1. Do you have sexual intercourses 12 days after your last day of menstruation?
D. Not really, you really don't plan anything
2. Are you certain that you are ovulating the right way?
B. Not really
C. You may have a problem because your periods are not regular
D. No, you are different than other women
3. Have you ever been through any kind of treatment to get pregnant?
A. No, you've never needed it
B. Yes, many times
C. A few times
D. Yes, but it was for a regular visit
4. Have you ever given up on getting pregnant before?
C. There's no way you would do that
D. If things keep on being so difficult you might stop hoping
5. Do you even want to get pregnant to be begin with?
C. You want to be like everyone else
D. Yes, but you've waited for so long for it to happen
6. Have you ever had an abortion?
A. Yes, a few of them
C. You are firmly against it
D. Yes, too many
7. Have you ever fallen pregnant before?
A. Yes, a few times
B. Yes, once but you miscarried
C. No, never
D. No, just a series of false alerts
8. Have you ever suffered from any miscarriage?
A. Yes, a few time
B. Yes, all your pregnancies end up in miscarriages
C. No, never
D. No, since you've always had a hard time being pregnant to begin with
9. Do you currently have children?
C. You don't want any
D. You've always wanted some but never could fall pregnant
10. Are you okay with having someone else carrying your child?
A. Yes, why not
C. You don't know
D. Yes, at all costs