The purpose of this questionnaire is to provide an overview of your state of health and to ensure that the doctor has access to information on your health. Please have your vaccination record, medical reports or the results of any significant medical examinations to hand.

All the enclosed information is subject to medical confidentiality.

The personal data collected through this questionnaire is processed in accordance with the applicable regulations, in particular the General Data Protection Regulation (GDPR). To learn more about the use of your data, your rights, and how you can exercise them, we invite you to consult our information notice.