Online Pregnancy Test



Answer the following questions to help determine if you could
be pregnant:

Are you sexually active?

Yes No

Have you had unprotected sex?

Yes No

Have you used protection but are concerned that it may have failed?

(the condom broke, birth control pills didn’t work, etc.)?

Yes No

Are you late for, or have you missed, your menstrual period?

Yes No

Are you having any symptoms of pregnancy?

Yes No

If you are having symptoms, which are you experiencing?

Nausea/Vomiting
Headaches
Backaches
Frequent Urination
Swollen/Tender Breasts