This is your health intake and assessment form.

Use this in conjunction with the chapter in the Whole Body Fertility book
that helps you identify your fertility archetype.

This will help you design your own customized fertility action plan.

Go ahead and download this form now:

Note: this chart is saved in a PDF format. You will need a PDF reading program on your
computer to read this file.

If you need a PDF reader, download Adobe’s most recent version by clicking on the icon to the left.
It’s a free program.