This questionnaire will help our pharmacist provide better advice and support during your consultation and should only take approximately 2 minutes to complete. You can complete this questionnaire if you’re female, between your menarche (first period) and up to age 49 looking for the morning-after pill (emergency contraception).

Please note we are closed on weekends and Bank Holidays, if you need this medication urgently, please contact GP/111 or local pharmacy.

If you are unsure about any of the questions, please call us on 0115 8501944 or email us at [email protected]