7 When you know it worked 8 (specify): ___________________________________ _____________________________________ Did the pharmacist tell you that… 1 You/your girlfriend will bleed for a few days then it will stop 314 (Circle all that apply) 2 You/your girlfriend will have cramping for a few days then it will stop Did the pharmacist tell you that you/your 1 Nausea/vomiting girlfriend may have… 2 Diarrhea 3 315 (Circle all that 4 Headache 5 (specify): ____________________________________ _____________________________________ Did the pharmacist tell you/your girlfriend to 0 No 316 seek help as soon as you/she start(s) bleeding? 1 Yes Did the pharmacist tell you/your girlfriend that 0 No 317 bleeding is normal and only to seek help if 1 Yes you/your girlfriend have/has a complication? Did the pharmacist tell you to seek help if 1 Heavy bleeding you/your girlfriend have/has… 2 Severe pain 3 Bleeding lasting more than 2 weeks (Circle all that apply) 4 Pain lasting more than 2 weeks 318 5 High fever 6 Other (Specify): ____________________________________ _____________________________________ Would you describe your interaction with the 0 No 319 pharmacist as hostile or unfriendly? 1 Yes
7 When you know it worked 8 (specify): ___________________________________ _____________________________________ 314 Did the pharmacist tell you that… (Circle all that apply) 1 You/your girlfriend will bleed for a few days then it will stop 2 You/your girlfriend will have cramping for a few days then it will stop 315 Did the pharmacist tell you that you/your girlfriend may have… (Circle all that 1 Nausea/vomiting 2 Diarrhea 3 4 Headache 5 (specify): ____________________________________ _____________________________________ 316 Did the pharmacist tell you/your girlfriend to seek help as soon as you/she start(s) bleeding? 0 No 1 Yes 317 Did the pharmacist tell you/your girlfriend that bleeding is normal and only to seek help if you/your girlfriend have/has a complication? 0 No 1 Yes 318 Did the pharmacist tell you to seek help if you/your girlfriend have/has… (Circle all that apply) 1 Heavy bleeding 2 Severe pain 3 Bleeding lasting more than 2 weeks 4 Pain lasting more than 2 weeks 5 High fever 6 Other (Specify): ____________________________________ _____________________________________ 319 Would you describe your interaction with the pharmacist as hostile or unfriendly? 0 No 1 Yes