If you are an adult female who is 18 years of age or older and have experienced a miscarriage, then you are eligible to participate in this research. The purpose of this study is to learn more about how women experience miscarriage.  This study is completely voluntary and we appreciate your assistance.  By participating in this study, you will be helping other women and mental health professionals to better understand how miscarriage can impact women and their relationships.
 
All information obtained from you in this study will be kept strictly confidential and private, and no identifying information will be collected.  Your completion of this survey implies your consent to participate.  You are free at any time to discontinue taking the survey if you wish or to return to an item and change your response. All questions with a star/asterisk in front of them require a response.
 
IMPORTANT: It is important to click on the "Next" button at the bottom of each page as you respond to the survey questions including each time you change a prior response. This assures that your responses on that page are saved. If you would like to take a break and return to finish the survey later, please remember to click on "Next" at the bottom of the last page you have completed prior to exiting.  When you return to complete the survey, you must do so using the same device and browser as when you began the survey. If you are unable to complete the survey using the same device and browser, you will have to start over in order to participate and submit a survey. At the end of the survey, please click on "Done" as this will save your responses and submit your survey. Thank you!

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* 1. Please indicate your current age.

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* 2. What is your race/ethnic origin?

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* 3. What country do you reside in?

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* 4. What is your highest level of education?

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* 5. What is your employment status?

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* 6. Please indicate your current marital status.

PLEASE IDENTIFY HOW MUCH YOU AGREE OR DISAGREE WITH EACH OF THE FOLLOWING STATEMENTS FOR QUESTIONS 7-10.

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* 7. It is easy for me to become emotionally close to others. I am comfortable depending on them and having them depend on me. I don't worry about being alone or having others not accept me.

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* 8. I am uncomfortable getting close to others. I want emotionally close relationships, but I find it difficult to trust others completely, or to depend on them. I worry that I will be hurt if I allow myself to become too close to others.

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* 9. I want to be completely emotionally intimate with others, but I often find that others are reluctant to get as close as I would like. I am uncomfortable being without close relationships, but I sometimes worry that others don't value me as much as I value them.

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* 10. I am comfortable without close emotional relationships. It is very important to me to feel independent and self-sufficient, and I prefer not to depend on others or have others depend on me.

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* 11. How many times have you been pregnant?

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* 12. How many living children do you have?

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* 13. How many miscarriages have you experienced?

PLEASE ANSWER THE FOLLOWING QUESTIONS REGARDING YOUR MISCARRIAGE EXPERIENCE. IF YOU HAVE EXPERIENCED MORE THAN ONE MISCARRIAGE AND YOU FOUND ANY OF THOSE MISCARRIAGES TO BE DIFFICULT, PLEASE CONSIDER THE ONE MOST STRESSFUL FOR YOU AS YOU ANSWER THESE QUESTIONS.

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* 14. Have you experienced any of the following  prior to this miscarriage?  Choose all that apply.

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* 15. Prior to the miscarriage, have you ever experienced the following?  Choose all that apply.

Please remember to click on "next" prior to continuing to the next page.

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