SECTION: Health Care Coverage and Utilization Survey Entry ...

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Survey Entry - 2011 College Student Health Surveyhttp://internetstudy.cbsol.com/Survey/BSurvey.aspSECTION: Sexual Health19 SURVEY PAGE: 19 of 26 pages You have completed 0 of 6 Items on this page6 Within the past 12 months, were your sexual partner(s), if any,Not applicable - I was not sexually activeMaleFemaleBoth male and female7 Did you use a condom or dentaldam the last time you had…I have neverhad this type ofencounter Yes NoDon'tknow/Can'trememberOral sex?Vaginal intercourse?Anal intercourse?8 Were you intoxicated the last time you had vaginal or anal intercourse or oral sex?Not applicable - I have not been sexually activeYesNoNot sure9 The last time you had vaginal intercourse, what did you or your partner use as yourmethod of pregnancy prevention?**(Mark all that apply)**Not applicable- I have not engaged in vaginal intercourseNot applicable- I/we are attempting to get pregnantI did not use any method of pregnancy preventionBirth control pillsDepo-Provera (shots)Intrauterine device (IUD)Condoms (male, female)Diaphragm and spermicideFertility awareness (calendar, basal body temperature, mucous, rhythm method)WithdrawalOrtho Evra (patch)1 of 2 5/10/11 3:04 PM
Survey Entry - 2011 College Student Health Surveyhttp://internetstudy.cbsol.com/Survey/BSurvey.aspNuvaRingEmergency contraception (Plan B, "morning after pill", etc.)OtherDon't know/Can't rememberSUBMIT RESPONSES - Updates will be saved. You will be taken to the ANSWER REVIEW PAGE.SKIP THIS PAGE - No updates will be saved. You will be taken to the OVERALL SURVEY SUMMARYPAGE.2 of 2 5/10/11 3:04 PM
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SECTION: Health Care Coverage and Utilization Survey Entry ...

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