RH General Audience Interest Survey

1
What is your Email address?* This field is required.
example@example.com
2
Where are you in your fertility journey?* This field is required.Please check all that apply.
I’m just starting to think about getting pregnant.
I’m actively trying to conceive for the first time.
I have at least one child but am struggling to get pregnant this time around.
I’ve been trying to get pregnant for LESS THAN 6 months without success.
I’ve been trying to conceive for MORE THAN 6 months without success.
I’ve experienced multiple miscarriages.
I’ve tried fertility treatments like IVF or IUI.
I’m looking to improve male fertility.
Other
3
Are you the female partner or the male partner?* This field is required.
Female
Male
4
What is your age?* This field is required.
Under 25
25-29
30-34
35-39
40-44
45+
5
What is your partner’s age?* This field is required.
Under 25
25-29
30-34
35-39
40-44
45+
6
What fertility-related topics are you most interested in?* This field is required.Please check all that apply.
Tips to conceive naturally
Understanding fertility treatments (e.g., IVF, IUI)
Male fertility and its role in conception
Miscarriage recovery and prevention
Balancing hormones for fertility
Nutrition and lifestyle tips to optimize fertility
Managing stress and emotional challenges of infertility
Other
7
If you were sitting in front of Drs. Christina and Nashat (our functional fertility specialists), what questions would you have for them?* This field is required.
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8
If you could wave a magic wand and create the ideal program to help you prepare for natural conception, what would that look like?* This field is required.
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9
What would you expect to invest for the fertility optimization program you just outlined?* This field is required.
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10
Is there anything else you’d like for us to know?* This field is required.
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