This tool is a preparation aid, not medical advice. It helps you organise what you want to
raise with a healthcare professional. It does not diagnose anything and cannot tell you what your symptoms
mean. If something is urgent — chest pain, difficulty breathing, sudden weakness or confusion, severe pain,
or thoughts of harming yourself — contact your local emergency service straight away. Nothing you type here
leaves your device: it is not sent anywhere, not stored, and disappears when you close this page.
1. About this appointment
Fill this in before you go. Keep it short — the aim is a better conversation, not a file.
2. What I want to raise
Write it however it comes out. Bullet points are fine. This is your list, not theirs.
Prompts you may want to borrow
Tick anything that applies. Your picks appear in the brief below.
Women 50+ · menopause and beyond
Men 50+ · longevity and metabolic health
Shared · checks, tests and habits
These prompts are worded to open a conversation, not to reach a conclusion. What applies
to you is a clinical judgement, and that is what the appointment is for.
3. My top three questions
If the appointment is short, these are the ones that matter most. Edit them freely.
Your ticked prompts will gather here.
4. Notes and answers
Space to write down what you are told while you are still in the room.
Before I leave, check that I know:
Nothing you type is sent to us or stored anywhere. This page runs entirely in your browser.
Print it, or save it as a PDF, and take it with you.