Note: For women going through IVF only

* 1. How old are you?

* 2. Are you married or in a serious relationship?

* 3. Do you have children?

* 4. Have you gone through infertility treatment with a previous pregnancy?

* 5. Has anyone else in your family experienced infertility?

* 6. How old were you when you started infertility treatment?

* 7. If you waited until over 35 to try to get pregnant, why?

* 8. What options have you already tried to combat infertility? Select all that apply.

* 9. How much time a month are you spending on IVF (research, doctor's visits, travel to and from doctor, shots, etc.)?

* 10. How much money would you be willing to spend on infertility treatments in order to get pregnant?

* 11. Does your health insurance cover infertility treatments?

* 12. How has IVF affected your sex life?

* 13. How stressed do you feel about going through IVF?

* 14. Which side effects have you experienced from the hormones you take for IVF? Choose all that apply.

* 15. How many times a day do you typically think about getting pregnant?

* 16. How has the IVF process affected your relationships with friends and family?

* 17. Who do you turn to for help dealing with infertility? Choose all that apply.

* 18. How has infertility affected your relationship with your partner?

* 19. Would you be willing to risk your relationship with your partner to get pregnant?

* 20. How do you feel around women who are pregnant?

* 21. At what point did you decide to do IVF after trying to get pregnant on your own?

* 22. How far do you travel for IVF treatment?

* 23. Are you hoping for twins as a result of IVF treatment?

* 24. Are you concerned about the possibility of high-order multiple pregnancy (triplets or more) as a result of IVF treatment?

* 25. If you get pregnant with high-order multiples (triplets or more), would you consider selective reduction (terminating one or more fetuses)?

* 26. How many times would you consider doing IVF to help you conceive?

* 27. At what age you would no longer be willing to pursue IVF (whether with your own or donor eggs)?

* 28. If IVF does not work for you, would you consider adoption?

* 29. What alternative approaches, if any, have you tried to help you conceive? Choose all that apply.

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