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© 2004 Choice to Live With

Permission to Reprint & Fair Use Notice

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Made by Serif

If you're concerned that you may be pregnant, this is a great first step to take.  This test will determine how likely it is that you are pregnant by asking you 12 questions.  Your answers will give you a number score that will fall in a range of likelihood. Your score along with an explanation of the ranges can be found at the bottom of this page.

 

This test should never take the place of a real pregnancy test, and it does not diagnose pregnancy.   However, it can give you a good idea of the probability that you are or are not pregnant.  Please be sure to follow up with a pregnancy test.

    
    1. How many days is your average cycle?
          Less than 25
          26-30
          Over 31
    
    2. Are your cycles regular?
          Yes
          No
    
    3. Is your period late?
          Yes
          No
    
    4. What part of your cycle are you currently in?
          I'm having a period right now.
          I had a period a week or two ago.
          My period is due in a few days or is late.
    
    5. When do you think you got pregnant?
          During my period.
          One to two weeks after my period.
          Three to four weeks after my period.
    
    6. What form of protection did you use? 
          Nothing/the withdrawal method.
          Barrier methods (condom, diaphragm, etc.)
          Hormonal agents (birth control pill, Depo-Provera, etc.)
          Barrier plus hormonal agents.
    
    7. Have you taken a home pregnancy test?
          No.
          Yes, it was negative.
          Yes, it was positive.
    
    8. Are you feeling more tired than usual?
          Yes - much more tired!
          Yes - a little more tired than usual.
          No, not really.
    
    9. Are you having any nausea?
          Yes
          No
    
    10. Are you feeling bloated or having menstrual cramps?
          Yes
          No
    
    11. Are you having breast tenderness?
          Yes
          No
    
    12. Have you been under an unusual amount of stress or have you been sick during this cycle?
          Yes
          No
    
    
    
    Your Score:

Online Pregnancy Test