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Name
Label/Question

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Name of Interviewer

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Language of Interview

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Source of last pill pack

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Screening Question #1: Do you take the pill for contraception or do you take it only to regulate your cycle or to control acne?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Screening Question #2: Do you think that you might be pregnant? *If participant thinks she might be pregnant, give her a "Pregnancy Referral Form."* ... (view details)

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Location of Interview

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Date of interview (1st visit)

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Time interview began (1st visit) [NOTE: Use 24 hour clock (ex. 1 pm = 13:00)]

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

[ANSWER AFTER INTERVIEW COMPLETED] Time interview ended (1st visit) [NOTE: Use 24 hour clock (ex. 1 pm = 13:00)]

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Interview completed in one visit

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Date of interview (2nd visit)

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Time interview began (2nd visit)

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Time interview ended (2nd visit)

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

In what month were you born?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

In what year were you born?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

How old are you?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Where were you born?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

What was the last year in school that you completed?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Are you currently in school?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Where is your school located?

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

(If other country, specify).

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

Of the following options, how would you classify yourself? [READ OPTIONS]

Taken from: Border Contraceptive Access Study, El Paso, Texas 2005-2008 - Baseline Interview.

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