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Quastaonaaara Ref Cod>ng Shomt<br />

Quastaon No Rmfaranca<br />

Q50<br />

Q51 (1ST METHOD)<br />

Q51<br />

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

I<br />

Q50<br />

Q51 (1)<br />

Q51 (2)<br />

Q51 (3)<br />

No of<br />

Boxms/ Coding Inwtructiens/Ramarks<br />

Characters<br />

2 Valuaa .-<br />

2<br />

2<br />

2<br />

O~ratLon lass than 2 years<br />

ago ?<br />

Ya9 ......................01<br />

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

Methods of<br />

pravant ing prmgnancy.<br />

No smual relationship. ...18<br />

No mathod usad at all. ....17<br />

Pragmnt . ................ .19<br />

Withdrawal ................Ol<br />

Shaath/condcim. ............02<br />

Safe pmrLod/rhythm mathod. 03<br />

Cap/diaphragm. ..... .......04<br />

COntracaptiva sp-ange......05<br />

Pill: mini pill<br />

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

Pill: ccabined pill<br />

(including ❑ulti-phasx<br />

pLll )....................07<br />

Pill: not sure if mmi or<br />

ccinbinad .................O8<br />

1~/coLl/intra-ut9 rinm<br />

davlca ..................09<br />

F0=8/gala/mpray */~mmarLam<br />

(sparm>c Ldas )............10<br />

Going without saxual<br />

intarcoursa to avoid<br />

pregnancy ................ll<br />

Injact>ona ................12<br />

Anothar mathod ............l3<br />

Coda an for 1st method<br />

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

196

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