Complete the questionnaire test below to help find out whether your current symptoms are typical of a Gynaecological problem.

Developed by our professional team, this questionnaire is used by our doctors and consultants as part of their assessment.

Once completed a specialist member of our team will be in touch.

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* 1. Please inset your full name?

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* 2. Your email address?

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* 3. Your contact number?

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* 4. How often do you have periods? Please specify in days (every x days)

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* 5. Do you bleed between periods?

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* 6. When was your last Cervical Screening (Smear)?

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* 7. Have you ever had an abnormal / positive Cervical Screening result?

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* 8. Have you ever had gynaecological surgery?

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* 9. Have you ever had any previous gynaecological problems?

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* 10. Do you have any other comments, questions, or concerns?

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