Dance of Empty Arms Survey

Survey: Experiences of Women with Infertility and Nulliparity

Thank you for taking the time to participate in this survey. We acknowledge that infertility and nulliparity can be deeply personal and emotional experiences. This survey aims to understand the diverse journeys of women who have been unable to have a biological child. Your insights will help in raising awareness and improving support for women facing similar challenges.

This survey is confidential, and responses will be anonymized. Please feel free to answer as much or as little as you feel comfortable with.

First Name

Last Name

Email *

City

State

Postal code

Country

Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote D"Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People"S Republic
Korea, Republic of
Kuwait
Kyrgyzstan
Land Islands
Lao People"S Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
UK
Ukraine
United Arab Emirates
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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What is your age?

Under 25
25 - 34
35 - 44
45 - 54
55 and above
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What is your marital or relationship status?

Single
In a relationship
Married
Divorced/separated
Widowed
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What is your highest level of education?

No formal education
High school diploma
Some college/university
Bachelor’s degree
Master’s degree or higher
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Do you identify with a particular cultural, religious or ethnic background? (Optional)

What is your employment status?

Employed full-time
Employed part-time
Self-employed
Unemployed
Retired
Student
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What is your role or industry you work/study in?

Have you been medically diagnosed with infertility?

Yes
No
Not formally diagnosed, but have experienced difficulties conceiving
Not applicable
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How long have you been on this journey?

Less than 1 year
1-3 years
4-6 years
7+ years
Not applicable
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Have you pursued medical interventions to conceive?

Fertility medications (e.g., Clomid, Letrozole)

Intrauterine Insemination (IUI)

In Vitro Fertilization (IVF)

Donor egg/sperm

Surrogacy

Alternative medicine (e.g., acupuncture, herbal remedies)

Other (please specify below)

None

Other interventions

Have you received a specific diagnosis related to infertility? (Check all that apply)

Polycystic Ovarian Syndrome (PCOS)

Endometriosis

Premature Ovarian Failure

Unexplained Infertility

Male factor infertility

No specific diagnosis

None

Other (please specify below)

Other diagnosis

Have you considered or pursued alternative paths to parenthood? (Check all that apply)

Adoption

Fostering

Co-parenting arrangements

Remaining child-free

None

Other (please specify below)

Other paths

What is the reason for your nulliparity? (Check all that apply)

Never met someone to start a family with

Medical condition prevented pregnancy

Financial or life circumstances

Partner doesn't want children

Chose not to have children (please specify reason below)

Other (please specify below)

Not applicable

Nulliparity reason

Have you ever been pregnant?

Yes

Unsure

If yes, what was the outcome of your pregnancy/pregnancies? (Check all that apply)

Live birth

Miscarriage

Stillbirth

Ectopic pregnancy

Termination for medical

Termination for personal reasons

None

Other (please specify below)

Pregnancy outcome other:

How would you describe the emotional impact of your infertility/nulliparity journey? (Check all that apply)

Grief

Anxiety

Depression

Isolation

Acceptance

Hope

Other (please specify below)

Emotional impact other

Have you sought professional mental health support for infertility/nulliparity-related grief?

Yes, regularly
Yes, occasionally
No, but I have considered it
No, I have not needed it
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What forms of support have been most helpful to you? (Check all that apply)

Partner

Family and friends

Online support groups

Therapy or counseling

Faith or spiritual practices

Books or resources

Other supports

Have you experienced societal or cultural pressures regarding motherhood?

Yes, strongly
Yes, somewhat
No, not at all
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If yes, how have these pressures affected you?

What has been the most challenging aspect of your journey?

Is there anything you wish people understood better about infertility/nulliparity?

Do you feel that enough support exists for women experiencing infertility/nulliparity?

Yes
No
Unsure
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What type of resources or support do you feel would be most beneficial?

Community support groups

More accessible medical treatments

Awareness and education

Counseling and mental health services

Workplace policies/support

Other (please specify below)

Other resources for support

What advice would you give to someone just starting this journey?

Is there anything else you would like to share about your experience?

Do you have any feedback or willing to share your experience with doing this survey?

Thank You! We appreciate your time and openness in sharing your experience. Your insights will help create greater understanding and support for those navigating infertility and nulliparity. You will be emailed a link to the Dance of Empty Arms community with-in 24hrs.