*Required fields
Do you have children? *
Spontaneously?
through medically assisted reproduction?
With your current partner?
Were there any incidents during pregnancy or childbirth?
Is there any suspicion of a genetic disease or syndrome?
Have you ever had an abortion? *
Has a cytogenetic study been carried out on the products of conception?
Have you ever had a genetic study? *
Woman
Male
Son/daughter
Another family member
