Patient EC awareness Survey 2017

Introduction

We would like to assess the knowledge of our patients when it comes to emergency contraceptives (EC). This will help us understand if we need to provide more education and support to our patients on EC. Please answer all questions as honestly as possible and to the best of your ability.

Question Title

* 1. Did you know that the Holyoke Health center has 3 different versions of emergency contraceptives available to patients?

Yes

Question Title

* 2. When would you use emergency contraceptives? ( you may choose more than 1 answer)

When your birth control fails

when you have unprotected sex

when you want to prevent an unintended pregnancy

All of the above (explain why below)

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* 3. Did you know that at the Holyoke health center you can go to the pharmacy and request an emergency contraceptive without a need for a prescription?

Yes

Question Title

* 4. Emergency contraceptives protect against...?

Pregnancy

STDs/STIs

Both