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* 1. Are you at least 18 years old?

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* 2. In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 3. What is your gender?

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* 6. What is your current religion, if any?

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* 7. Are you in a serious relationship? 

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* 8. Do you have children?

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* 9. If you don't have children, how important is it to you to have a child in the future?

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* 10. At what age do you want to have a child?

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* 11. At what age do you believe you will start attempting to have or thinking about having a child?

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* 12. Do you ever wonder what your own fertility status may be?

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* 13. Do you have any reason to suspect that your fertility might be at risk?

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* 14. Do you consider fertility an important factor when looking for a future partner?

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* 15. Do you consider reproductive health to be an indicator (marker) of overall health?

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* 16. In your best guess, how does the average sperm count among men today compare to the average sperm count 50 years ago?

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* 17. Do you think a country’s fertility rate has a connection with its economic growth?

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* 18. What percentage of United States couples do you believe are infertile?

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i We adjusted the number you entered based on the slider’s scale.

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* 19. What percentage of fertility issues in the United States do you believe can be attributed to men? 

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i We adjusted the number you entered based on the slider’s scale.

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* 20. How would you define "reproductive health"?

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* 21. How important is your reproductive health to you?

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* 22. How likely would you be to take a test to measure your fertility levels? 

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* 23. How likely would you be to treat low levels of fertility, should you be diagnosed?

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* 24. Have you ever used an at-home diagnostic test, such as 23 and Me or AncestryDNA?

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* 25. Please rank what is most important to you about an at-home health test:

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* 26. About how much would you be willing to pay for an accurate at-home diagnostic fertility test? (Please enter a whole number. Enter the number of dollars you are willing to pay.)

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* 27. How educated do you feel you are about your reproductive health?

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* 28. If you suspected you had a  fertility issue, what would likely be your next step(s)? (select all that apply)

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* 29. A personal doctor is the one you would see if you need a check-up, want advice about a health problem, or get sick or hurt. Do you have a personal doctor?

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* 30. Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care. In the last 12 months, did you try to make any appointments to see a specialist?

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* 31. In the past 12 months, have you seen a doctor or other health provider 3 or more times for the same condition or problem?

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* 32. How many times per year do you see a doctor, on average?

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* 33. For what reasons do you usually see a doctor?

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* 34. Where did you learn the most about your own reproductive health? (select all that apply)

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* 35. At what age do you believe a person should begin to become educated about their own reproductive health?

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* 36. Are you interested in learning more about your reproductive health at this time? 

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* 37. Are you interested in learning how to test your reproductive health? 

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* 38. Where would you most like to get information about your reproductive health? (select all that apply)

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* 39. How available is information from your school-affiliated health center?

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* 40. What health issues do you think about the most?

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