Do you have any medical conditions that will put you or your baby's life at risk?
Yes
I'm not sure
No
When you think about having a baby, how do you feel?
Positive
Unsure
Negative
Are you willing to take care of yourself while you're pregnant?
Yes
No
I'm not sure
Are you planning to go to parenting classes and/or read pregnancy books?
Yes, of course
No, I don't need to
I'm not sure yet
Are you ready to make the compromises necessary to raise a child?
Yes
I'm not sure
No
How will pregnancy and motherhood affect your career?
Not a problem
Unsure
Negative
Do you have a good support system for after the baby comes?
Yes
Sort of
No
Have you thought about how you will arrange for childcare? Do you have available childcare options?
Yes
Sort of
No
Are you financially ready to have a child?
Yes
Unsure
No
Do you have paid maternity leave?
Yes
Unsure
No
Does you health insurance cover prenatal care?
No
Unsure
Yes
Have you booked a preconception appointment with your doctor or midwife?
Yes
No
Are you financially, mentally, emotionally, and physically stable for a child?
Yes
No
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