Country or US State
How long are your cycles (28-36 days)
First day of your last period (LMP)
Describe Your Period (length, flow, heavy, pain)
Are you able to "predict" ovulation (yes or no)
If so, how do you Predict Ovulation? Choose all that apply
Pain
Ovulation Test (urine)
Basal Body Temperature
Cervical Mucus
Monitor
Ferning Microscope
Pain
Other
How long is your Luteal Phase
Ever Been Pregnant If so, how many times?
How many Children do you have
Have you had any miscarriages? If so, at what week
How many hours of sleep do you get per night
Are you a Vegetarian? If so what kind
What are your favorite comfort foods?
How tall are you (height)
How much do you weigh (weight)
Describe your physical health
Any Physical Challenges?
Any Surgeries (e.g., lap, C-section, D&C etc.)
Are you living with pain?
What do you do for a living? (Occupation/Profession)
Are you under any stress? If so, what is creating stress in your life
Do you have a stressed body part (e.g., neck, headaches, back pain, etc.)
Family Medical History (e.g., PCOS, heart attack, early menopause, fibroids, miscarriage)
Medical Conditions
Medications
