1 - ESDS

Questionnaire Ref Coding Sheet No of
Question NO Reference Boxes/ Coding Instructions/Remarks
Characters
Q43 (1ST MSTHOD ) Q43 (1) 2 Values -3-19
Previous methods of
prevent ing pregnancy.
No sexual relationship. ...18
No method used at all. ....17
Pregnant ..................19
Withdrawal ................01
Sheath/condom. ............02
Safe period/rhythm method. 03
Cap/diaphragm. .,..........04
Contraceptive sponge. .....05
Pill: mini pill
(progesterone only) .......06
Pill: combined pill
(including m“lt i-phas ic
pill) ....................07
Pill: not Sure j.f mini c,=
combined .................08
IVD/coil/intra-uterine
device. ..................09
FOams/gels/spray s/pessaries
(spermicides )............10
Going without sexual
LnteCCOurse to avoid
pregnancy ................ll
Q43 Q43 (2) 2 Values -3-13
(2ND-4TH METHODS) Q43 (3)
Q43 (4) Code as for 1st method
(codes 17-19 do not apply) .
Q44 BABY 2 Values -3-0~
Code 01 if circled,
otherwise code 00.
Q44 HENOP 2 Values -3-01
Code 01 if circled,
otherwise code 00.
Q44 INFERT 2 Values -3-01
Code 01 if circled,
otherwise code 00.
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