Follow up form

1) Name:
2) Email address	(I will not pass on to anyone else, but I will contact you in four weeks)
3) How many weeks has it been since you switched to organic dairy products?
4) What proportion of the milk you now drink is organic?	Comment below if no option fits:
5) What proportion of the cheese you now eat is organic?	Comment below if no option fits:
6) Have you changed the quantity of milk chocolate you eat?	comment
7) Describe your pain over the time period since you switched to organic milk. eg. Has there been any change in the pain or is it just about the same as before the switch?
8) Rate the severity of your pain since making the change to organic dairy products. 10 being very severe, 1 being mild.
9) Have you noticed any change in when you experience pain? eg. Is the painful period more or less prelonged?
10) Have you started hormone replacement treatment since switching to organic milk?
11) Have you changed contraception method or brand of pill, since switching to organic milk?	New method of contraception, or brand of pill
12) Please add any comment or message for me. (If you have already experimented with organic milk tell me what you found.)
	Please click here when you have completed the form.

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