Genetic test

Please complete this test to know if it is recommended for you to go to genetic counselling.

1. Do you want to plan your pregnancy optimally?
Yes No

2. Is there any disease in your family which you think can occur in case of pregnancy (Is mental backwardness, any problem with muscles, disease of kidneys, disfunction of hearing or viewing occurred at the family or distant relatives)?
Yes No

3. Are you planning to be pregnant for a long time but you could have not managed yet?
Yes No

4. Do you have problem with producing sperm and you do not know its reason?
Yes No

5. Do you want to know how much folic acid is optimal for you during your pregnancy?
Yes No

6. Do you have any problem with your ultrasound diagnosis or your screening results during your pregnancy?
Yes No

7. Have you taken medicine, had any infectious disease or high temperature, been at sauna or worked with chemicals (hairdresser, laboratory assistant, work in plastic tunnel etc.) in the first period of your pregnancy?
Yes No

8. Would you like to know what opportunities there are to detect Down syndrome during pregnancy and in which period of the pregnancy can apply these methods?
Yes No

9. Are there any recurrent disease or aberration which occurred at more than one family member?
Yes No

10. Are there any cumulative disease (high blood pressure, diabetes, cancer etc.) in your family (that occurred at least 2 or 3 family members)?
Yes No