Women Information Evaluation Form on Family Planning Methods

We value your time and participation in this survey aimed at studying the prevalence of family planning methods and evaluating the information and attitudes related to them. Please answer honestly, as your opinions will help improve and develop developmental programs.

Please fill in your personal data first, then proceed to the other questions.

Results are publicly available

What is your age?

What is the educational level of the wife?

What is the educational level of the husband?

Are you working?

Births (please enter the order, gender, and date of birth for each case)

Have you heard of family planning?

How long have you been aware of family planning methods?

Do you think family planning helps control the number of children?

What is your main source of information about family planning methods?

Your visit to the health center

What are the reasons that led you to choose the health center over others?

What is your opinion on spacing between pregnancies?

In your opinion, what is the preferred period for spacing between pregnancies?

Have you ever used any family planning method?

Who encouraged you to use contraceptive methods?

Have you discussed with your husband about using contraceptive methods?

What are the reasons for using the method?

What types of family planning methods do you know?

How many contraceptive methods have you used so far?

Rate the effectiveness of family planning methods in preventing pregnancy:

Not effective
Very effective

Do you believe family planning positively affects quality of life?

To what extent do you think family planning is safe to use?

Not safe
Completely safe

What is your preferred method of receiving awareness?

Do you feel influenced by public opinion when choosing a family planning method?

Have you thought about awareness and sharing information about family planning in your community?

Would you like to receive periodic information about family planning methods?

How would you rate the family planning services in your area?

Poor
Excellent

In your opinion, what is the effect of family planning on reproductive health?

Do you think family planning is adequately supported by the government?

Would you prefer to receive awareness information through: