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Questionnaire Ref<br />

Question No<br />

Q37 (1ST METHOD)<br />

Q37<br />

(2ND-4TH METHODS)<br />

Q38<br />

Q39<br />

Q37 (2)<br />

Q37 (3)<br />

Q37 (4)<br />

Q38 2<br />

2<br />

Methods of preventing<br />

pregnancy.<br />

No sexual relationship. ..18<br />

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

Pregnant ..... ...........19<br />

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

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

Safe period/rhythm<br />

method .................03<br />

Cap/diaphragm ............O4<br />

Contraceptive sponge ....05<br />

Pill: mini pill<br />

(progesterone only) .....06<br />

Pill: combined pill<br />

(including multi-phasic<br />

pill) ........ ...........07<br />

Pill : not sure if mi*i or<br />

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

IUD/coil/ intra-uterine<br />

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

Foams/gel/ spray s/pessaries<br />

(spermicides )...........lO<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ..............11<br />

Injections ... ............1.2<br />

Another method ...........l3<br />

Values -3-13<br />

Code as for 1st method<br />

(codes 17-19 do not apply) .<br />

Values -3-02<br />

Q39 ANY 2 Values -3-0~<br />

I I<br />

Pregnant now .............01<br />

Not pregnant/unsure ......02<br />

AnY method used?<br />

Flethod used ...............01<br />

Nomethod used ............02<br />

,, .,<br />

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