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) INJECTABLES: Women can have an injection by a heath provider 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 under the skin 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 put a rubber sheath on their penis before sexual intercourse.

YES 1
NO 2

07) FEMALE STERILIZATION: Women can have an operation to avoid having any more children.

YES 1
NO 2

08) MALE STERILIZATION: Men can have an operation to avoid having any more children.

YES 1
NO 2

09) PERIODIC ABSTINENCE: Some couples avoid having sexual intercourse on certain days during her menstrual cycle when the woman is most likely to get pregnant: Do you know where to obtain information on periodic abstinence?

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 NORPLANT Women can have small rods placed in their arm by a doctor which stops them from becoming pregnant for several years.

YES 1
NO 2

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

YES 1
NO 2

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

YES 1
NO 2

07 FEMALE STERILIZATION Women can have an operation to avoid having any more children. Do you know a place where a person can have such an operation?

YES 1
NO 2

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

YES 1
NO 2

09 RHYTHM, PERIODIC ABSTINENCE Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant. Do you know where a person can obtain advice on how to use periodic abstinence?

YES 1
NO 2

01 PILL A woman can take a pill every day.

YES 1
NO 2

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

YES 1
NO 2

03 INJECTABLES A woman can have an injection by a doctor or nurse which stops her from becoming pregnant for several months.

YES 1
NO 2

04 NORPLANT A woman can have small rods placed in her arm by a doctor which stops her from becoming pregnant for several years.

YES 1
NO 2

05 DIAPHRAGM, FOAM, JELLY A woman can place a sponge, suppository, diaphragm, jelly or cream inside her before intercourse.

YES 1
NO 2

06 CONDOM A man can use a rubber covering during sexual intercourse.

YES 1
NO 2

07 FEMALE STERILIZATION A woman can have an operation to avoid having any more children. Do you know a place where a woman can have such an operation?

YES 1
NO 2

08 MALE STERILIZATION A man can have an operation to avoid having any more children. Do you know a place where a man can have such an operation?

YES 1
NO 2

09 RHYTHM, PERIODIC ABSTINENCE A couple can avoid having sexual intercourse on the certain days of the month when the woman is more likely to get pregnant. Do you know where a person can obtain advice on how to use periodic abstinence?

YES 1
NO 2

01 PILL Women can take a pill every day to avoid becoming pregnant.

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

YES 1
NO 2

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

YES 1
NO 2

05 CONDOM Men can put a rubber sheath on their penis before sexual intercourse.

YES 1
NO 2

06 FEMALE STERILIZATION Women can have an operation to avoid having any more children.

YES 1
NO 2

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

YES 1
NO 2

08 RHYTHM, PERIODIC ABSTINENCE Couples can avoid having sexual intercourse on certain days of the month when the women is more likely to become pregnant: Do you know where a person can obtain advice on how to use periodic abstinence?

YES 1
NO 2

01) PILL: Women can take a pill every day.

YES 1
NO 2

02) IUD: Some women have an IUD or intrauterine device placed in their uterus by a doctor or nurse.

YES 1
NO 2

03) INJECTABLES: Some women have an injection by a doctor or nurse to avoid becoming pregnant for several months.

YES 1
NO 2

04) DIAPHRAGM/FOAM/JELLY: Some women put a diaphragm, effervescent pills, or jelly inside them before intercourse.

YES 1
NO 2

05) CONDOM: Some men wear a condom during sexual intercourse.

YES 1
NO 2

06) FEMALE STERILIZATION: Some women have an operation to avoid having any more children.

YES 1
NO 2

07) MALE STERILIZATION: Some men have an operation to avoid having any more children.

YES 1
NO 2

08) NORPLANT: Some women have 6 little sticks inserted into their arm, under the skin, which prevents them from becoming pregnant for several years.

YES 1
NO 2

09) PERIODIC ABSTINENCE: Some couples avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant: Do you know where a person can obtain advice about how to use periodic abstinence?

YES 1
NO 2

GOVERNMENT HOSPITAL/MCH CENTER 1
PRIVATE DOCTOR/PRIVATE NURSING HOME 2
NON-GOVERNMENT CLINIC 3
MOBILE CLINIC 4
GOVERNMENT PUBLIC HEALTH MIDWIFE/NURSE 5
OTHER FIELD WORKERS 6
AYURVEDIC DOCTOR 7
FRIEND/RELATIVE 8
PHARMACY/SHOP 9
OTHER (SPECIFY ABOVE) ____10
NOWHERE 11
DOES NOT KNOW 98