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Questionnaire Ref Question No Q37 Q38 Q37 Long Q38(1) I I I I 2 2 Codimg Instructions/Remarks Values -3-05 How long has this been the method you usually used most often? Less than 3 months ...... 01 At least 3 months, less than 6 months .......... 02 At least 6 months, less than 1 year ............ 03 At least 1 year, less than 2 years ........... 04 At least 2 years ........ 05 Values -3-19 Methods of preventing pregnancy using immediately before that? No sexual relationship .. 18 No method used at all ... 17 Was pregnant ............ 19 Withdrawal .............. 01 Sheath/condom ........... 02 Safe period/rhythm method 03 Cap/diaphragm ........... 04 Contraceptive sponge .... 05 Mini pill (progesterone only ) .................. 06 Combined pill ........... 07 Not sure if mini or combined pill .......... 08 IUO/coil/intra-uterine device ................. 09 Foams/gels/sprays/ pessaries (spermicides ). 10 Going without sexual intercourse to avoid pregnancy .............. 11 Injections ............. . 12 Another method .......... 13 r-
Q38 Q38 QuestaOn No Codang Shmdc R*f ●ranco Q38(2) Q38(3) No of Boxes/ characters 2 2 C-%hng Instructions /Ramarks v .- I ‘1”9s 314 Mat hod of pravant Lng pragnancy usLng unmad~ately bdoro that? Withdrawal .............. 01 Sheath/condom ........... 02 Safa pariod/rhythm mmthod 03 Capldiaphrqm ...... ..... 04 C0ntraceptiv9 n~nga .... OS 141nl pLl 1 (progastarone only) .................. 06 Com~bmad pill .... ...... 07 Not sure Lf mini or combmadp~ll .......... 0S IUD/cOil/intra-utarine device ................. 09 Foams /gels /sprayn/ paenariaa (sperm~cidas . 10 Going wzthout sexual Lntmrcourse to avoad pr9gnancy .............. 11 Injmctlonm .............. 12 Rnothar mathod .......... 13 v -- Ioe”u Mmthod of prevant ing pregnancy uming Lmnadiataly bafara that? Withdrawal .............. 01 Shaath/condun ........... 02 .%f ● pariod/ rhythm matbod 03 Cap/diaphragm ........... 04 Contracept ave sponga .... 05 Hinz PL1l (progastmrona only ) .................. 06 Comhmad pill ........... 07 Not sura Lf mini or cmtmnadpill ..... ..... OS Ion /cOL1 /intra-utarxnm dav~ca ................. 09 Fc.ems/gels/ ●praym / ~ssaries (spzmicides ). 10 Coing wxthout sexual mtarcoursa to avo Ld pregnancy .............. 11 Injactlons .............. 12 Rnothar method .......... 13 214
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SWQ33 TO 7HOSE WHO HAvE NOT HAO A S
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sWQ41 If you (or your partner) used
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SWQ47 Please put a rtng around the
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&d7
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DWQI ~nldng of your (mast Mant) Man
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DwQi 1 Hava yOUever had a blby? NO=
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owa19 TO TWOSEwHO ARE NOT PREGNANT
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DWQ33NHS Was tie oporatinncati out
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0WQ43 Which of the tilbtig mdwd(s)
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DWQ50 WIIkh of the fallowingmdhod(s
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TO THOSE WliO 00 NOT USE A MEl1100
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Mwm Thinidngof yourpmsmt man?agg,dl
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(A) (s) (c) 1 I Child Firstbom Seco
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MWQ20N0 How many ctwdmndo youminkyo
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W241WH MWQ34PWH Oldyoumldhe hava th
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Mwau Wflcll of thd followingmethod(
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MWQ61 WIIich of ttw foibwingmethod(
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“PP]UOuf-641(b) SG CONTINUOUS HOU
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CONTINUOUS HOUSEHOLD SURVEY i Dotmm
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EOUSEEOLD TYPE A CODE (02-3) Valuas
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Y aa3 m 4 \N 4 \ z uco6 ,
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_— Employment Status ~ EHp —. Q
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— Quastlonnaare R= f Qumst~on No
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Questionnaire Ref Coding Sheet No o
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Questionnaire Ref Question No Q1 Q2
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Questionnaire Ref 1 Coding Sheet No
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Quaat,onnaxra Ref Codang Sheet No o
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Questionnaire Ref Question NO Q1l(A
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Questionnaire Ref Question No Q1l(A
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Quest ionnaire Re f Question No Q1l
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Questionnaire Ref Question No Q1l(A
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Questionnaire Ref Question No Q13 Q
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Questionnaire Ref Coding Sheet NO o
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Questionnaire Ref Coding Sheet Ques
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Questionnaire Ref Coding Sheet No O
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Questionnaire Ref Coding sheet No o
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Questionnaire Ref Question NO Marit
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Questionnaire Ref Question No Stand
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Questionnaire Ref Question No Posit
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All others Those persons not fallin
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Qumst.onna.re Raf — Qu88t&0rJ No
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Quastlonnaare Raf Queatxon No QID Q
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Quastlonnaara R-f Coding Shmt No of
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Quastaomaarm R-f Cod>hg Sheet No of
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Qumst .onna>r. R= f ..-* ! Codzng S
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— Qu9st~onnazre Ref Qumst,on NO Q
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Quastionnamm R-f Qumstxon No Q5(A)
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Q5(A) FRENCH Q5(C) FRENCH Q5(c) (L)
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Qu9staonnaara R-f Q5(A) GREEK Q5(C)
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(p49stn7nnaara Rmf Quostzon No Q5(A
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Quast~omaare Raf Q5(A) SPANISH Q5(C
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Quast~onnaar9 Ref Qumstmn No Q5(F)
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Qucstaonnalre R= f Qu9stxon No Q5(F
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Q.@stzonnaara R-f Qwstaon No Q5(F)
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i, , ‘! Quast>onna2re R-f Codxng
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QuastlonnaLra R@f Questaon No Q5(L)
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Quast~onnaLra Rof Q5(Fs) Q5(M) Q5(M
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Qu.staonnaxrm Ref Q5(N) Q5(N) Q5(N)
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Quast>onnaLre R-f Q5(0) Q5(0) Q5(0)
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,.. --- Quastuannmra Raf Cod>ng Sha
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QumstaonnaLra Rmf QuastLon No Q6(A)
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Q6(A) (ii) Q6(A) (11) Q6(A) (U) Q6(
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— Quastxonnaarm Ref Cod~ng sheet
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Questaonnur, R9f Questaon No Qlc Q2
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Q.astuxmaxre Ref Questaon No Q4(A)
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. . . + . Quastzonna~r= R-f Codang
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Q6 Q6 Q7[A) Q7A Q7(B) Q7B cHECK C C
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Quastuanna.ra R-f Q13 Q14 Q15 Quast
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Quastzonnaara R-f Questmn No Q18 Q1
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Qu*stmnnaLr* R-f Cod~iig Shoat No o
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Q19(B) Q19B Q19(B) (i.) Q19(C) Q19C
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— Qu8stx0nrIUr9 Raf Quwstaon No Q
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Quest ~onnalrm Rmf — QumstLOn No
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Questiomaire Ref Coding Sheet Quest
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Questionnaire Ref 1 Coding sheet No
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— Qu=stlonnalra R-f Qumstaon No P
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Questionnaire Ref Question No Q3B P
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Quastaonnalre Re f —. Quest~on No
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Questionnaire Re f Question No Q2(A
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Q.estaonnaire Ref Question No Q4(C)
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Questionnaire Ref Question No Codin
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Questionnaire Ref Question No Q1O Q
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CHILD HEALTH TSE FOLLOWING QUESTION
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Questionnaire Ref Question No QIO(A
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Quest ionnaire Re f Question No Q12
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Quast>onnalr. Ref —. Quastlon No
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Questlonna~r9 R-f Q1(A) Qumstaon No
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Q2(C) Q3 Q3 Q3A Q3B Q3C -i Cadang S
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Questaonnaxrm Ref Qu-st>on No Q4A Q
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Qu8staonnaxrm Raf Qumstmn No Q8A Q8
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cHSCK F CHECK G Q13 Q13A Q13A CHX F
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Questxonnalra Raf Q14C Quest.on No
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Quastlonnaare R-f Qu6st~on No Q17 Q
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— Questuannaxre Ref Coding Shaat
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Q.est.m.n~.r= Rmf Quastaon No Q3 Q4
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Quastionnaara Ref Questzon No Q1O R
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Questaonnalrm Raf Coding Shoot No o
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Q29 Q30 Q31 Q32 Q33 Q34 Ref ●r*nc
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Page 225 and 226: Qu9sta0nnaar* Raf Qu*staon No Q46 Q
Page 227 and 228: Q51 Q51 Q51 Q52 Q53 Q51 (2) Q51 (3)
Page 229: Q56 Q56 Q57 Q58 Q58 Q58 Q58 Codang
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Page 241 and 242: Questaonnaira Raf Questmn No Q3 Q4
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Page 274 and 275: Questionnaire Re f Coding Sheet No
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Page 307 and 308: Q3(B) Quastxm No Q3(B) (i) Q3(C) Q3
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Page 318 and 319: Questionnaire Ref I Coding Sheet I
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Questionnaire Ref Question No Q1(A)
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