Participant # ____ Today’s Date ______
Do you currently use a contraceptive pill?
___ Yes (Which one? ______)
___ No
If you do not currently use the pill, have you previously?
___ Yes When did you last use it? ______
___ No
Do you use a contraceptive injection such as Depo-Provera or an implant such as Norplant?
___ Yes
___ No, and I have never used one
___ No, but I have used it previously; my last injection was ______(month), ____ (year)
Were you taking any form of hormonal contraception (i.e., birth control pills, Depo-Provera, or Norplant) when you first became romantically interested in your current partner?
___ Yes
___ No
When did your last menstrual period begin? That is, what was the first day of menstrual flow during your last period? Please state the precise date, if possible. Consult the attached calendar to identify the date if it is helpful. (If you are currently menstruating, list the date your current menstruation began.)
______
What is the usual length of your menstrual cycle? That is, what is the typical time span between the first day of menstrual blood flow one month to the first day of menstrual blood flow the next month? (Circle one.)
In days: <22 22 23 24 25 26 27 28
29 30 31 32 33 34 35 36 37 38 >38
How much does the length of your cycle vary from month to month?
__ My cycle is almost always the same length month to month
__ My cycle is practically always within a day or two of the same length each month
__ My cycle is usually within a week of the same length each month
__ My cycle length is highly irregular; I never know when I’ll begin menstruating
THANK YOU FOR YOUR COOPERATION!!
Appendix. Questionnaires Used in High Fertility and Low Fertility Sessions
Report of Behavior and Feelings. For the following items, please indicate the extent to which you have engaged in the behavior or had the feeling in the past 2 days (48 hours). Use the following scale:
0 1 2 3
Not at all Once A few times More than a few times
___ 1. Felt happy for no good reason
___ 2. Felt sad for no good reason
___ 3. Felt afraid of strangers
___ 4. Worried about my safety
___ 5. Spent time with a current romantic partner
___ 6. Went out with friends
___ 7. Went out alone at night
___ 8. Felt guilty for something I did
___ 9. Worried that I had offended someone
___ 10. Became angry with someone
___ 11. Felt insecure
___ 12. Felt jealous of other women
___ 13. Competed with another woman for a man’s attention
___ 14. Felt like “breaking the rules”
___ 15. Felt like doing something risque
___ 16. Acted impulsively and without caution
___ 17. Felt sexy
___ 18. Dressed in a sexy outfit
___ 19. Tried to make a current partner jealous
___ 20. Felt irritated by a primary partner
___ 21. Felt “suffocated” by a primary partner
___ 22. Had strong feelings of sexual desire
___ 23. Felt strong sexual attraction toward my primary current partner
___ 24. Felt strong sexual attraction toward someone other than a current partner
___ 25. Felt sexually aroused by the sight of a very physically attractive person (other than a
primary current partner)
___ 26. Felt sexually aroused by the scent of someone (other than a primary current partner)
___ 27. Flirted with someone other than a current partner
___ 28. Fantasized about sex with a stranger or acquaintance
___ 29. Fantasized about sex with a current partner
___ 30. Fantasized about sex with a past partner
___ 31. Had sex with a primary current partner
___ 32. Had sex with someone other than a primary current partner
___ 33. Experienced orgasm with a primary current partner
___ 34. Experienced orgasm with someone other than a primary current partner
___ 35. Initiated sex (was the partner who was sexually assertive)
Report of Your Partner’s Behavior and Feelings. For the following items, please indicate the extent to which your primary romantic partner has engaged in the behavior or had the feeling in the past 2 days (48 hours). (If you do not have a primary romantic partner, skip this page.) Use the following scale:
0 1 2 3
Not at all Once A few times More than a few times
___ 1. Called me at an unexpected time to see who I was with
___ 2. Felt like hitting me when I talked with interest about another man
___ 3. Reminded me that most men aren’t as committed and faithful as he is
___ 4. Snooped through my personal belongings
___ 5. Subtly communicated that as the man in the relationship, he has the most say-so
___ 6. Felt disrespected when I talked with another man
___ 7. Called to make sure he knew that I was where I said I’d be
___ 8. Bad mouthed me to other men so that they wouldn’t be interested in me
___ 9. Went along with everything I said
___ 10. Insisted that I stay at home rather than go out
___ 11. Insisted that I spend all my free time with him
___ 12. Gave in to my every wish
___ 13. Got angry when he saw me walking alone with another man
___ 14. Had friends check up on me
___ 15. Dropped by unexpectedly to see what I was doing
___ 16. Told other men I’m a “pain”
___ 17. Told me I’ll never find someone who will treat me as he treats me
___ 18. Told me he’s dependent on me
___ 19. Reminded me how good I’ve got it with him
___ 20. Threatened to harm himself if I ever left him
___ 21. Intentionally bad mouthed other men in front of me to make himself look better
___ 22. Stayed close to me at a social gathering
___ 23. Cut down other men for their obnoxious macho behavior in front of me
___ 24. Spent as much free time with me as he could
___ 25. Read my personal mail
___ 26. Held my hand when other men were around
___ 27. Showed interest in other women to make me angry
___ 28. Went out with other women to make me angry
___ 29. Told me that a real woman wants to please her partner and puts her own needs aside
___ 30. Told me that he couldn’t live without me
___ 31. Reminded me that my options are more limited than his and I should stay faithful to him
___ 32. Talked to other women to make me jealous
___ 33. Interrogated me about what I was doing when we were apart
___ 34. Got angry at my flirting
___ 35. Cried to keep me with him
___ 36. Tried to be as nice as he could to please me
___ 37. Told other men I’m taken
___ 38. Confronted someone who made a pass at me
___ 39. Threatened physical violence to a man who showed interest in me
___ 40. So that he’d look good, criticized men who are irresponsible in relationships
___ 41. Reminded me that his wishes and concerns are more important than mine