have on a typical day when you are drinking? *

A drink = one pint of normal-strength beer, a small glass of wine, or a single measure of spirits.

1 or 2

3 or 4

5 or 6

7, 8 or 9

10 or more

How often do you have six or more drinks on one occasion? *

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

How often in the last year have you found that you were not able to stop drinking once you had started? *

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

How often in the last year have you failed to do what was normally expected of you because of drinking? *

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

How often in the last year have you needed a first drink in the morning to get going after a heavy drinking session? *

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

How often in the last year have you had a feeling of guilt or remorse after drinking? *

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

How often in the last year have you been unable to remember what happened the night before because of drinking? *

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

Have you or someone else been injured because of your drinking? *

No

Yes, but not in the last year

Yes, during the last year

Has a relative, friend, doctor or other healthcare worker been concerned about your drinking or suggested you cut down? *

No

Yes, but not in the last year

Yes, during the last year

About how many units of alcohol do you drink in a typical week?

If you're not sure, give your best estimate. A pint of beer = ~2 units; a small glass of wine = ~1.5; a large glass = ~3.

Typical drinking pattern — when do you drink? *

How long has your drinking been at this level? *

Less than 6 months

6 months to 2 years

2 to 5 years

More than 5 years

Have you tried to change your drinking before? *

Yes — I stopped for a period and relapsed

Yes — I reduced for a period and it crept back

Yes — I tried a programme (AA, rehab, online)

No — this is my first attempt

Have you previously taken naltrexone or nalmefene (Selincro)? *

No, never

Yes, naltrexone — currently taking it

Yes, naltrexone — taken in the past

Yes, nalmefene — currently taking it

Yes, nalmefene — taken in the past

Do you have a current prescription for naltrexone or nalmefene from another provider? *

No

Yes — currently on it

Yes — recently lapsed

Are you currently taking any opioid medication? *

Includes tramadol, codeine, morphine, oxycodone, fentanyl patches, buprenorphine, methadone. This is an absolute contraindication for naltrexone — please answer carefully.

No

Yes — I'll provide details below

Not sure

Are you in opioid-dependence treatment (e.g. methadone maintenance, Subutex, naltrexone for opioid dependence)? *

No

Yes

Prefer not to say

Are you pregnant, breastfeeding, or planning pregnancy in the next three months? *

Naltrexone and nalmefene are not licensed for use in pregnancy or breastfeeding.

No

Yes

Prefer not to say

Have you ever experienced alcohol withdrawal symptoms such as shaking, sweating, nausea, or seizures after stopping drinking? *

If you've ever had a withdrawal seizure, we'll need to talk before starting TSM — naltrexone doesn't address physical dependence.

No

Mild symptoms (shaking, sweating) — within 24 hours of stopping

Moderate symptoms with agitation, anxiety or confusion

Seizure or hospitalised for withdrawal

Do you have a diagnosed liver condition (hepatitis, fatty liver, cirrhosis, other)? *

No

Yes — I'll provide details below

Not sure

Do you have any of the following? (Tick all that apply) *

Depression currently under treatment

Anxiety currently under treatment

Bipolar disorder

Chronic pain currently on pain medication

Eating disorder (current or within last year)

History of self-harm or suicidal thoughts (within last year)

None of the above

Over the last two weeks, how often have you been bothered by thoughts that you would be better off dead, or of hurting yourself in some way? *

This is a standard safety question. If your answer is anything other than 'Not at all', a clinician will review your case carefully and may recommend additional support before starting TSM.

Not at all

Several days

More than half the days

Nearly every day

Any other medicines you currently take (prescription or over-the-counter)?

Any allergies to medications?

Any other medical conditions your doctor should know about?

Have you had a liver function test (LFT) recently? *

No, not in the last 2 years

Yes, within the last 6 months — I can upload or share the result

Yes, but older than 6 months

I don't know

How would you like to arrange your LFT? *

Option 3 is only suitable for low-risk patients — your reviewing doctor will decide if that fits your case.

I'll upload my recent NHS LFT result

I want LoveMyLife to arrange one (£49 via London Medical Laboratory)

I'd prefer to start without an LFT and arrange one within the first month

I'll get an LFT elsewhere after I start

Which medication would you like to start with? *

Naltrexone 50mg — our default recommendation, taken 1 hour before drinking

Nalmefene 18mg (Selincro) — licensed for alcohol reduction, no LFT monitoring required, taken 2 hours before drinking

No preference — let my doctor choose

Have you had a tolerance issue with naltrexone before?

No

Yes — please ask me about it

N/A — haven't tried it

Delivery preference for medication *

Next-day delivery to my home address (via our pharmacy)

Collect from the Westfield clinic (available from June 2026)

I understand naltrexone is prescribed off-licence for this indication in the UK (nalmefene is on-licence) *

I understand

I understand the medication assists rather than replaces my own effort to change my drinking *

I understand

I consent to LoveMyLife holding my medical information under UK GDPR *

I consent

I confirm all information I have provided is accurate to the best of my knowledge *

I confirm

Would you like LoveMyLife to keep your NHS GP informed? *

Yes — please notify my NHS GP

No — keep this care confidential

I don't have an NHS GP

Would you like to be considered for any LoveMyLife outcome-tracking opportunities?

Yes — I'd like to hear about it

No — just the programme please

Here's what you've told us. Have a quick check, then hit send - this means your consultation can focus on what actually matters to you.

Your details

Name

Email

Phone

Date of birth

Choose your tier

Which tier would you like to start with? -

What's bringing you here

What would you like to achieve? -

Briefly, in your own words, what's prompting you to try this now? -

How did you hear about the Sinclair Method? -

Your drinking pattern (AUDIT — 10 questions, ~2 minutes)

How often do you have a drink containing alcohol? -

How many drinks containing alcohol do you have on a typical day when you are drinking? -

How often do you have six or more drinks on one occasion? -

How often in the last year have you found that you were not able to stop drinking once you had started? -

How often in the last year have you failed to do what was normally expected of you because of drinking? -

How often in the last year have you needed a first drink in the morning to get going after a heavy drinking session? -

How often in the last year have you had a feeling of guilt or remorse after drinking? -

How often in the last year have you been unable to remember what happened the night before because of drinking? -

Have you or someone else been injured because of your drinking? -

Has a relative, friend, doctor or other healthcare worker been concerned about your drinking or suggested you cut down? -

A bit more about your drinking

About how many units of alcohol do you drink in a typical week? -

Typical drinking pattern — when do you drink? -

How long has your drinking been at this level? -

Previous attempts and TSM experience

Have you tried to change your drinking before? -

Have you previously taken naltrexone or nalmefene (Selincro)? -

Do you have a current prescription for naltrexone or nalmefene from another provider? -

Safety screening (these answers help us prescribe safely)

Are you currently taking any opioid medication? -

Are you in opioid-dependence treatment (e.g. methadone maintenance, Subutex, naltrexone for opioid dependence)? -

Are you pregnant, breastfeeding, or planning pregnancy in the next three months? -

Have you ever experienced alcohol withdrawal symptoms such as shaking, sweating, nausea, or seizures after stopping drinking? -

Do you have a diagnosed liver condition (hepatitis, fatty liver, cirrhosis, other)? -

Do you have any of the following? (Tick all that apply) -

Over the last two weeks, how often have you been bothered by thoughts that you would be better off dead, or of hurting yourself in some way? -

Any other medicines you currently take (prescription or over-the-counter)? -

Any allergies to medications? -

Any other medical conditions your doctor should know about? -

Blood tests

Have you had a liver function test (LFT) recently? -

How would you like to arrange your LFT? -

Medication and delivery

Which medication would you like to start with? -

Have you had a tolerance issue with naltrexone before? -

Delivery preference for medication -

Consent and confirmation

I understand naltrexone is prescribed off-licence for this indication in the UK (nalmefene is on-licence) -

I understand the medication assists rather than replaces my own effort to change my drinking -

I consent to LoveMyLife holding my medical information under UK GDPR -

I confirm all information I have provided is accurate to the best of my knowledge -

Would you like LoveMyLife to keep your NHS GP informed? -

Would you like to be considered for any LoveMyLife outcome-tracking opportunities? -

Upload your recent NHS LFT result (optional)

PDF or image. Helps us avoid charging you £49 for a new test if your existing one is recent enough.

Click to upload files

Anything else for your doctor?