Draft material to appear in Getting Pregnant When You Thought You Couldn't (Spring, 2001)

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The Getting Pregnant Quiz

Directions:

            The Getting Pregnant Quiz allows you to examine how you deal with your infertility.  There are no right or wrong answers.  Each question has four choices.  Pick the one that best represents how you act or what you believe.  Read the questions carefully.  Then circle the number of the response that best represents your choice.  If you feel that an item does not apply to you (e.g. the item asks about how you and your partner work as a team and you are a single woman with no partner), just skip the item.

1.         How educated are you about the diagnostic tests, medications, side effects, and treatments for infertility?

1.  Extremely well educated

2. Moderately well educated

3. Slightly educated

4. Not at all educated

2.         How well are you able to identify your feelings about infertility and accept them as "OK"?.

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

3.         If you ever find yourself having unrealistic or unreasonable ideas about infertility (such as "My infertility is a punishment for an affair that I had five years ago"), how well are you able to challenge these unrealistic or unreasonable views?

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

4.         How able are you and your partner to work together as a team and support one another through infertility?.

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

5.         How able are you to give yourself permission to avoid stressful family and social situations, and organize your social life accordingly?

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

6.         How able are you to be an active consumer and a partner to your physician in your infertility treatment?

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

7.         How able are you to organize your record keeping of treatment, insurance payments, and receipts?

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

8.         How able are you to develop a long-range plan (six months or so) that identifies how much money you are willing to spend on treatment, how long you want to remain in treatment, how much physical and emotional trauma you are willing to withstand, and how able are you to reassess this plan after six months?

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

9.      When faced with an either/or decision in terms of treatment options, doctor or clinic selection, or moral, legal, or insurance choices, how able are you and your partner to make a decision in a timely manner?

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this

10. To what extent are you able to "hang in" despite setbacks so long as you have the resources to do so and your goal is still to try to get pregnant? (While it is important to maintain a stance of cautious and realistic optimism, it is equally important to confront the emotional, physical, and psychological costs of pursuing a goal that may appear, and might actually be, elusive and unrealistic.)

1. Extremely able to do this

2. Moderately able to do this

3. Slightly able to do this

4. Not at all able to do this