WQMC Contraceptive Questionnaire

For new starters and repeat issues, please complete this form and a member of the nursing team will contact you in due course.

Last Updated: 07/08/2020

Your Details

Contraceptive Questionnaire

Are you in a relationship?

If you are in a relationship, it is important that you feel safe. If you do not then there are links to local support groups and women's aid in the references on our women's health page. Alternatively please book an appointment to discuss with a GP or ANP.