ARC's Fertility Stress Reduction Program

1.

I feel like a failure because I'm unable to become pregnant or carry a pregnancy. yes no

2.

I'm afraid I may never give birth or hold a pregnancy. yes no

3.

I don't feel the support I need from my partner. yes no

4.

I feel jealous or sad when I hear that someone else is pregnant. yes no

5.

I avoid friends and family members who are pregnant or have babies. yes no

6.

I'm having difficulty making decisions about how to deal with infertility. yes no

7.

I feel I'm being punished. yes no

8.

I resent how infertility is impacting my life. yes no

9.

I feel my life is on hold. yes no

10.

I feel overwhelmed or loss of control over my life. yes no

11.

I'm often hurt by comments like "just relax" that minimize the difficulty of infertility. yes no

12.

I experience less pleasure and enjoyment. yes no

13.

My sex life is suffering. yes no

14.

My career is being impacted by infertility. yes no

15.

My sleep is disturbed by thoughts related to infertility. yes no

Total Stress Points: