1 - ESDS

SWQ46 kWllchof the folbwng method(s)of prevmmngpregnancy,If any,
dtdyou usualtj usa mmmdbtely Mfare that?
N you had no sexual relatmnshflp,nng [0]
If no nmthod und at all, rtng [0]
If you were prrgnan~ nng [0]
If usually using on. m mom methods, nng all the
numbers that apply
Wthdrawal [0]
Sheath/mndom [0]
Safe fmmd~ythm method [0]
Caplduphmgm [0]
ContracapttveSpmlge [0]
Pill mm PIN(progestcmnontf) [01
PNI cumbmad@ll(mcludl”gnwkl-phaac pm) [0]
Pill not sum If mm orwmbmed
Plea- write the brand name below [0]
IUD/mMntm4entw dewca [0]
FoamWgcdWspmy@pacanes(spwnvmdes) [0]
Goingtihout ssxual!ntercc.umnto avoadpregnancy [0]
Injedlons [0]
Anothermathod
Plaan write Its n- below [0]
Rrnhmad [1]
SWQ4S TO THOSE NOT PREGNANT AND WHO HAVE NOT HAO ANY
OPERAmON 7NAT PREVENTS PREGNANCY
kWvchof the fallowtngmethod(s)of praventlngprqmncf, if any,
am you (and yourpmtnor)umml~ uang at pmswt~
If you had no SUU1 ralatlonshlp. nng . .
If no method used ●t ●ll, rtng .-
If usually using one or rtmm methods. rmg ●ll the
numbws that ●pply
hWMmwd
Sheathimndom
Sah pnodfrhythm method
Capldl@wagm
Contmcaplhe sponge
PNI mm PIN(pmgastamnon~)
Pill mmbmod pill(IncludingmuN.phaac PIN)
PNI rwtsum ,f mnl orcwnbnwd
Plensa wttta tha brand nammbelow -.
lUD/coMntm4atine dnvtcn
FomnsJgelsJspmy#~aunes (sPwmmdes)
GOUWwdhoti ~xual tntercourssto avfndpregnancy
Inpcllona
Anothermethod
PleaM wntg Its nam. below
Rehned
11
70%
3%
2%
9s
o%
0’%
1%
4%
7%
1%
o%
0%
0%
o%
o%
3?4
_ Raiwmformto
Interwewer
— Go to SWAM
Total nuntbar of
tfmns ●mdhod
Cried
— Go taSW252
— Go toSWX,l BAB
— Go toSW247
284