Fertility evaluation

Which best describes your current focus?

Trying to conceive Thinking about trying in the future Exploring fertility preservation Seeking reassurance or clarity Unsure, but have questions

Which age group best applies to you?

Under 30 30-34 35-39 40-44 45 or over Prefer not to say

If you are trying to conceive, how long has it been?

Not trying yet Less than 6 months 6–12 months Over 12 months Prefer not to say

Do any of the following apply to you?

A known reproductive or hormonal condition Previous surgery or treatment affecting fertility Long-term medical condition None that I’m aware of Unsure

Have you or your partner had fertility tests or treatment before?

No Initial tests only Assisted fertility treatment (e.g. IVF, ICSI, IUI) Fertility preservation

Which best reflects your current situation?

Generally healthy lifestyle Some factors I’m working on Unsure

How does this topic feel for you right now?

Calm and curious Uncertain and seeking clarity Anxious or concerned Exploring options without urgency

What is your first name?

What is your surname?

Which email address to we send your results to?

What is your mobile number

Fertility is rarely defined by a single factor. Many people find that a calm, personalised conversation brings clarity and reassurance. This reflection tool is intended to support understanding only. It does not provide a diagnosis, assess fertility, or replace a medical consultation.