Questionnaire survey for pre-eclampsia book

Thank you for agreeing to fill out this questionnaire. The information you supply will be used to make a new book on pre-eclampsia as interesting and relevant as possible for the readers and will not be held or used for any other purpose. Please provide plenty of detail in your responses – all the boxes are expandable.

* 1. Your background

* 2. Date/year of your most recent experience of pre-eclampsia

* 3. Your age at this time

* 4. Was this a first or later pregnancy? If a later pregnancy, please specify which