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PDF, 1536K - Measure DHS

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SECTION 11. SEXUAL ACTIVITY<br />

NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP<br />

1101 Now I need to ask you some questions about sexual activity in order to<br />

gain a better understanding of some family life issues.<br />

How old were you when you first had sexual intercourse (if ever)?<br />

1102 In order to know your risk of pregnancy we need to know about your<br />

recent sexual activity. When was the last time you had sexual<br />

intercourse?<br />

NEVER................................................... 00<br />

AGE IN YEARS..........................................<br />

FIRST TIME WHEN STARTED LIVING<br />

WITH (FIRST) HUSBAND/PARTNER .... 96<br />

DON’T KNOW........................................ 98<br />

DAYS AGO .............................1<br />

WEEKS AGO ..........................2<br />

1114<br />

RECORD ‘YEARS AGO’ ONLY IF LAST INTERCOURSE WAS ONE<br />

OR MORE YEARS AGO.<br />

MONTHS AGO .......................3<br />

YEARS AGO...........................4 1111<br />

1103 The last time you had sexual intercourse, was a condom used? YES.......................................................... 1<br />

NO............................................................ 2<br />

1104 What is your relationship to the man with whom you last had sex?<br />

IF "GIRLFRIEND" OR "FIANCEE", ASK:<br />

Was your boyfriend/fiance living with you when you last had sex?<br />

IF YES, RECORD '1'.<br />

IF NO, RECORD '2'.<br />

WIFE/COHABITING PARTNER .............. 1<br />

GIRLFRIEND/FIANCEE .......................... 2<br />

OTHER FRIEND ...................................... 3<br />

CASUAL ACQUAINTANCE ..................... 4<br />

RELATIVE................................................ 5<br />

OTHER 6<br />

(SPECIFY)<br />

1106<br />

1105 For how long have you had a sexual relationship with this man?<br />

DAYS ......................................1<br />

WEEKS ...................................2<br />

MONTHS ................................3<br />

YEARS....................................4<br />

1106 Have you had sex with anyone else in the last 12 months? YES.......................................................... 1<br />

NO............................................................ 2 1111<br />

1107 The last time you had sexual intercourse with this other man, was a<br />

condom used?<br />

YES.......................................................... 1<br />

NO............................................................ 2<br />

1108 What is your relationship to the man with whom you last had sex?<br />

IF "GIRLFRIEND" OR "FIANCEE", ASK:<br />

Was your boyfriend/fiance living with you when you last had sex?<br />

IF YES, RECORD '1'.<br />

IF NO, RECORD '2'.<br />

WIFE/COHABITING PARTNER .............. 1<br />

GIRLFRIEND/FIANCEE .......................... 2<br />

OTHER FRIEND ...................................... 3<br />

CASUAL ACQUAINTANCE ..................... 4<br />

RELATIVE................................................ 5<br />

OTHER 6<br />

(SPECIFY)<br />

1110

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