I am still trying to collect data about fenugreek, if you have clients or
friends who have tried it, please ask them to fill this out and return it to
me either via snail mail or e mail. Thanks!

Cindy
-________________________________________

FENUGREEK SURVEY

Name: _________________________________________ Phone Number:
_________________________
City: __________________________ State: _______________ e mail address:
____________________
Provider that gave you this survey:
_________________________________________________________
(If you dont feel comfortable giving out all of the above info, then leave
blank)
1. Why do you feel you need to increase your milk supply?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
________________________________________________________________
2. How much Fenugreek are you/did you take? Did you take capsules or
tincture, please be specific as to the amount you took each day and note if
you increased or decreased he dosage and why.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________
3. Did you notice an increase in your milk supply?
______________________________________________________
4. How long was it before you noticed an increase in supply?
_____________________________________________
5. How did you know your supply increased? (Increased breast size, able to
pump more milk, .)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
________________________________________________________________
6. If you were pumping, how much more were you able to pump?
____________________________________________________________________________
____________________________________________________________________________
________________________________
7. Did your baby seem to tolerate the fenugreek?
_____________________________________________________
8. Please list any other medications or supplements that you are on
(herbals, homeopathics, proscriptions and non-prescriptions) How much and
how often?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
________________________________________________________________
9. Other comments (please use back if needed) :
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____
THANK YOU !


Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn

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