Thank you for taking the time to complete this anonymous survey as part of a project that I am working on as a 5th year Dietetics student at UBC.

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1. What is your age range (years)?

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2. How long have you been trying to conceive? Please provide your answer in months (for example: 10 months).

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3. Have you tried ovulation kits and/or period trackers to support conception?

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4. Have you or your partner ever been diagnosed with any reproductive concerns?

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5. If yes, which options were offered to you?

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6. Were you referred to another healthcare professional upon being diagnosed? (dietitian, family doctor, OB/GYN, etc.)

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7. How would you describe your knowledge/outlook on nutrition and fertility?

I know none at all I know a little I know a lot
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i We adjusted the number you entered based on the slider’s scale.

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8. Would you ever consider fertility treatments?

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9. Which of the following resources would you find most helpful to learn about nutrition and fertility?

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10. If you would like to be the first to know about a free online webinar on fertility and healthy eating, please leave your email below. No other emails will be sent except for sign-up information when the course becomes available.

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