Menopause symptom questionnaire

Use this service to submit a routine review of your menopause symptoms.

You can use this service if you:

  • are registered at the surgery
  • have been invited to do so

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on Cuffley Village Surgery 01707 875201 or Valley View Health Centre 01707 875223 or visit the surgery in person.