Australian Data on Placentophagy
Thank you for taking part in this anonymous survey. The data collected will give an indication of how women in Australia are using their placenta and the effects of placenta consumption.

The questions are with regard to YOUR MOST RECENT experience consuming your placenta.

Answer each question as accurately as you can. It should only take 5 - 10 minutes.
When You Gave Birth
These answers are based on your most recent experience consuming your placenta
Where did you give birth?
Clear selection
What type of birth did you have?
Please select as many boxes as apply
Gestational age of baby at time of birth
Were you diagnosed or treated for GBS (Group B Strep) at any time during this pregnancy or birth?
Clear selection
What state/territory were you living in?
How many babies did you birth this time?
Clear selection
Your Age
Was this your....?
Clear selection
How did you feel about your birth experience?
Very unsatisfied
Very satisfied
Clear selection
How You Used Your Placenta
When did you start to consume your placenta?
Clear selection
For how long did you consume the majority of your placenta?
Clear selection
Who prepared your placenta remedy?
Why did you choose to use a placenta remedy?
Tick all boxes that apply
Had you used placenta remedies for previous births?
Which placenta remedies did you use?
Did you save some capsules for use during hormonal changes later in life?
Clear selection
On average, how many capsules did you take each day?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.