Calling women everywhere! This is your chance to tell us what's on your mind all things fertility-related. Be honest (it's 100% anonymous, we promise!) and look out for the results in a future issue of GLAMOUR. It should take you just 5 minutes!

1.	How old are you?
	15-19
	20-24
	25-34
	35-44
	45-54
	55+

2.	Where do you live?
	South East
	South West
	Midlands
	North East
	North West
	Wales
	Ireland
	Scotland

3.	On a scale of 1-10 (1 being the least, 10 being the most), how worried are you about conceiving?
		1		2		3		4		5		6		7		8		9		10

4.	If you're worried, what age did you first start worrying about it?
	19-23
	24-27
	28-30
	31-34
	35+
	I am not worried

5.	Where is the majority of the pressure to worry coming from? (Please tick one box)
	Parents
	Partner
	Friends
	Media

6.	How much attention do you pay to news stories about infertility?
	None
	Hardly any
	Some
	Lots

7.	What age do you think you SHOULD start trying for a baby?
	19-24
	25-29
	30-34
	35+

8.	What age WILL you start trying?
	19-24
	25-29
	30-34
	34+
	I am already trying

9.	What age would you start trying were age not an issue?
	19-24
	25-29
	30-34
	35-39
	40+

10.	Have you already thought seriously about other plans (IVF, adoption, surrogacy) despite never having tried and failed to conceive?
	Yes
	No

11.	What age do you think your fertility starts declining?
	27
	28
	29
	30
	31
	32
	33
	34
	35
	36+

12.	How far would you go to have a baby? (Please tick all that apply)
	I'd freeze my eggs
	I'd have IVF
	I'd adopt a child
	I'd use a surrogate
	I'd use an egg donor
	I'd use a sperm donor
	I wouldn't do any of the above
	I haven't thought about this yet

13.	Would you consider having a baby on your own if you haven't met the right man in time?
	Yes
	No

14.	Would you ever 'settle' for a man just so that you have a 'baby partner' at the right age?
	Yes
	No

15.	Out of these lifestyle habits, which ones do you think are related to infertility? (Please tick all that apply)
	Smoking
	Promiscuity
	Drinking
	Eating badly
	Lack of exercise
	Lack of sleep
	None of the above

16.	Would you have a baby before you're ready rather than wait and find out you can't?
	Yes
	No

17.	What percentage of women do you think encounter fertility problems?
	20%-25%
	26%-29%
	30%-34%
	35%-39%
	40%-45%
	I don't know

18.	How long does it take an average couple to conceive?
	1-6 months
	7-12 months
	13-20 months
	20 months +
	I don't know

19.	If you're not concerned about your fertility, why not? (Please tick all that apply)
	I figure I won't struggle to conceive
	I don't really want children
	I can always try IVF
	I do have concern

20.	Would you ever marry a man who has been diagnosed infertile?
	Yes
	No

21.	£1 million in cash right now, or the guarantee you'll have a beautiful, healthy baby in the future? (Please tick one box)
	Cash
	Baby

22.	Would you leave your partner if he refused to father your child?
	Yes
	No

23.	A happy marriage with no children or an unhappy marriage with lovely children? (Please tick one box)
	Happy Marriage
	Unhappy Marriage

25.	If you desperately wanted a baby and he didn't, would you stop taking the pill without his knowledge?
	Yes
	No
	Already done it

24.	Would you be prepared to take part in further research with CondéNast?
	Yes
	No

25.	Select the boxes to receive information / great offers from Condé Nast and great offers from companies and partners selected by Condé Nast.
		Condé Nast		Companies or partners of Condé Nast
	Email
	Telephone
	SMS

26.	Please enter your email address, in order to be placed in the prize draw to win a goody bag of RIMMEL LONDON products.

Thank you so much for your time!