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Suite 1, 142 Melbourne Street North Adelaide 5006 P. 08 8361 7866 F. 08 8361 7999 E. mastery bigpond.com www.melissaslattery.com.au www.michellewellman.com.au INFERTILITY QUESTIONNAIRE Please complete
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01
Start by carefully reading each question on the infertility questionnaire. Make sure you understand what information is being asked for in each section.
02
Gather all necessary documents and information before filling out the questionnaire. This may include medical records, test results, and any other relevant documents that will help provide accurate answers.
03
Begin by filling out the basic personal information section of the questionnaire. This typically includes your full name, date of birth, contact information, and any other required demographic details.
04
Move on to the medical history section of the questionnaire. Provide accurate and detailed information about any previous fertility issues, medical conditions, surgeries, or treatments you have undergone in the past. Be sure to include dates and any relevant details that may help paint a complete picture of your medical history.
05
Answer all questions related to your menstrual cycle and reproductive health. Be honest and provide as much detail as possible. This may include information about the regularity of your periods, any irregularities, symptoms you experience during your cycle, and any previous diagnoses related to reproductive health.
06
Fill out the section related to lifestyle factors that may impact fertility. This can include questions about smoking, alcohol consumption, drug use, exercise habits, and any other lifestyle choices that may be relevant to your fertility.
07
If applicable, provide accurate information about any previous fertility treatment you have undergone. This may include details about medications used, procedures performed, and the outcomes of these treatments.
08
Answer any additional questions that may be specific to the infertility clinic or research study providing the questionnaire. These questions may vary, so be sure to carefully read and respond to each one.

Who needs the au infertility questionnaire please?

01
Couples or individuals who are seeking infertility treatment or evaluation from an Australian fertility clinic. This questionnaire helps gather important information that will aid in the diagnosis and treatment planning process.
02
Researchers or clinicians conducting studies or research on infertility in Australia may also require individuals to fill out this questionnaire as part of their data collection process.
Please note that the specific requirements for the infertility questionnaire may vary depending on the clinic or study, so it is important to carefully review the instructions provided and provide accurate and honest answers to the best of your abilities.
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The au infertility questionnaire is a form used to gather information about infertility issues that may affect individuals or couples.
Anyone who is experiencing infertility or seeking fertility treatments may be required to file the au infertility questionnaire.
The au infertility questionnaire can be filled out online or in person with a healthcare provider. It requires information about medical history, lifestyle factors, and reproductive health.
The purpose of the au infertility questionnaire is to help healthcare providers assess and diagnose infertility issues, determine appropriate treatments, and offer support to individuals or couples.
Information such as medical history, current medications, previous pregnancies, lifestyle factors, and any fertility treatments or procedures already undergone.
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