Pre-conception checklist for women

Hoping to conceive? Make an appointment to see your doctor for a preconception health check. Fill out the quick questionnaire and email it to yourself for printing. Then take it with you to your doctor’s appointment. It will help your doctor understand what information, treatment and tests you need.

If you don’t have a partner, simply ignore the questions relating to ‘your partner’!

This questionnaire will be stored for analysis purposes only. We will not store your email address.