Reproductive Life Planning Tool

Instructions:

This tool helps you reflect on your current and future reproductive goals and identify any areas where support or counseling may be helpful. Answer the questions below honestly.

Section 1: Current Status

4. Do you feel your current contraception method meets your needs?YesNo

If no, explain why

Section 2: Future Goals

5. How many children do you plan to have in total?None1-23 or More

6. Have you or your partner ever had difficulty conceiving?YesNo

7. Do you have any medical conditions (e.g., diabetes, hypertension) that may affect pregnancy?YesNo

If yes, specify:

Section 3: Concerns and Preferences

8. Are you worried about any of the following? (Select all that apply)Side effects of contraceptionBalancing children with work or family responsibilitiesFinancial challenges of raising childrenImpact of pregnancy on your health

9. Do cultural or family expectations affect your reproductive choices?YesNo

If yes, explain briefly:

10. Would you like more information or support in any of these areas?Choosing a contraception methodFertility concernsManaging a healthy pregnancyOther

Other

Interpretation of Your Results:

Actively Planning Pregnancy: If you’re planning to conceive soon, ensure you are physically and emotionally prepared. Preconception counseling is recommended.