Table 4.

Practical recommendations made by patients following alpha testing.

	Recommendation	Checklist ✓ Changes made × Changes not made	Reason
Add	Add room for other factors that may influence decision, e.g. social factors (STH10)	×	Not specified enough, covered some social aspects already
	P.34 add “yes no maybe” (STH10)	×	No, but we did change the response
Change	What to do if patients disagree with doctors’ recommendations (LTH8)	×	Unethical, decision-aid is supposed to be neutral
	Consent form examples, emphasise quantity (LTH8)	×	Can differ between hospitals, leading?
	Surrogacy versus carrying own baby (LTH8)	×	Not within remit
	What happens at the clinic (LTH9)	×	Felt a lot of information already, but we did update the text (e.g. changes from fertility expert to fertility care team)
	Signpost HEFA website (LTH9)	×	Already done
	Case studies, possible side effects (STH10)	×	Would bias the decision aid, we do mention side-effects
	How relatives can support decision maker	×	Already included
	Possibility of fostering, does having had cancer affect chances? (SU3)	×	Felt inappropriate
	Adoption issues after CT (SU3)	×	Felt inappropriate
	Add POSITIVE cancer trial results (SU4)	×
	P12, graph: add shaded area (STH10)	✓
	Move p. 35 to the end (SU4)	✓
Omit	Can be challenging numbering 1-4 (STH9)	×
	Page 10, cut where it says “use space” as the women could bring a notebook (STH10)	✓