What’s your take on Contraception ?
1.
How old are you?
15-18
19-21
22-24
25+
2.
What is your gender?
Female
Male
Prefer not to say
3.
Which city do you live in?
4.
Are you sexually active?
Yes
No
5.
Are you on any form of contraception?
Yes
No
6.
Are you consistent with taking your contraceptive?
Yes
No
7.
Have you experienced any side effects using contraception?
Yes
No
8.
Which contraceptives do you use?
Pill
Injection
IUD
Other
9.
How long have you been on contraception?
Less than a month
Less than a year
More than 1 year
More than 5 years
10.
Are you comfortable with being on contraception?
Yes
No
11.
Have you ever been forced to take a contraceptive?
Yes
No
12.
Do you know about Choma?
Yes
No
13.
How often do you use/access Choma?
Everyday
Few times a week
Few times a month
Never
Current Progress,
0 of 13 answered