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Question 1 of 6
Do you think you cannot move ahead with other life goals and plans because of fertility problems?
Yes
No
Question 2 of 6
Do your fertility problems cause feelings of jealousy and resentment?
Question 3 of 6
Do you experience grief and/or feelings of loss about not being able to have a child (or more children)?
Question 4 of 6
Are you socially isolated because of fertility problems?
Question 5 of 6
Do you feel sad and depressed about your fertility problems?
Question 6 of 6
Have fertility problems had a negative impact on your relationship with your partner?