LUMIROUS-Questionnaire

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We would like to extend our sincere gratitude to you for filling in the questionnaire.
Estimates suggest that 1 out of 6 couples in Malaysia is struggling with infertility. Here at LUMIROUS, we are devoting ourselves to help and support those who are facing infertility problems in Malaysia. By answering this questionnaire, you are indirectly helping the others who are facing the same problems like you.

Lumirous.com

Compliance with the PDPA

At LUMIROUS, we take the data of our clients very seriously. The compliance with the Personal Data Protection Act 2010, which was implemented by the Malaysian government in 2020, has always been our top priority.

The data collected from the questionnaire will ONLY be used for the following purposes.
1. To support the study on infertility that is conducted by LUMIROUS.
2. To support our AI system in making more accurate predictions.
3. To support the building of an infertility mobile app which will be developed by LUMIROUS in the near future.

Name *

WhatsApp Number (+60177092370) *

Gender

Female

Male

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Race

Malay

Chinese

Indian

Other:

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Age

Your spouse's age

You underwent a fertility treatment for

First Child

Second Child (First Child pregnant naturally)

Second Child (First Child pregnant through IUI)

Second Child (First Child pregnant through IVF)

Clear selection

Your current situation *

Pregnant

Trying to conceive

Have given a birth

Taking a break

Have stopped the treatment

Other:

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