NFP User Questionnaire

To the Natural Family Planning Community of Southern Indiana

My name is Kelli Lovell and I am a pharmacist at Deaconess Hospital. On May 12, 2015, I will present the topic "Understanding Your NFP Patient" to local doctors in an effort to promote NFP awareness among the medical community. Please share this link with anyone you know that practices NFP. The questions below are intended to be answered by the woman but I welcome comments from men at the end. Additional comments/questions/stories can be sent to me via email : Kelli.Lovell@deaconess.com. Thanks for your participation.

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* 1. Please complete the following 3 lines regarding your pregnancy history:

# of live births and your age at time of each (example = 3, ages 27, 29, 32)

# of miscarriages (loss before 20 weeks gestation)

# of still births (loss after 20 weeks gestation)

Your current city and state of residence

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* 2. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

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* 3. Please indicate your primary reason for choosing NFP

Religious reasons

Environmental reasons (due to hormones in water supply, etc.)

I am allergic / cannot tolerate prescription contraceptives

Other (please specify)

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* 4. What fertility-awareness based (FAB) method of NFP do you use?

Standard Days Method

Billings-Ovulation Method

Creighton Model

TwoDay Method

Symptothermal

Other (please specify)

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* 5. Approximately how many hours did you spend in formal training to learn your current method of NFP?

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* 6. For the following questions, indicate your level of agreement with each statement.

	Strongly Disagree	Tend to Disagree	Tend to Agree	Strongly Agree
I received professional training in my preferred method of NFP.	I received professional training in my preferred method of NFP. Strongly Disagree	I received professional training in my preferred method of NFP. Tend to Disagree	I received professional training in my preferred method of NFP. Tend to Agree	I received professional training in my preferred method of NFP. Strongly Agree
My OB/GYN supports my decision to use NFP.	My OB/GYN supports my decision to use NFP. Strongly Disagree	My OB/GYN supports my decision to use NFP. Tend to Disagree	My OB/GYN supports my decision to use NFP. Tend to Agree	My OB/GYN supports my decision to use NFP. Strongly Agree
My primary care physician supports my decision to use NFP	My primary care physician supports my decision to use NFP Strongly Disagree	My primary care physician supports my decision to use NFP Tend to Disagree	My primary care physician supports my decision to use NFP Tend to Agree	My primary care physician supports my decision to use NFP Strongly Agree
I would prefer a physician whose practice openly endorses NFP if available.	I would prefer a physician whose practice openly endorses NFP if available. Strongly Disagree	I would prefer a physician whose practice openly endorses NFP if available. Tend to Disagree	I would prefer a physician whose practice openly endorses NFP if available. Tend to Agree	I would prefer a physician whose practice openly endorses NFP if available. Strongly Agree
I would consider using hormonal forms of contraception if my doctor recommended it.	I would consider using hormonal forms of contraception if my doctor recommended it. Strongly Disagree	I would consider using hormonal forms of contraception if my doctor recommended it. Tend to Disagree	I would consider using hormonal forms of contraception if my doctor recommended it. Tend to Agree	I would consider using hormonal forms of contraception if my doctor recommended it. Strongly Agree
NFP is an effective form of postponing pregnancy.	NFP is an effective form of postponing pregnancy. Strongly Disagree	NFP is an effective form of postponing pregnancy. Tend to Disagree	NFP is an effective form of postponing pregnancy. Tend to Agree	NFP is an effective form of postponing pregnancy. Strongly Agree
I have a specific number of children I plan to have.	I have a specific number of children I plan to have. Strongly Disagree	I have a specific number of children I plan to have. Tend to Disagree	I have a specific number of children I plan to have. Tend to Agree	I have a specific number of children I plan to have. Strongly Agree
I am open to having children as long as I am fertile.	I am open to having children as long as I am fertile. Strongly Disagree	I am open to having children as long as I am fertile. Tend to Disagree	I am open to having children as long as I am fertile. Tend to Agree	I am open to having children as long as I am fertile. Strongly Agree
Finances, stability of family and employment, and other considerations go into decisions about having more children.	Finances, stability of family and employment, and other considerations go into decisions about having more children. Strongly Disagree	Finances, stability of family and employment, and other considerations go into decisions about having more children. Tend to Disagree	Finances, stability of family and employment, and other considerations go into decisions about having more children. Tend to Agree	Finances, stability of family and employment, and other considerations go into decisions about having more children. Strongly Agree

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* 7. I have experienced an unplanned pregnancy despite appropriately following ALL instructions to avoid pregnancy for my chosen method of NFP.

Other (please specify)

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* 8. I use a secondary form of contraception during my fertile time if I am trying to postpone pregnancy.

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* 9. My doctor offered information/support in using FAB methods of NFP when I established care.

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* 10. I believe that NFP is best used as a couple. If appropriate, please allow your male significant other to enter any concerns or input based on the above questions.