Questionnaire form (English)

The questionnaire is an important part of the report.

The questionnaire must be completed no later than three (3) workingdays before the first interview in the clinic.
If you have a partner, who is participating in infertility investigation, the partner must also fill in parts of the questionnaire. When you fill in your partner’s gender, the questions to your partner appear automatically.
The questionnaire is sent to the clinic via a secure line.