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. 2016 Apr 27;7:77–87. doi: 10.2147/OAJC.S95674

Table 6.

Family planning* self-efficacy scale questionnaire

How confident do you feel in your ability to do each of the following activities Confidence rating
1. Obtain information about different kinds of family planning methods? 1 2 3 4 5
2. Talk about different family planning methods? 1 2 3 4 5
3. Obtain a family planning method even if you have to wait in long lines? 1 2 3 4 5
4. Discuss how many children you want to have with your partner? 1 2 3 4 5
5. Discuss family planning methods with your partner? 1 2 3 4 5
6. Discuss family planning methods with your friends? 1 2 3 4 5
7. Know other people who use family planning methods? 1 2 3 4 5
8. Use a family planning method even if you don’t discuss it with your partner? 1 2 3 4 5
9. Use a family planning method even if your partner does not want you to? 1 2 3 4 5
10. Use a family planning method without your partner knowing? 1 2 3 4 5
11. Use a family planning method even if your mother-in law does not want you? 1 2 3 4 5
12. Use a family planning method even if your parents do not want you to? 1 2 3 4 5
13. Use a family planning method even if your are afraid of side effects? 1 2 3 4 5
14. Use a family planning method even if you experience side effects? 1 2 3 4 5
15. Use family planning even if you believe that family planning is a sin? 1 2 3 4 5
16. Convince your partner that you should use family planning? 1 2 3 4 5
17. Continue to use family planning even if people in your community find out? 1 2 3 4 5
18. Use a family planning method even if your neighbors criticize you? 1 2 3 4 5

Notes:

*

Family planning was explained as being modern methods such as the pill, injectables, implants, condoms, spermicide, IUD and male or female sterilization. Confidence rating: 1= not at all confident, 2= not very confident, 3= moderately confident, 4= very confident, 5= completely confident.