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* 1. How old are you?

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* 2. What is your gender?

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* 3. Which city do you live in?

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* 4. Are you sexually active?

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* 5. Are you on any form of contraception?

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* 6. Are you consistent with taking your contraceptive?

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* 7. Have you experienced any side effects using contraception?

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* 8. Which contraceptives do you use?

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* 9. How long have you been on contraception?

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* 10. Are you comfortable with being on contraception?

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* 11. Have you ever been forced to take a contraceptive?

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* 12. Do you know about Choma?

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* 13. How often do you use/access Choma?

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