We receive many e-mails asking specific questions about issues with HG. In order for us to best answer your questions, it is helpful to know some general information about your present situation and past medical history. This information is only seen by our health professionals. It is not collected in a database or used in any other manner, and is never shared or discussed without your express permission. You may receive an occasional news update on HG which you can opt out of at any time.

All but the last few questions are optional. Answer to the extent you are comfortable so we can respond more efficiently.

If you would like a health professional or volunteer referral, email us at help@hyperemesis.org One of our health professionals usually responds within 1 business day to the questionnaires, depending on the volume of e-mail we receive.

Case Info

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1. Let us know about you.
(Location collected only for time zone and referrals.)
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2. Is this your first pregnancy? *This question is required.
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This question requires a valid date format of MM/DD/YYYY.
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