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Do you currently have a boyfriend/girfliend?

By whom?

Over the last year have you had to visit a doctor/ clinic/other health centre for a sexually transmitted disease such as syphillis or ghonorrhea?

Have you ever had sexual intercourse with your current boyfriend/girlfriend?

At what age did you first have sexual intercourse?

For female respondents only

Are you pregnant now?

For female respondents only

Have you ever been pregnant?

How old were you when you first used contraception?

Are you and your partner currently using a method of contraception or doing anything to prevent pregnancy?

Which method?

Hve you had sexual intercourse in the last 3 months?

With how many men/ women have you had sexual intercourse in the last 3 months?

What was your relationship to the last person with whom you had sexual intercourse?

Did you or your partner use a contraceptive method the last time that you had sexual intercourse?

Where did you or your partner get your contraceptive supplies?

Have you ever been forced or tricked into having sexual intercourse?

By whom?

Over the last year have you had to visit a doctor/ clinic other health s=centre for a sexually transmitted ilness?

Have yo uever heard a family planning message or on the radio or televison or read on in the newspaper?

What do you remember from these messages?

Please contact [email protected] if you have any questions regarding this survey.