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. Author manuscript; available in PMC: 2014 Feb 1.
Published in final edited form as: J Adolesc Health. 2012 Jul 15;52(2):164–169. doi: 10.1016/j.jadohealth.2012.05.011

Table 1.

10-Item Reproductive Concerns Assessment

1. I would like information about how my
cancer treatment could affect my ability
to have children.
2. I feel like I can talk to my parents about
my ability to have a baby in the future
3. One day I would like to have a baby
4. If I cannot have a baby I will be
________
5. I feel frustrated that I might not be able
to have a baby in the future
6. If I cannot have a baby I would blame
my illness/cancer
7. If I cannot have a baby I would blame
my doctor/
8. I am worried about having a baby in the
future because I might get sick/cancer
again
9. I am worried about having a baby in the
future because my baby might get
sick/cancer
10. I feel like I have control over my ability
to have a baby in the future