Home
Services
Specialist Menopause Clinic
Contraception Counselling Clinic
Specialist Family Medicine Clinic
Life Coaching Service
Financial Coaching Service
Doctor Mentorship Programme
Appointment
Forms
SF-36 Health Survey
Comprehensive Health History Form
PHQ-9 Depression Questionnaire
Perceived Stress Scale (PSS)
International Physical Activity Questionnaire (IPAQ)
PCL-5 (PTSD Checklist)
Food Frequency Questionnaire (FFQ)
Diabetes Distress Scale (DDS)
Simplified FRAX Calculator
Relationship Assessment Scale (RAS)
Chronic Pain Assessment Form
Child Behavior Checklist (CBCL)
Conflict Resolution Style Questionnaire
Financial Well-Being Scale
Budget Assessment Worksheet
Values and Priorities Inventory
Cognitive Failures Questionnaire (CFQ)
Everyday Memory Questionnaire (EMQ)
Menupase Assessment Form
Hot Flushes Rating Questions
Pittsburgh Sleep Quality Index (PSQI)
GAD-7 (Generalized Anxiety Disorder-7)
WHO-5 Well-Being Index
Who-Medical-eLigibility Tool for Contraceptive Methods
PHQ-9 Depression Questionnaire
Reproductive Life Planning Tool
Pages
Blog
About Us
Contact Us
FAQs
Login
X
Reproductive Life Planning Tool for Pakistani Women
Book an Appointment
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
1. Are you currently planning to have children?
Yes
No
Not Sure
2. If yes, when do you want to have your next child?
Within 1 year
1–3 years
More than 3 years
3. Are you using any contraception currently?
Yes
No
If yes, what method are you using?
4. Do you feel your current contraception method meets your needs?
Yes
No
If no, explain why
Section 2: Future Goals
5. How many children do you plan to have in total?
None
1-2
3 or More
6. Have you or your partner ever had difficulty conceiving?
Yes
No
7. Do you have any medical conditions (e.g., diabetes, hypertension) that may affect pregnancy?
Yes
No
If yes, specify:
Section 3: Concerns and Preferences
8. Are you worried about any of the following? (Select all that apply)
Side effects of contraception
Balancing children with work or family responsibilities
Financial challenges of raising children
Impact of pregnancy on your health
9. Do cultural or family expectations affect your reproductive choices?
Yes
No
If yes, explain briefly:
10. Would you like more information or support in any of these areas?
Choosing a contraception method
Fertility concerns
Managing a healthy pregnancy
Other
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.
Not Planning Pregnancy: It’s important to explore reliable contraception options to meet your needs and prevent unplanned pregnancies.
Not Planning Pregnancy: It’s important to explore reliable contraception options to meet your needs and prevent unplanned pregnancies.
Uncertain About Future Goals: Counseling can help clarify your reproductive goals and address any concerns you may have.
Disclaimer: This scal is a general modified guide tool quationares for Pakistani populations.
Send Message
×