Infertility Coping Scale, ICS Test - the question form

Questions: 9 · 2 minutes
Select Questionnaire Type
Male form
Female form
1. I will continue medical evaluation/treatment until I am able to conceive a child.
1 – Completely untrue
2 – Not true
3 – Mostly not true
4 – Mostly true
5 – True
6 – Completely true
2. I cannot plan for the future until I know for sure whether I will be able to have a child.
1 – Completely false
2 – False
3 – Somewhat false
4 – Somewhat true
5 – True
6 – Completely true
3. I think I could live my life without having a child.
1 – Completely untrue
2 – Untrue
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
4. More than anything, I want to have a child of my own.
1 – Completely untrue
2 – Not true
3 – Mostly not true
4 – Mostly true
5 – True
6 – Completely true
5. I feel as if my life has come to a standstill.
1 – Completely untrue
2 – Not true
3 – Somewhat untrue
4 – Somewhat true
5 – True
6 – Completely true
6. Difficulties having a baby do not prevent me from living a full life.
1 – Completely untrue
2 – Not true
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
7. I cannot imagine my future without a child.
1 – Completely untrue
2 – Not true
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
8. I will feel unfulfilled until I am able to conceive my own child.
1 – Completely untrue
2 – Untrue
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
9. I believe that life can be happy both with children and without them.
1 – Completely untrue
2 – Untrue
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
1. I will continue with evaluation and treatment until I am able to have a baby.
1 - Completely untrue
2 - Untrue
3 - Somewhat untrue
4 - Somewhat true
5 - True
6 - Completely true
2. I cannot plan for the future until I know for certain whether I will be able to have a child.
1 – Completely untrue
2 – Untrue
3 – Rather untrue
4 – Rather true
5 – True
6 – Completely true
3. I think I could live my life without a child.
1 – Completely untrue
2 – Not true
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
4. More than anything, I want to have a child of my own.
1 – Completely untrue
2 – Untrue
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
5. I feel like my life has come to a standstill.
1 – Completely not true
2 – Not true
3 – Mostly not true
4 – Mostly true
5 – True
6 – Completely true
6. Difficulties having a child do not prevent me from living a full life.
1 – Completely untrue
2 – Untrue
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
7. I cannot imagine my future without a child.
1 – Completely untrue
2 – Not true
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
8. I will feel unfulfilled until I am able to have my own child.
1 – Completely untrue
2 – Not true
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true
9. I believe that life can be happy both with children and without them.
1 – Completely untrue
2 – Not true
3 – Mostly untrue
4 – Mostly true
5 – True
6 – Completely true