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Dear Respondent: In order to prevent unexpected pregnancy, people nowadays use various kinds of contraceptives. Oral contraceptives or birth control pills is widely used by women in this generation. hey are effective type of contraceptives and have beneficial effects in a woman!s body. "owever, many claim that these pills can cause diseases, discomfort and emotional imbalance in a woman#s body. $urthermore, some cancer expert says they can increase probability of a woman having breast and%or cervical cancer. It is for this purpose that we, have chosen to study the topic, Oral Contraceptives: Bad for Womens Health, for our &asic 'ommunication () class this summer, (*+,-+.. In this connection, we are re/uesting your participation in the study by answering the attached /uestionnaire. 0our responses will be very helpful in making the necessary conclusions and recommendations about this topic. hank you very much. 1incerely yours, 23456O 1. 262&2 Researcher 23DRI2335 272382DO Researcher

Oral Contraceptives 5ffect on 0our "ealth

Appendix C1 - A Copy of Survey Questionnaire

3oted by: 9RO$. 1"5RRO 655 2R56623O-624RI:21 &asic 'ommunication () Instructor 1illiman ;niversity

OR26 'O3 R2'59 I75!1 5$$5' O3 0O;R "526 " 2 <;51 IO332IR5 $OR &' ()-&, 1;::5R, (*+, 1I66I:23 ;3I75R1I 0 3ame =optional>: ?????????????????????????????????? 2ge: ????????? 9ut a check mark on the blanks that correspond your answers, or provide the necessary information. +. Do you take oral contraceptives or birth control pills@ ???? 0es ???? 3o If yes, please continue answering numbers (-+*. If no, please proceed to number ++-+,. Ahat classification of oral contraceptives do you take@ ????? 'ombined Oral 'ontraceptives ????? 9rogestin Only 'ontraceptive ????? &oth ????? 0ou don!t know ,. Do you know that there are risks of taking the pill@ ?????? 0es ?????? 3o If no, please continue answering number .. If yes, what do you think are these risks@ =9lease check as applicable> ?????Increased risk of 'ervical and &reast 'ancer ????? 2dverse effects on the physical aspect of the body. ???? 2dverse effects on the emotional aspect of the body ???? Others, please specify, ??????????????????????????????????? "ow long have you been taking oral contraceptives@ ????? 6ess than one year ????? +-( years ????? ,-) years ????? :ore than five years Ahat are the reasons why you take the pill@ =9lease check as applicable> ?????? Doctor!s prescription ?????? 5ffective contraceptive ?????? 3ormal menstruation ?????? "ealthy skin ?????? Others, please specify, ????????????????????????? B. Ahat do you think are the benefits you obtained from taking the pill@ =9lease check as applicable> ??????? 5ffective contraceptive ??????? 3ormal menstruation ??????? "ealthy skin ??????? Others, please specify, ????????????????????????

+,. C. 2fter taking the pill, did you experience any negative physical effects on your body@ ?????? 0es ????? 3one If none, continue answering number D If yes, what are these negative effects@ =9lease check as applicable> ??????? DiEEiness ??????? 3ausea ??????? "ypertension% "igh &lood 9ressure ??????? 4all bladder stones ??????? Difficulty in urinating ??????? Others, please specify, ???????????????????????? . D. 2fter taking the pill, are there any negative effects on your behavior and personality@ ?????? 0es ?????? 3one If no, continue answering number F If yes, what are these@ =9lease check as applicable> ?????? :ood swings ?????? 6oss of libido% loss of sexual desires ?????? "igh level of anxiety ?????? Others, please specify, ????????????????????????? F. Do you believe that taking these pills would increase probability of having cancer@ ??????? 0es ?????? 3o If 9roven that the taking the pill would increase the risk of having cancer, will you stop taking the pill@ ??????? 0es ??????3o

Do you have any plan taking these pills on the future@ ???? 0es ??? 3o

If you have any suggestions% comments% additional insights% /uestions about the topic, please write them on the space below.

(.

hank you for your participation.

..

+*.

).

Only those who answered G3oH in number + may answer numbers ++-+, ++. Ahat are your reasons for not taking the pill@ =9lease check as applicable> ???? 0ou are using other types of contraceptives ???? 0ou know the risk of taking these pills ???? 0ou think these pills are not effective ???? 0ou do not need to use contraceptive ???? Others, please specify, ??????????????????????????? +(. Do you think that taking these pills would increase probability of having cancer@ ???? 0es ??? 3o