Birth Control Project

Thank you for your interest in participating. Please answer the following questions.
Q_id=1 1. Are you…?
  • 1= Male
  • 2= Female
Q_id=2 2. Are you at least 14 years old?
  • 1= Yes
  • 2= No
3, Have you used any of the following birth control methods in the PAST 2 MONTHS?
  1= Yes 2= No 3= Unsure
Q_id=3 Birth control pills
Q_id=4 Mirena IUD
Q_id=5 Paragard IUD
Q_id=6 NuvaRing
Q_id=7 OrthoEvra Patch
Q_id=8 Implanon/Nexplanon Implant
Q_id=9 Condoms
Q_id=10 Emergency Contraception (“Plan B”)
Q_id=11 Withdrawal (“pulling out”)
Q_id=12 Natural Family Planning methods (cycle beads, Basal body temperature)
Q_id=13 Female Sterilization (tubal ligation, “tubes tied”, Essure)
Q_id=14 Male Sterilization (vasectomy)
Q_id=15 Other (sponge, cervical cap, diaphragm)
Q_id=16 4. Have you had the Depo-Provera “birth control shot” within the PAST 9 MONTHS?
  • 1= Yes
  • 2= No
Q_id=17 5. Are you currently pregnant?
  • 1= Yes
  • 2= No
Q_id=19 6. Have you had a hysterectomy (ovaries and/or uterus removed)?
  • 1= Yes
  • 2= No
Q_id=20 7. Are you currently taking hormone replacement therapy?
  • 1= Yes
  • 2= No
Q_id=21 8. Are you over the age of 45 years old?
  • 1= Yes
  • 2= No
Q_id=22 9. Are you comfortable receiving emails about this study to one of your personal email accounts?
  • 1= Yes
  • 2= No