The goals of this study are to assess client preferences and provider perceptions of reproductive intention screening and contraceptive decision-making during primary care visits in New York State (NYS). These goals were developed collaboratively during Phase I using the Delphi Method with over 30 stakeholders, including primary care and reproductive health providers, NYS and City departments of health, and reproductive justice advocates. To achieve these goals, we will conduct a cross-sectional waiting room survey of 1,080 clients at four primary care clinics and an internet-based survey of 450 family practice and internal medicine providers throughout NYS. The specific aims of this study are: Aim 1: To assess primary care client preferences around reproductive intention screening questions, contraceptive decision-making, and reproductive health services in primary care settings; Aim 1.1: To test whether preferences differ by socio-demographic characteristics such as age, gender, race/ethnicity, relationship status, health insurance type, geographic location and reason for primary care visit; Aim 2: To examine primary care providers’ perspectives on reproductive intention screening, client decision-making, and provision of reproductive health services in primary care settings; Aim 2.1 To test whether perspectives differ by provider characteristics such as age, gender, race/ethnicity, years of practice, sub-specialization, and by clinic characteristics such as geographic location and client population characteristics.