Appendix A. Online Risk Assessment Tool - AHRQ National ...

2 Do you use birth control on a regular basis? "Yes" to 12a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 2Sexual and reproductive health# Question Prereq Sub-Question Options Script(s)ProgrammingNotes1Have you ever had sex,like vaginal intercourse,oral sex, or anal sex?Yes1 Have you ever had sex, like vaginal intercourse, oral sex, or anal sex?NoRegardless ofanswers to #2and 3, doesnot getQuestions 2,3, 4 inInfectiousDiseasedomain. Inthis section,only askQuestions 3,8, 9 belowDo you use birth control2 on a regular basis? "Yes" to 1 Yes Go to 4aNo No Birth Control Go to 5multiple select(provide all2aIf so, what kind? Checkall the types that you usenow. "Yes" to 2Birth controlpillsBirth Control pillscripts - coulddivide betweeninteractions)2a If so, what kind? Check all the types that you use now. "Yes" to 2Birth controlpatchBirth ControlpatchBirth controlringBirth ControlringBirth controlshotBirth Controlshot (depo)MaleCondom Male CondomsFemaleCondomFemaleCondomsWithdrawal WithdrawalDiaphragm DiaphragmTubes tied Tubal ligationIUD IUDAbstinence AbstinenceImplant ImplantVasectomy VasectomySpermicide SpermicideSpermicidewithCondomSpermicide withCondomMorningafter pillPlan B (morningafter pill)2a If so, what kind? Check all the types that you use now. "Yes" to 22a If so, what kind? Check all the types that you use now. "Yes" to 2Other3Rhythm/naturalfamilyplanningRhythm method(natural familyplanning)General BirthControlRecommendations