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 (or 54 for progesterone-only pills), looking to start a new oral contraceptive or continue on with an existing oral contraception.

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