1. Do you maintain a healthy lifestyle with balanced nutrition and exercise?
A. It's hard for me to stick to healthy habits
B. I try, but I'm not consistent
C. Not really, I don't pay much attention
D. Yes, I prioritize my health
2. How do you handle stress in your life?
A. I manage it well through relaxation techniques
B. I ignore it, hoping it'll go away
C. I struggle with stress sometimes
D. Stress overwhelms me often
3. Are you prepared for the emotional ups and downs of trying to conceive?
A. I've been struggling with the emotional aspect
B. Emotionally, it's challenging for me
C. Yes, I'm mentally prepared for the journey
D. I'm trying to stay positive
4. Do you track your ovulation using apps or tools?
A. No, I haven't tried tracking
B. Yes, I track it diligently
C. I rely on intuition
D. Sometimes, but not consistently
5. Are you open to exploring fertility treatments if needed?
A. I've already tried treatments without success
B. No, I'd prefer natural methods only
C. Absolutely, I'm willing to try anything
D. I'm hesitant but open to discussion
6. How does your partner feel about becoming a parent?
A. They're excited and committed
B. They're somewhat unsure
C. They're not very interested in parenthood
D. My partner isn't in favor of parenthood
7. Do you have a supportive partner in this journey?
A. My partner isn't very interested in this process
B. I'm going through this alone
C. My partner is somewhat supportive
D. Yes, my partner is fully involved and supportive
8. Are you open to exploring alternative methods like adoption or surrogacy?
A. Yes, I'm open to various options
B. I'm considering it, but unsure
C. No, I'm solely focused on natural conception
D. I'm against alternatives to natural conception
9. Do you have a strong support system of friends and family?
A. Yes, my support system is strong
B. I have some supportive people around me
C. Not really; I lack a good support network
D. My support system is quite weak
10. Are you willing to explore complementary therapies like acupuncture or meditation?
A. Yes, I'm open to trying different therapies
B. I might consider it
C. No, I prefer conventional methods
D. I've already tried alternative therapies
11. Have you undergone any hormonal imbalances or health issues?
A. I have ongoing health concerns
B. Yes, I've had some hormonal issues
C. No, I'm in good health overall
D. I'm not sure about my health status
12. How would you describe your overall attitude toward the journey of conception?
A. I'm optimistic and determined
B. I'm cautiously hopeful
C. I'm skeptical and anxious
D. I'm losing hope and feeling frustrated
13. How long have you been trying to conceive?
A. Over a year
B. It's been a long journey, several years
C. Just started
D. A few months
14. Do you have a history of reproductive health problems?
A. No, I don't have any history
B. Yes, I've had minor issues
C. I've had significant reproductive health challenges
D. I'm not sure about my reproductive health history
15. Have you consulted a fertility specialist or doctor?
A. No, I haven't considered medical help
B. I've been avoiding medical help
C. I've had a few consultations
D. Yes, I'm actively seeking medical advice
