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* 1. Are you sexually active?

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* 2. Did you have sex without a condom anytime since the last day of your last period?

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* 3. Are you on any form of contraceptive?

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* 4. Did you miss your recent period?

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* 5. By how many days have you missed your period?

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* 6. Are you always tired?

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* 7. How do your breasts feel?

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* 8. Do you have any cramps?

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* 9. Have you been bloated lately?

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* 10. Have you had any cravings?

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* 11. Have you been experiencing any sickness, nausea and/or vomiting?

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