[formidable id=5] Step 1 of 4 25% What is your age?* Have you had unprotected sex?* Yes No What type(s) of protection are you using?* Male Condom Female Condom Birth Control Pills Birth Control Patch (Orth Evra) Birth Control Shot (Depo-Provera) Spermicide Diaphram Vaginal Ring Cervical Cap IUD Abstinence Natural Family Planning Other What other forms of protection, if any, are you using? Have you used protection but are concerned it may have failed?* Yes No Have you missed or are you late for your menstrual period?* Yes No Are you having symptoms of pregnancy?* Yes No
