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Questionnaire Ref Coding Sheet No of<br />

Question No R13ferencm Boxes/<br />

Characters<br />

Q18 RSLIG 2<br />

Q18 OTH 2<br />

Q19 Q19 2<br />

Q20 Q20(11 2<br />

Coding Instructions /Remarks<br />

Values -3-01<br />

Against teachings of church/<br />

religions belief?<br />

,-.<br />

(<br />

Yes ..................... 01<br />

No ..................... . 00<br />

Values -3-01<br />

Other reason (specify) ?<br />

Yes ..................... 01<br />

No ...................... CJO<br />

Values -3-02<br />

Ever used any of these<br />

methods in the last<br />

2 years?<br />

Yes ..................... 01<br />

No ...................... 02<br />

Values -3-19<br />

1st Method used<br />

NO method needed - no SeXLIaL<br />

relationship ...... ..... 18<br />

No method used at all ... 17<br />

Withdrawal .............. 01<br />

Sheath/condom ........... 02<br />

Safe period/rhythm method 03<br />

Cap/diaphraqm ........... 04<br />

Cent racept ive sponge .... 05<br />

Mini pill ............... 06<br />

Combined pill (inc multi<br />

phasic) ................ 07<br />

Pill : not sure if mini or<br />

combined ............... 08<br />

IDU/coil/ intrauterine<br />

device ................. 09<br />

Foams, gels, sprays,<br />

pessaries (spermicides) . 10<br />

Going without sexual<br />

intercourse to avoid<br />

preqnancy ........ ...... 11<br />

Injections .............. 12<br />

Another method (specify) . 13<br />

Pregnant ................ 19

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