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. 2024 Nov 25;16(11):e74459. doi: 10.7759/cureus.74459

Table 3. Anonymous questionnaire.

Anonymous questionnaire on infertility treatment  
Q1: Have you received fertility treatment in another clinics? 1, First-time visit; 2, Examination/consultation only; 3, Visit with treatment
Q2: Please write down your annual household income.              (thousand yen)
Q3: Have you told others/colleagues in your workplace about this visit? 1, Not plan to do; 2, Plan to do; 3, Told
Q4: Do you know the differences between IUI and IVF? 1, Do not know; 2, Do not know much; 3, Know vague; 4, Know mostly; 5, Know
Q5: Do you know the differences between IVF and ICSI? 1, Do not know; 2, Do not know much; 3, Know vague; 4, Know mostly; 5, Know
Q6: Do you know about oocyte freezing? 1, Do not know; 2, Do not know much; 3, Know vague; 4, Know mostly; 5, Know
Q7: Which would you describe as infertile? 1, Condition; 2, Disease
Q8: Which applies to your current feelings? 1, Depressed; 2, Slightly depressed; 3, Cannot say either; 4, A little looking forward; 5, Looking forward
Q9: Would you consider IVF (egg retrieval, embryo transfer, etc.) as the first treatment? 1, Not considering; 2, Not considering much; 3, Cannot say either; 4, Little consideration; 5, Considering
Q10: Will you recommend the option of oocyte freezing for your daughter? 1, Will not recommend; 2, Unlikely to recommend much; 3, Cannot say either; 4. Would Consider; 5, Would Recommend
Q11: How much do you expect it will cost to perform one IVF procedure?              (thousand yen) 
Q12: How many costs do you expect to incur until achieving pregnancy?              (thousand yen)
Q13: What is your impression of the costs in Q10 and Q11? 1, Inexpensive; 2. Low cost; 3, Reasonable; 4, Expensive; 5, Excessively expensive
Q14: Please provide any comments below regarding the insurance coverage of infertility treatment.  
※The Answer will not affect the treatment plan.