Questionnaire Text

Burkina Faso 2016a Congo (Democratic Republic) 2017b India 2018 Nigeria 2017a
Burkina Faso 2016b Cote d'Ivoire 2017 Indonesia 2016 Nigeria 2017b
Burkina Faso 2017 Cote d'Ivoire 2018 Kenya 2016 Nigeria 2018
Congo (Democratic Republic) 2015b Ethiopia 2017 Kenya 2017 Uganda 2017
Congo (Democratic Republic) 2015c Ethiopia 2018 Niger 2016b Uganda 2018
Congo (Democratic Republic) 2016a Ghana 2016 Niger 2017
Congo (Democratic Republic) 2016b India 2017a Niger 2018
Congo (Democratic Republic) 2017a India 2017b Nigeria 2016
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Burkina Faso 2016a
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Burkina Faso 2016b
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Burkina Faso 2017
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Congo (Democratic Republic) 2015b
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Congo (Democratic Republic) 2015c
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Congo (Democratic Republic) 2016a
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Congo (Democratic Republic) 2016b
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Congo (Democratic Republic) 2017a
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Congo (Democratic Republic) 2017b
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Cote d'Ivoire 2017
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306b. Which method did you use most recently?
PROBE: Anything else?
Select most effective method (highest method in list). Scroll to bottom to see all choices.
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] LAM
[] Other modern method
[] Rhythm method
[] Withdrawal
[] Other traditional method
[] No response

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Cote d'Ivoire 2018
Questionnaire form view entire document:  text 

306b. Which method did you use most recently?
PROBE: Anything else? Select most effective method (highest method in list). Scroll to bottom to see all choices.
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] Other traditional method
[] No response

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Ethiopia 2017
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306b Which method did you use most recently? Probe: Anything else? Select most effective method (highest method on list). Scroll to bottom to see all choices.

[] Female sterilization 1
[] Male sterilization 2
[] Implant 3
[] IUD 4
[] Injectables 5
[] Pill 7
[] Emergency Contraception 8
[] Male Condom 9
[] Female Condom 10
[] Std. Days/Cycle beads 13
[] LAM 14
[] Rhythm method 30
[] Withdrawal 31
[] No response. -99

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Ethiopia 2018
Questionnaire form view entire document:  text 

306b. Which method did you use most recently?

PROBE: Anything else? Select most effective method (highest method in list). Scroll to bottom to see all choices.

[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response

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Ghana 2016
Questionnaire form view entire document:  text 

306b. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list).
Scroll to bottom to see all choices.
[] Implant 3
[] IUD 4
[] Injectables -- 3 month 5
[] Injectables -- 1 month 6
[] Pill 7
[] Emergency Contraception 8
[] Male Condom 9
[] Female Condom 10
[] Diaphragm 11
[] Foam/Jelly 12
[] Std. Days/Cycle beads 13
[] LAM 14
[] N_tablet 15
[] Rhythm method 30
[] Withdrawal 31
[] Washing 32
[] Other traditional methods 39
[] No response -99

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India 2017a
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306b. Which method did you use most recently? Probe: Anything else? Select most effective method (highest method on list). Scroll to bottom to see all choices.

[] Implant 3
[] IUD/PPIUD 4
[] Injectables 5
[] Pill 7
[] Emergency Contraception 8
[] Male Condom/Nirodh 9
[] Female Condom 10
[] Std. Days/Cycle beads 13
[] LAM 14
[] Rhythm method 30
[] Withdrawal 31
[] Other traditional methods 39
[] No response -99

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India 2017b
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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India 2018
Questionnaire form view entire document:  text 

306b. Which method did you use most recently?

PROBE: Anything else?

Select most effective method (highest method in list). Scroll to bottom to see all choices.

[] Implant
[] IUD / PPIUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom / nirodh
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] Other modern method
[] No response

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Indonesia 2016
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306b. Which method did you use most recently? Probe: Anything else? Select most effective method (highest method on list). Scroll to bottom to see all choices.

[] Implant 3
[] IUD 4
[] Injectables - 1 month 5
[] Injectables - 3 months 6
[] Pill 7
[] Emergency Contraception 8
[] Male Condom 9
[] Female Condom 10
[] Intravag/Diaphragm 11
[] Std Days/Cycle Beads 13
[] LAM 14
[] Rhythm method 30
[] Withdrawal 31
[] Other traditional method 39
[] No response -99

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Kenya 2016
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Kenya 2017
Questionnaire form view entire document:  text 

306b. Which method did you use most recently?

PROBE: Anything else?

Select most effective method (highest method in list). Scroll to bottom to see all choices.

[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response

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Niger 2016b
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Niger 2017
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Niger 2018
Questionnaire form view entire document:  text 

306b. Which method did you use most recently?

PROBE: Anything else? Select most effective method (highest method in list). Scroll to bottom to see all choices.

[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] Other traditional method
[] No response

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Nigeria 2016
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Nigeria 2017a
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Nigeria 2017b
Questionnaire form view entire document:  text 

306b. Which method did you use most recently?

PROBE: Anything else?

Select most effective method (highest method in list). Scroll to bottom to see all choices.

[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Withdrawal
[] Other traditional method
[] No response

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Nigeria 2018
Questionnaire form view entire document:  text 

306b. Which method did you use most recently?
Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 3
[] IUD 4
[] Injectables 5
[] Injectables_1mo 6
[] Pill 7
[] Emergency Contraception 8
[] Male Condom 9
[] Female Condom 10
[] Diaphragm 11
[] Foam/Jelly 12
[] Std. Days/Cycle beads 13
[] LAM 14
[] N_tablet 15
[] Sayana Press 16
[] Other modern 19
[] Rhythm method 30
[] Withdrawal 31
[] Washing 32
[] Other traditional methods 39
[] No response -99

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Uganda 2017
Questionnaire form view entire document:  text 

28. Which method did you use most recently? Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
[] Implant 1
[] IUD 2
[] Injectables 3
[] Pill 4
[] Emergency Contraception 5
[] Male Condom 6
[] Female Condom 7
[] Diaphragm 8
[] Foam/Jelly 9
[] Std. Days/Cycle beads 10
[] LAM 11
[] Rhythm method 12
[] Withdrawal 13
[] Other traditional method 14
[] No response -99

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Uganda 2018
Questionnaire form view entire document:  text 

306. b. Which method did you use most recently?
PROBE: Anything else?
Select most effective method (highest method in list). Scroll to bottom to see all choices.
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response