You can still do
protected void Page_Load(object sender, EventArgs e)
{
if(x == 7)
{
string message = "Do you want to Submit?";
System.Text.StringBuilder sb = new System.Text.StringBuilder();
sb.Append("return confirm('");
sb.Append(message);
sb.Append("');");
ClientScript.RegisterOnSubmitStatement(this.GetType(), "alert", sb.ToString());
}
}