Microsoft word - womensqnaireclinical-updated 11-22-08.doc
WOMAN’S INITIAL QUESTIONNAIRE Natural Procreative Technology Evaluation for Infertility or Miscarriage TABLE OF CONTENTS Page 2 Introduction and Purpose of this Questionnaire D. Gynecologic History (Female Sexual Health) H. Previous Fertility-Related Investigations K. Previous Fertility-Related Medical Treatments L. Previous Assisted Reproductive Technology (ART) M. Experie