Table 1 Decision-making tool

 a. What decision should you take?

 b. What drives you to take this decision?

 c. When should the decision be made?

 d. What are your reflections on this decision?

2. Define your role (patient or couple) in decision-making.

 a. I prefer to decide after considering other peoples’ opinions.

 b. I prefer to take my decision with a third-party.

 c. I prefer the decision to be taken by someone else.

3. Define the factors that make decision-making difficult.

The difficulty in making your decision can be due to four factors:

 1) Your knowledge of the options.

 2) Your knowledge of what is important for you.

 3) Your perception of the support or help you will receive from others.

 4) Your level of certainty about your choices.

The following questions can help you identify the factors that make your decision-making difficult:

 1) My knowledge of the options

  a. Are you well informed about your situation to make a decision?

  b. Do you know the positive and negative aspects of the available options?

 2) What is important for me

  a. Do you know the advantages and disadvantages that matter the most for you?

 3) The support I receive from the others

  a. Do you get enough support from the others to make a decision?

  b. Are you making your decision without any pressure from others?

 4) My level of certainty

  a. Do you exactly know what your best choice would be?

4. Develop an action plan

Choose the factor(s), that you think are making your decision-making difficult:

 a. Not enough information on my options, their positive and negative aspects

 b. Not enough information on the advantages and disadvantages

 c. Not sure about the advantages and disadvantages that matter the most for me

 d. Lack of support or necessary resources to take my decision

 e. Pressure from the others to make one decision instead of another