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GWHLES 2018 Questionnaire

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GWHLES 2018 Questionnaire Generated by drsalah, 6/13/2018 11:49:58 PM Sections: 17, Sub-sections: 1, Questionnaire created by drsalah, 6/14/2018 12:55:05 AM Questions: 428. Last modified by drsalah, 6/14/2018 3:47:49 AM Questions with enabling conditions: 296 Questions with validation conditions:113 Not shared with anyone Rosters: 6 Variables: 5 GWHLES2018F4 SURVEY IDENTIFICATION INFORMATION QUESTIONNAIRE DESCRIPTION PART I : ADMINISTRATION FORM - IDENTIFICATION No sub-sections, No rosters, Questions: 7. INTERVIEWER VISITS No sub-sections, No rosters, Questions: 15. PART II: HOUSEHOLD SELECTION FORM - WOMEN LISTING No sub-sections, Rosters: 1, Questions: 11, Static texts: 6, Variables: 5. PART III: HOUSEHOLD QUESTIONNAIRE Sub-sections: 1, No rosters, Questions: 10, Static texts: 1. CONSENT FORM No sub-sections, No rosters, Questions: 2, Static texts: 1. PART V : WOMAN'S QUESTIONNAIRE No sub-sections, No rosters, No questions. SECTION 1: RESPONDENT AND HER COMMUNITY No sub-sections, Rosters: 1, Questions: 45, Static texts: 4. SECTION 2: GENERAL HEALTH No sub-sections, Rosters: 3, Questions: 21, Static texts: 3. SECTION 3 : REPRODUCTIVE HEALTH No sub-sections, No rosters, Questions: 23, Static texts: 1. SECTION 4: CHILDREN No sub-sections, No rosters, Questions: 34. SECTION 5:CURRENT OR MOST RECENT HUSBAND/PARTNER No sub-sections, No rosters, Questions: 26, Static texts: 1. SECTION 6: ATTITUDES No sub-sections, No rosters, Questions: 16. SECTION 7: RESPONDENT AND HER HUSBAND/PARTNER No sub-sections, No rosters, Questions: 102, Static texts: 4. SECTION 8 :INJURIES No sub-sections, No rosters, Questions: 19, Static texts: 1. SECTION 9: IMPACT AND COPING No sub-sections, No rosters, Questions: 42, Static texts: 1. SECTION 10: OTHER EXPERIENCES No sub-sections, Rosters: 1, Questions: 48, Static texts: 4. 1 / 70 SECTION 12: COMPLETION OF INTERVIEW No sub-sections, No rosters, Questions: 7, Static texts: 3. APPENDIX A — ENABLING CONDITIONS APPENDIX B — VALIDATION CONDITIONS AND MESSAGES APPENDIX C — OPTIONS LEGEND 2 / 70 SURVEY IDENTIFICATION INFORMATION QUESTIONNAIRE DESCRIPTION Basic information Title GWHLES2018F4 SURVEY IDENTIFICATION INFORMATION QUESTIONNAIRE DESCRIPTION 3 / 70 PART I : ADMINISTRATION FORM - IDENTIFICATION PLEASE ENTER COUNTRY CODE NUMERIC: INTEGER ccode SCOPE: IDENTIFYING E1 self>=0 QI1: WHAT IS THE NAME OF THE SINGLE-SELECT: COMBO BOX region REGION/SUBREGION? 01 Barima-Waini 02 Pomeroon-Supenaam 03 Essequibo Islands-West Demerara 04 Demerara-Mahaica 05 Mahaica-Berbice 06 East Berbice-Corentyne 07 Cuyuni-Mazaruni 08 Potaro-Siparuni 09 Upper Takatu-Upper Essequibo 10 Upper Demerara-Berbice 11 Anna Regina (UR2) 12 City of Georgetown (UR4) 13 Suburbs - Georgetown (UR4) 14 Corriverton and Rose Hall (UR6) 15 New Amsterdam (UR6) 16 Linden (UR10) And 1 other symbols [1] QI2: WHAT IS THE NAME OF THE VILLAGE? SINGLE-SELECT: CASCADING enumerationdistrict 010004 Mabaruma Road (Barima End) E1 IsAnswered(region) M1 Hi Intverviewer will you please select region 010007 Hosororo 010012 Amakura River 010050 Port Kaituma 010058 Holarina River to Mission Landing 010073 Akwero (Acquero) 010076 Kumaka , Kwebanna Road 020005 Good Hope 020016 Fairfield 020038 Suddie 020058 Capoey Lake 020130 The Jib 020156 Charity or Grant 8557-8560 020239 Karawab 020244 Wakapau Village 030072 Vriesland And 156 other symbols [2] QI3: PLEASE ENTER MUNICPALITY NAME TEXT municpalty /NDC E1 IsAnswered(enumerationdistrict) M1 DEAR INTERVIEWER, PLEASE ENTER VILLAGE NAME PART I : ADMINISTRATION FORM - IDENTIFICATION 4 / 70 QI4: WHAT IS THE HOUSEHOLD NUMERIC: INTEGER household NUMBER? E1 IsAnswered(municpalty) M1 DEAR INTERVIEWER, PLEASE ENTER VILLAGE NAME E2 household>=1&&household<=999 M2 the household number is from 1 to 999 QI5: WHAT IS THE NAME OF TEXT hhhnam HOUSEHOLD HEAD? E household!= null E1 IsAnswered(household) M1 Hi Intverviewer will you please enter household number!!! QI6: WHAT IS THE AREA SINGLE-SELECT area CLASSIFICATION? 01 URBAN E1 IsAnswered(hhhnam) 02 RURAL M1 Hi Intverviewer will you please enter the name of Household head 03 SUB-URBAN 04 HINTERLAND INTERVIEWER VISITS QII1: PLEASE TAKE DATE OF FIRST VISIT DATE: CURRENT TIME firstvisit ? E1 IsAnswered(household) QII1a: SWITCH ON GPS ICON AND CAPTURE GPS GPSfirst GPS FOR FIRST VISIT,PLEASE N W A QII2: PLEASE TAKE DATE OF SECOND DATE: CURRENT TIME secondvisit VISIT ? E1 secondvisit.Value.Date>firstvisit M1 second visit date is after first visit date QII2a: SWITCH ON GPS ICON AND CAPTURE GPS GPSsecond GPS FOR SECOND VISIT,PLEASE E secondvisit>firstvisit N E1 GPSfirst.GpsDistanceKm(GPSsecond)>.5 W A QII3: PLEASE TAKE DATE OF THIRD VISIT DATE: CURRENT TIME thirdvisit ?? E1 thirdvisit.Value.Date>secondvisit M1 date should be more than second visit date INTERVIEWER VISITS 5 / 70 QII3a: SWITCH ON GPS ICON AND CAPTURE GPS GPSthird GPS FOR THIRD VISIT, PLEASE E thirdvisit>secondvisit N E1 GPSsecond.GpsDistanceKm(GPSthird)>.5 W A QII4: WOMEN's QUESTIONNAIRE SINGLE-SELECT completed COMPLETED ? 41 Questinnaire Completed E1 IsAnswered(hhtotal) 42 Women Section Partly 43 HH Section Only 44 None QII5: WHY ASSIGNMENT/ SINGLE-SELECT nonecompleted QUESTIONNAIRE NONE COMPLETED? 11 Refused (specify) 12 Dwelling vacant or address not E completed==44 a dwelling 13 Dwelling destroyed 14 Dwelling not found, not accessible 15 Entire hh absent for extended period 16 No hh member at home at time of visit 17 Hh respondent postponed interview QII5a: WHY REFUSED IN QII4? TEXT qii4other E nonecompleted==11 E1 IsAnswered(nonecompleted) QII6: HH SELECTION FORM (AND IN SINGLE-SELECT hhselection MOST CASES HH QUESTIONNAIRE 21 Selected woman refused )ONLY/ (specify) 22 No eligible woman in E completed==43 household 23 Selected woman not at home 24 Selected woman postponed interview 25 Selected woman incapacitated QII6a: WHY SELECTED WOMEN TEXT qii5other REFUSED ? E hhselection==21 E1 IsAnswered(hhselection) QII7: WOMEN's QUESTIONNAIRE SINGLE-SELECT womenpartly PARTLY 31 Does not want to continue (specify) E completed==42 32 Rest of interview postponed to next visit QII7a: WHY DOES NOT WANT TO TEXT qii6other CONTINUE (SPECIFY)? E womenpartly==31 E1 IsAnswered(womenpartly) INTERVIEWER VISITS 6 / 70 QII8: IF THIS QUESTION VISIBLE FOR YOU SINGLE-SELECT needtoreturn SELECT "YES" WHICH MEANS THERE IS NEED TO 01 YES RETURN. ELSE YOU NEED NOT TO SELECT OR TO RETURN. 02 NO E nonecompleted==16 || nonecompleted==17 ||hhselection==23 ||hhselection==24||womenpartly==32 E1 self==1 QII9: WHICH LANGUAGE USED TO CONDUCTED SINGLE-SELECT languages INTERVIEW ? 01 English 02 Amerindian Dialect 03 English creole PART II: HOUSEHOLD SELECTION FORM - WOMEN LISTING STATIC TEXT Hello ,,, My Name is ............... I am visiting your household to conduct a survey on behalf of the Bureau of Statistics, through the University of Guyana to learn about family health and safety. Q1: PLEASE CAN YOU TELL ME HOW NUMERIC: INTEGER hhtotal MANY PEOPLE ARE LIVING IN THIS HOUSEHOLD %household%? PROBE: Does this include people who eat from the same pot? Does this include children (including infants) living here? Does it include any other people who may not be members of your family, such as domestic servants, lodgers or friends who live here and share food? MAKE SURE THESE PEOPLE ARE INCLUDED IN THE TOTAL E household>=1 &&household<1000 E1 hhtotal>0 && hhtotal<=50 M1 no household if peopole are zero and max total is 50 or less Q1a: PLEASE CAN YOU TELL ME HOW NUMERIC: INTEGER ftotal MANY FEMALE/FEMALES ARE LIVING IN THIS HOUSEHOLD %household%? E hhtotal>=1 E1 ftotal <= 50 && ftotal >=0 M1 ftotal zero to 50 E2 ftotal <= hhtotal M2 females are less or equal to people in the household E3 IsAnswered(hhtotal) Q1b: PLEASE CAN YOU TELL ME HOW NUMERIC: INTEGER mtotal MANY MALE/MALES ARE LIVING IN THIS HOUSEHOLD %household%? E hhtotal>=1&& ftotal<hhtotal && ftotal>=0 E1 mtotal <= 50 && mtotal >=0 M1 mtotal zero to 50 E2 mtotal <= hhtotal M2 males are less or equal to people in the household E3 mtotal+ftotal==hhtotal M3 males and females equal to household total PART II: HOUSEHOLD SELECTION FORM - WOMEN LISTING 7 / 70 Q2: PLEASE CAN YOU TELL ME THE SEX SINGLE-SELECT hhhsex OF %hhhnam% THE HEAD OF THIS 01 MALE HOUSEHOLD? If both (male and female) are the head, refer to the male. 02 FEMALE 03 BOTH E hhtotal>=1 E1 IsAnswered(hhtotal) M1 please enter pop total E2 ftotal<hhtotal||hhhsex==2 E3 IsAnswered(ftotal) STATIC TEXT E hhtotal>=1&&ftotal>=1 TODAY I WOULD LIKE TO TALK TO ONE WOMAN OR GIRL FROM YOUR HOUSEHOLD . TO ENABLE ME TO IDENTIFY WHOM I SHOULD TALK WITH WOULD YOU LIST membersList Q3a: PLEASE LIST FIRST NAMES OF GIRLS OR WOMEM WHO USUALLY LIVE IN YOUR HOUSEHOLD AND SHARE FOOD? E ftotal>=1&& hhtotal>=1 E1 IsAnswered(ftotal) E2 membersList.Length <=ftotal PART II: HOUSEHOLD SELECTION FORM - WOMEN LISTING Roster: FEMALE HOUSEHOLD MEMBERS generated by list question membersList hhlisting E ftotal>=1 && ftotal <=15 Q3b: WHAT IS THE RELATIONSHIP OF [ SINGLE-SELECT: COMBO BOX relationship %rostertitle% ] TO THE HEAD OF HOUSEHOLD [ 01 HEAD %hhhnam% ] ? 02 WIFE 03 PARTNER) 04 DAUGHTER 05 DAUGHTER-IN-LAW 06 GRANDDAUGHTER 07 MOTHER 08 MOTHER-IN-LAW 09 SISTER 10 SISTER-IN-LAW 11 OTHER RELATIVE 12 ADOPTED/FOSTER/STEP DAUGHTER 13 DOMESTIC WORKER/EMPLOYEE 14 LODGER 15 FRIEND 96 OTHER NON-RELATIVE: Q3c: DOES [ %rostertitle% ] USUALLY LIVE SINGLE-SELECT residence HERE? 01 yes E1 IsAnswered(relationship) 02 no PART II: HOUSEHOLD SELECTION FORM - WOMEN LISTING 8 / 70 Q3d: HOW OLD IS [ %rostertitle% ] ? NUMERIC: INTEGER age E1 age<=130 && age>=0 M1 Dear Interviewer, [Age cant be less than 0 or more than 130] E2
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