1 Start 2 Complete Did you have sex over the past few days? * Yes No . * vaginal sex oral sex contact with pre-ejaculate only hand job (petting) only had a bath together and used the same towel anal sex Did you use protection? * Yes No What protection did you use? * Oral contraceptive Condom Other methods Did you take the oral contraceptive properly? * Yes No Did you have any digestion problems lately (diarrhea, vomiting), which might have prevented the pill having been absorbed by your body? * Yes No Did you take any antibiotics in the past days? * Yes No Did he wear a condom all the time? * Yes No Did you see any condom break? * Yes No Other methods * Calendar based method Spermicides Contraceptive cervical cap Diaphragm with spermicide Temperature method Injection Pull out method Vaginal ring When did you have sex? * Before your last period Day 1-5 of your bleeding 6-10 days after your bleeding started 11-16 days after your bleeding started 14 day after bleeding started 17-28 days after bleeding started
