Pre-appointment Questionnaire

In advance of your planning session or nutritional consultation you will usually be sent one of our extremely comprehensive questionnaires, which we need you to complete and bring with you when you come to your appointment. The questionnaire is very detailed and it examines you and your partner’s medical and lifestyle history in each of the main areas that are most influential in determining your reproductive health and potential. Some of the areas covered include:

• Fertility history
  
• Contraceptive history
• Sexual history
• General medical history
• Family history
• Diet and exercise diary
• Digestion and elimination profile
• Immune profile
• Pollution profile
• Vitamin and mineral status
• Food allergy profile
• Hormonal related conditions (if any)

The questionnaire is a crucial first step to all our work. It helps us to pin-point areas of your health and lifestyle where there are opportunities to make a positive impact on your fertility and pregnancy. Please fill it in fully and carefully! We know this can be a hassle, but it will be worth the effort.