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Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q41 Q41(1) 2 Values -3-13<br />

Q41<br />

I I I<br />

Q41(2) 2 Values -3-13<br />

Used one or more methods in<br />

the last two years ?<br />

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

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

Safe pried/rhythm method03<br />

Capjdiaphxagm .......... 04<br />

COntrace~ive sponge ... 05<br />

Mini pill (progesterone<br />

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

Combined pill .......... 07<br />

Not sure if mini or<br />

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

IUO/coil/intra-uter ine<br />

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

Foama/gels/apraye/<br />

pessaries (spermicides ) 10<br />

Going without sexual<br />

intercourse to avoid<br />

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

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

Another method ......... 13<br />

Used one or more methods in<br />

the last two years?<br />

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

Sheat /condom ........... 02<br />

Safe period/rhythm<br />

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

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

Contraceptive sponge ... 05<br />

Mini pill (progesterone<br />

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

Combined pill .......... 07<br />

Not sure if mini or<br />

combined pill ......... OS<br />

IUD /coil/ intra-uterine<br />

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

Foams/gels/sprays/<br />

pessaries (spermicides ) 10<br />

Going without sexual<br />

intercourse to avoid<br />

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

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

Another method ......... 13

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