Dr. Neil Cervera of DrNeil.Com DrNeil.Com
A Trauma informed, evidence based Social Work practice.
Serving the Capital District for more than 30 years.
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Infertility Coping Test
PLEASE RESPOND EITHER TRUE OR FALSE TO ALL OF THE FOLLOWING STATEMENTS:

1. I feel guilty about the infertility.
True
False
Not Answered


2.I feel that I have let my husband/wife down.
True
False
Not Answered


3.I don't feel I'm fulfilling my role as a man/woman because of the infertility.
True
False
Not Answered


4.Because of the infertility, I feel like less of a man/woman.
True
False
Not Answered


5.I feel like my body has let me down.
True
False
Not Answered


6.Infertility is a punishment for something I did wrong years ago.
True
False
Not Answered


7.I feel embarrassed about the infertility.
True
False
Not Answered


8.Having a baby is the most important thing in my life right now.
True
False
Not Answered


9.I'm angry about the infertility.
True
False
Not Answered


10. Sometimes I feel completely out of control and my mood swings from hope to despair.
True
False
Not Answered


11.I have trouble communicating my attitudes and feelings about the infertility to my spouse.
True
False
Not Answered


12.I feel that my spouse and I are speaking "different" languages" when it comes to communication about the infertility.
True
False
Not Answered


13.I find it helpful to talk to my partner about the infertility.
True
False
Not Answered


14.I feel that my spouse does not understand how the infertility has affected me.
True
False
Not Answered


15.I feel that my spouse has been there for me during our dealing with infertility.
True
False
Not Answered


16.Our marriage will continue in spite of the infertility.
True
False
Not Answered


17.Despite the infertility, I feel that I am sensitive to the needs of my spouse.
True
False
Not Answered


18.My marriage is not as close as it was before the infertility.
True
False
Not Answered


19. Infertility has hurt my marriage.
True
False
Not Answered


20. I feel that my spouse and I will be able to find a rational solution to the infertility issue.
True
False
Not Answered


21. Since learning of the infertility, I find my spouse is withdrawing and unavailable to me.
True
False
Not Answered


22. My spouse is willing to listen to me about infertility.
True
False
Not Answered


23. I feel that my spouse has let me down.
True
False
Not Answered


24. Since the infertility, I have had less contact with friends.
True
False
Not Answered


25. I find myself withdrawing more and more from my family.
True
False
Not Answered


26. This period of infertility has caused me to withdraw inside myself.
True
False
Not Answered


27. My employer doesn't understand me.
True
False
Not Answered


28.Since the infertility, I sometime feel like I'm losing my mind.
True
False
Not Answered


29. Being a parent has been so important to me that I can't imagine feeling content unless we conceive a child.
True
False
Not Answered


30. I feel that the infertility has not affected me negatively.
True
False
Not Answered


31. I hesitate to talk about this problem with other people.
True
False
Not Answered


32.Medical treatment takes a heavy toll on my emotions.
True
False
Not Answered


33.Infertility treatment has taken up an enormous amount of time, energy and money.
True
False
Not Answered


34. Infertility has taken much fun and spontaneity out of sex.
True
False
Not Answered


35. There isn't much time left for me to have a baby.
True
False
Not Answered


36.The infertility has often made me feel powerless.
True
False
Not Answered


37.Since the infertility began, I have become less interested in sex.
True
False
Not Answered


38. We have sex for reasons other than conceiving a child.
True
False
Not Answered


39.Since the infertility, I communicate better with my spouse.
True
False
Not Answered


40.My marriage has become secondary since I've learned of the infertility.
True
False
Not Answered


41. I couldn't deal with this period of infertility without the help of my spouse.
True
False
Not Answered





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