METHOD 01 PILL Women can take a pill every day.

YES 1
NO 2

METHOD 02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.

YES 1
NO 2

METHOD 03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.

YES 1
NO 2

METHOD 04 FOAM TABLETS/JELLY/NEO-SAMPOON Women can place foam tablets, a diaphragm, sponge, jelly, or cream inside them before intercourse.

YES 1
NO 2

METHOD 05 CONDOM Men can use a rubber sheath during sexual intercourse.

YES 1
NO 2

METHOD 06 FEMALE STERILISATION Women can have an operation to avoid having any more children: Have you ever had an operation to avoid having any more children?

YES 1
NO 2

METHOD 07 MALE STERILISATION Men can have an operation to avoid having any more children.

YES 1
NO 2

METHOD 08 NORPLANT Women can have some small rods put under their skin in their arms.

YES 1
NO 2

METHOD 09 RHYTHM, COUNTING DAYS A woman can count the days of her cycle and avoid having sexual intercourse on the days when she is more likely to become pregnant.

YES 1
NO 2

METHOD 10 NATURAL FAMILY PLANNING A woman can take her temperature every day or check her vaginal mucus to tell which days to avoid having sexual intercourse.

YES 1
NO 2

METHOD 11 WITHDRAWAL Men can be careful and pull out before climax.

YES 1
NO 2

METHOD 12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?

YES 1 (SPECIFY)__
NO 2

METHOD 01 PILL Women can take a pill every day.

YES 1
NO 2

METHOD 02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.

YES 1
NO 2

METHOD 03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.

YES 1
NO 2

METHOD 04 DIAPHRAGM, FOAM, JELLY Women can place a sponge, suppository, diaphragm, jelly, or cream inside them before intercourse.

YES 1
NO 2

METHOD 05 CONDOM Men can use a rubber sheath during sexual intercourse to avoid pregnancy. The rubber sheath is also used to prevent transmission of diseases such as AIDS and for cleanliness.

YES 1
NO 2

METHOD 06 FEMALE STERILIZATION Women can have an operation to avoid having any more children: Have you ever had an operation to avoid having any more children?

YES 1
NO 2

METHOD 07 MALE STERILIZATION Men can have an operation to avoid having any more children.

YES 1
NO 2

METHOD 08 CALENDAR Couples can have sexual intercourse only during the safe period of the monthly cycle, that is the times during the monthly cycle when the woman is least likely to become pregnant.

YES 1
NO 2

METHOD 09 MUCUS METHOD A woman can observe daily the state of the mucus and avoid sexual intercourse at the time when the mucus is colorless and extremely elastic.

YES 1
NO 2

METHOD 10 WITHDRAWAL Men can be careful and pull out before climax.

YES 1
NO 2

METHOD 11 ANY OTHER METHODS: Have you ever used (METHOD)?

YES 1 (SPECIFY) __________
NO 2

METHOD 01 PILL Women can take a pill every day.

YES 1
NO 2

METHOD 02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.

YES 1
NO 2

METHOD 03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.

YES 1
NO 2

METHOD 04 IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.

YES 1
NO 2

METHOD 05 DIAPHRAGM, FOAM, JELLY Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.

YES 1
NO 2

METHOD 06 CONDOM, RUBBER, RAINCOAT, DUREX A man can wear a rubber bag in his penis during sex to prevent pregnancy. The rubber bag is also used to prevent passing diseases such as AIDS and for cleanliness.

YES 1
NO 2

METHOD 07 FEMALE STERILIZATION Women can have an operation to avoid having any more children.
Have you ever had an operation to avoid having any more children?

YES 1
NO 2

METHOD 08 MALE STERILIZATION Men can have an operation to avoid having any more children.
Have you ever had a partner who had an operation to avoid having children?

YES 1
NO 2

METHOD 09 CALENDAR/SAFE PERIOD Couples can have sexual intercourse only during the safe period of the monthly cycle that is the times during monthly cycle when women is least likely to get pregnant.

YES 1
NO 2

METHOD 10 MUCUS METHOD A woman can observe daily the state of the mucus and avoid sexual intercourse at the time when the mucus is colorless and extremely elastic.

YES 1
NO 2

METHOD 11 WITHDRAWAL Men can be careful and pull out before climax.

YES 1
NO 2

METHOD 12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?

YES 1
NO 2

01 PILL Women can take a pill every day.

YES 1
NO 2

02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.

YES 1
NO 2

03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.

YES 1
NO 2

04 IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.

YES 1
NO 2

05 DIAPHRAGM, FOAM, JELLY Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.

YES 1
NO 2

06 CONDOM Men can use a rubber sheath during sexual intercourse.

YES 1
NO 2

07 FEMALE STERILIZATION Women can have an operation to avoid having any more children: Have you ever had an operation to avoid having any more children?

YES 1
NO 2

08 MALE STERILIZATION Men can have operation to avoid having any more children: Have you ever had a partner who had an operation to avoid having children?

YES 1
NO 2

09 RHYTHM, COUNTING DAYS Every month that a woman is sexually active she can avoid having sexual intercourse on the days of the month she is most likely to get pregnant.

YES 1
NO 2

10 NATURAL FAMILY PLANNING A woman can take her temperature every day or check her vaginal mucus to tell which days to avoid having sexual intercourse.

YES 1
NO 2

11 WITHDRAWAL Men can be careful and pull out before climax.

YES 1
NO 2

12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?

YES 1 (SPECIFY) _________
NO 2