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DEMOGRAPHIC AND HEALTH SURVEYS IN REPUBLIC OF GUINEA - MAN'S QUESTIONNAIRE

IDENTIFICATION

PLACE NAME ______
NAME OF HOUSEHOLD HEAD _____
CLUSTER NUMBER _____
HOUSEHOLD NUMBER _____
REGION CODE _____

URBAN/RURAL:

URBAN 1
RURAL 2

CONAKRY/CAPITAL NATURAL REGION/OTHER CITY/RURAL :

CONAKRY 1
CAPITAL REGION 2
OTHER CITY 3
RURAL4

NAME OF MAN _____

LINE NUMBER OF MAN _____

INTERVIEWER VISITS

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS
DATE _____
INTERVIEWER'S NAME _____
RESULT _____

1 COMPLETED
2 NO HOUSEHOLD MEMBER AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) _____

NEXT VISIT
DATE _____
TIME _____

FINAL VISIT
DAY _____
MONTH _____
YEAR 1999
NAME _____
RESULT _____

1 COMPLETED
2 NO HOUSEHOLD MEMBER AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) _____

TOTAL NO. OF VISITS _____

LANGUAGE OF INTERVIEW:

1 FRENCH
2 SOUSSOU
3 PEULH
4 MALINKE
5 KISSI
6 TOMA
7 KPELE
8 OTHERS

INTERPRETER:

YES 1
NO 2

SUPERVISOR
NAME _____
DATE _____

FIELD EDITOR
NAME _____
DATE _____

OFFICE EDITOR _____

KEYED BY _____

SECTION 1. RESPONDENT'S SOCIO-DEMOGRAPHIC CHARACTERISTICS

101. RECORD THE TIME:

HOUR _____
MINUTES _____

105. In what month and year were you born?

MONTH _____
DOESN'T KNOW MONTH 98
YEAR _____
DOESN'T KNOW YEAR 9998

106. How old were you at your last birthday?
COMPARE AND CORRECT 105 AND/OR 106 IF INCONSISTENT.

AGE IN COMPLETED YEARS _____

106A. Do you understand French?

YES 1
NO 2

107. Have you ever attended school?

YES 1
NO 2 (GO TO 114)

108. What is the highest level of school you attended: primary, secondary 1, secondary 2, professional A, professional B, or superior?

PRIMARY 1
SECONDARY (1ST CYCLE) 2
SECONDARY (2ND CYCLE) 3
PROFESSIONAL A 4
PROFESSIONAL B 5
SUPERIOR 6

109. What is the highest (grade /form/year) you completed at this level?

GRADE _____

110. CHECK 106:

24 YEARS OR LESS (GO TO 111)
25 YEARS OR OLDER (GO TO 111A)

111. Are you currently in school?

YES 1 (GO TO 113)
NO 2

111A. How old were you when you stopped going to school?

AGE ____
STILL IN SCHOOL 94 (GO TO 113)

112. What is the main reason for which you stopped attending school?

GOT MARRIED 01
TO CARE FOR YOUNGER CHILDREN 02
FAMILY NEEDED HELP ON FARM OR IN BUSINESS 03
COULD NOT PAY SCHOOL FEES 04
NEEDED TO EARN MONEY 05
PREFERRED A JOB/TO GO TO WORK 06
HAD ENOUGH SCHOOLING 07
FAILED AT SCHOOL 08
DID NOT LIKE SCHOOL 09
SCHOOL NOT ACCESSIBLE/TOO FAR 10
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

113. CHECK 108:

PRIMARY (GO TO 114)
SECONDARY OR HIGHER (GO TO 114A)

114. Can you read and understand a letter or a newspaper easily, with difficulty, or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3 (GO TO 115A)

114A. Do you usually read a newspaper or magazine at least once a month?

YES 1
NO 2 (GO TO 115A)

115. Do you usually read a newspaper or magazine at least once a week?

YES 1
NO 2

115A. Do you usually listen to the radio?

YES 1
NO 2 (GO TO 116G)

116. Do you usually listen to the radio every day?

YES 1 (GO TO 116B)
NO 2

116A. What days of the week do you normally listen to the radio?
RECORD ALL RESPONSES GIVEN. IF THE RESPONSE IS "IT DEPENDS," "IT DOESN'T MATTER," OR "DOESN'T KNOW", YOU ONLY NEED TO RECORD ONE CODE.

MONDAY A
TUESDAY B
WEDNESDAY C
THURSDAY D
FRIDAY E
SATURDAY F
SUNDAY G
EVERY DAY H
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW Z

116B.What time do you normally listen to the radio?
RECORD ALL RESPONSES GIVEN. IF THE RESPONSE IS "ALL DAY", "IT DEPENDS," "IT DOESN'T MATTER," OR "DOESN'T KNOW", YOU ONLY NEED TO RECORD ONE CODE.

BEFORE 8 O'CLOCK A
FROM 8 TO 12 O'CLOCK B
FROM 12 TO 14 O'CLOCK C
FROM 14 TO 18 O'CLOCK D
FROM 18 TO 20 O'CLOCK E
AFTER 20 O'CLOCK F
ALL DAY LONG G
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW Z

116C. What type of radio program do you normally listen to?
PROBE TO OBTAIN THE TYPE OF PROGRAM. RECORD ALL THE PROGRAMS.

MUSICAL VARIETY A
SPORTS B
SPOKEN NEWS C
REPORTING D
SHOW ON HEALTH E
OTHER (SPECIFY) _____ X

116D. Do you usually watch television?

YES 1
NO 2 (GO TO 118)

117. Do you usually watch television at least once a week?

YES 1
NO 2

117A. What days of the week do you normally watch television?
RECORD ALL THE RESPONSES GIVEN. IF THE RESPONSE IS 'IT DEPENDS,' 'DOESN'T MATTER,' OR 'DOESN'T KNOW,' YOU ONLY HAVE TO RECORD ONE CODE.

MONDAY A
TUESDAY B
WEDNESDAY D
THURSDAY E
FRIDAY F
SATURDAY G
SUNDAY H
EVERY DAY I
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW Z

117B. What time do you normally watch television?

RECORD ALL THE RESPONSES GIVEN. IF THE RESPONSE IS 'ALL DAY,' 'IT DEPENDS,' 'DOESN'T MATTER,' OR 'DOESN'T KNOW,' YOU ONLY HAVE TO RECORD ONE CODE.

BEFORE 8 O'CLOCK A
FROM 8 TO 12 O'CLOCK B
FROM 12 TO 14 O'CLOCK C
FROM 14 TO 18 O'CLOCK D
FROM 18 TO 20 O'CLOCK E
AFTER 20 O'CLOCK F
ALL DAY LONG G
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW Z

117C. What type of television show do you normally watch?
PROBE TO OBTAIN THE TYPE OF SHOW.
RECORD ALL OF THE SHOWS WATCHED

MUSICAL VARIETY A
SPORTS B
MOVIES/SERIALS C
SPOKEN NEWS D
REPORTING E
SHOW ON HEALTH F
OTHER (SPECIFY) _____ X

118. What is your religion?

MUSLIM 1
CHRISTIAN 2
ANIMIST 3
NO RELIGION 4
OTHER (SPECIFY) _____ 6

119. What is your nationality?

GUINEAN 1 (GO TO 201)
SIERRA LEONEAN 2 (GO TO 201)
LIBERIAN 3 (GO TO 201)
BISSAU-GUINEAN 4 (GO TO 201)
MALIAN 5 (GO TO 201)
OTHER (SPECIFY) _____ 6 (GO TO 201)

120. What is your ethnicity?

SOUSSOU 01
PEULH 02
MALINKE 03
KISSI 04
TOMA 05
GUERZE 06
OTHER (SPECIFY) ____ 96

121. What language do you mainly speak at home?

SOUSSOU 01
PEULH 02
MALINKE 03
KISSI 04
TOMA 05
GUERZE 06
FRENCH 07
ENGLISH 08
ARABIC 09
OTHER (SPECIFY) _____ 96

121A. Are you currently working?

YES 1 (GO TO 123)
NO 2

122. Have you done any work in the last 12 months?

YES 1
NO 2 (GO TO 201)

123. What is your occupation, that is, what kind of work do you mainly do?

RESPONDENT'S OCCUPATION _____

124. CHECK 123:

WORKS IN AGRICULTURE (GO TO 125)
DOES NOT WORK IN AGRICULTURE (GO TO 126)

125. Do you work mainly on your own land or on family land, or do you work on land that you rent from someone else, or do you work on someone else's land?

OWN LAND 1
FAMILY LAND 2
RENTED LAND 3
SOMEONE ELSE'S LAND 4
OTHER AGRICULTURE 5 (GO TO 201)

126. Do you do this work for a family member, for someone else, or are you self-employed?

FOR FAMILY MEMBER 1
FOR SOMEONE ELSE 2
SELF-EMPLOYED 3

127. Do you usually work throughout the year, or do you work seasonally, or only once in a while?

THROUGHOUT THE YEAR 1
SEASONALLY/PART OF THE YEAR 2
ONCE IN A WHILE 3

SECTION 2. REPRODUCTION

Now I would like to ask you about your children.

201. I'm only interested in your biological children. Do you have or have you had children?

YES 1
NO 2 (GO TO 206)

202. Do you have children who are now living with you?

YES 1
NO 2 (GO TO 204)

203. How many sons live with you?
And how many daughters live with you?
IF NONE, RECORD '00'.

SONS AT HOME _____
DAUGHTERS AT HOME _____

204. Do you have any children who are alive but do not live with you?

YES 1
NO 2 (GO TO 206)

205. How many sons are alive but do not live with you?
And how many daughters are alive but do not live with you?
IF NONE, RECORD '00'.

SONS ELSEWHERE _____
DAUGHTERS ELSEWHERE _____

206. Have you ever had any children who were born alive but later died?
IF NO, PROBE: Any baby who cried or showed signs of life at birth but did not survive?

YES 1
NO 2 (GO TO 208)

207. How many boys have died?
And how many girls have died?
IF NONE, RECORD '00'.

BOYS DEAD _____
GIRLS DEAD _____

208. SUM ANSWERS TO 203, 205, AND 207 AND ENTER TOTAL.
IF NONE, RECORD '00'.

TOTAL _____

209. CHECK 208:
Just to make sure that I have this right: you have had in TOTAL ____children during your life. Is that correct?

YES (GO TO 210)
NO (PROBE AND CORRECT 201-208 AS NECESSARY)

210. CHECK 208:

HAS/HAD CHILDREN (GO TO 210A)
NEVER HAD CHILDREN (GO TO 300)

210A. In what month and year was your last child born?

MONTH ____
YEAR 19____

210B. CHECK 201A, LAST CHILD:

NOT BEFORE JANUARY 1994 (GO TO 211)
BEFORE JANUARY 1994 (GO TO 300)

211. At the time you were expecting this last child, did you want a child then, did you want to wait until later, or did you not want to have any (more) children?

THEN 1
LATER 2
NOT AT ALL 3

SECTION 3: FAMILY PLANNING

300. Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.

CIRCLE CODE '1' IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 302, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE '2' IF METHOD IS RECOGNIZED, AND CODE '3' IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE '1' OR '2' CIRCLED IN 301 OR 302, ASK 303.

301. Which ways or methods of contraception have you heard about?
302. Have you ever heard of (METHOD)?

01. PILL: Women can take a pill every day.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
02. IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
03. INJECTABLES: Women can have an injection by a heath provider which stops them from becoming pregnant for several months.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
04. IMPLANTS: Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
05. DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
06. CONDOM (RUBBER): Men can put a rubber sheath on their penis during sexual intercourse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
07. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
08. MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
09. RHYTHM METHOD/PERIODIC ABSTINENCE: Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
10. WITHDRAWAL: Men can be careful and pull out before climax.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
11. Have you heard of any other ways or methods that women or men can use to avoid pregnancy? IF YES, LIST UP TO TWO OTHER METHODS.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
(SPECIFY) _____

303. Have you ever used (method)?

01. PILL: Women can take a pill every day.
YES 1
NO 2
02. IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
03. INJECTABLES: Women can have an injection by a heath provider which stops them from becoming pregnant for several months.
YES 1
NO 2
04. IMPLANTS: Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
YES 1
NO 2
05. DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
YES 1
NO 2
06. CONDOM (RUBBER): Men can put a rubber sheath on their penis during sexual intercourse.
YES 1
NO 2
07. FEMALE STERILIZATION: Women can have an operation to avoid having any more children. Has your spouse/partner ever had an operation to avoid having any more children?
YES 1
NO 2
08. MALE STERILIZATION: Men can have an operation to avoid having any more children. Have you ever had an operation to avoid having any more children?
YES 1
NO 2
09. RHYTHM METHOD/PERIODIC ABSTINENCE: Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2
10. WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
11. OTHER METHOD(S) (SPECIFY) _____
YES 1
NO 2

304. CHECK 303:

NOT A SINGLE 'YES' (NEVER USED) (GO TO 305)
AT LEAST ONE 'YES' (EVER USED) (GO TO 307)

305. Have you or any of your partners ever used anything or tried in any way to delay or avoid getting pregnant?

YES 1
NO 2 (GO TO 309)

306. What have you done or used?
CORRECT 303 AND 304 (AND 302 IF NECESSARY).

307. Are you or your partner currently doing something or using any method to delay or avoid getting pregnant?

YES 1
NO 2 (GO TO 309)

308. Which method are you using?

PILL 01
IUD 02
INJECTABLES 03
IMPLANT 04
DIAPHRAGM/FOAM/GEL 05
CONDOM 06
FEMALE STERILIZATION 07
MALE STERILIZATION 08
PERIODIC ABSTINENCE 09
WITHDRAWAL 10
OTHER (SPECIFY) _____ 96

308A. Why do you use the (METHOD FROM 308) over another method?

COST/LESS EXPENSIVE/NO COST 01 (GO TO 401)
MORE AVAILABLE 02 (GO TO 401)
WASN'T PRESCRIBED 03 (GO TO 401)
MORE EFFECTIVE 04 (GO TO 401)
NO SIDE EFFECTS 05 (GO TO 401)
IT SUITS THE RESPONDENT 06 (GO TO 401)
ONLY KNOWN METHOD 07 (GO TO 401)
REVERSIBLE METHOD 08 (GO TO 401)
OTHER (SPECIFY) _____ 96 (GO TO 401)

309. What is the main reason that you do not use a contraceptive method?

NOT MARRIED 11
FERTILITY-RELATED REASONS
NO SEX 21
INFREQUENT SEX 22
WIFE MENOPAUSAL/HYSTERECTOMY 23
WIFE SUB-FECUND/IN FECUND 24
WIFE POST-PARTUM/BREASTFEEDING 25
WANTS (MORE) CHILDREN 26
WIFE PREGNANT 27
OPPOSITION TO USE
RESPONDENT OPPOSED 31
SPOUSE/PARTNER OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
CULTURAL TABOOS 35
LACK OF KNOWLEDGE
KNOWS NO METHOD 41
KNOWS NO SOURCE 42
METHOD-RELATED REASONS
HEALTH CONCERNS 51
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COSTS TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
USE CONCERNS WIFE 61
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

SECTION 4. MARRIAGE

401. Are you currently married or living with a woman?

YES, CURRENTLY MARRIED 1
LIVING WITH A WOMAN 2 (GO TO 402A)
MARRIAGE NOT CONSUMMATED 3 (GO TO 410F)
NO, NOT IN UNION 4 (GO TO 404)

402. How many wives do you have?
402A. How many women do you live with as husband and wife?

NUMBER OF WOMEN _____

403. WRITE THE LINE NUMBER FROM THE HOUSEHOLD QUESTIONNAIRE OF HIS WIFE/WIVES. IF ONE WIFE DOES NOT LIVE IN THE HOUSEHOLD, RECORD '00'. THE NUMBER OF SPACES FILLED SHOULD BE EQUAL TO THE NUMBER OF WOMEN.

LINE NO. OF SPOUSE(S) _____ (GO TO 407)

404. Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner at all?

REGULAR SEXUAL PARTNER 1
OCCASIONAL SEXUAL PARTNER 2
NO SEXUAL PARTNER 3

405. Have you ever been married or lived with a woman?

YES, WAS MARRIED 1
YES, LIVED WITH A WOMAN 2 (GO TO 407)
NO 3 (GO TO 410F)

406. What is your current marital status: are you a widow, divorced, or separated?

WIDOW 1
DIVORCED 2
SEPARATED 3

407. Have you been married or have you lived with a woman only once or more than once?

ONCE 1
MORE THAN ONCE 2

408. CHECK 407:

MARRIED/LIVED WITH WOMAN ONLY ONCE: In what month and year did you start living with your wife/partner?

MARRIED/LIVED WITH WOMAN MORE THAN ONCE: Now we will talk about your first wife/partner. In what month and year did you start living with her?

MONTH _____
DOESN'T KNOW MONTH 98
YEAR 19____ (GO TO 410)
DOESN'T KNOW YEAR 9998

409. How old were you when you started living with her?

AGE _____

409A. CHECK 401:

CURRENTLY MARRIED OR LIVES WITH A WOMAN (GO TO 410)
NOT IN A UNION (GO TO 410F)

Now I need to ask you some questions about sexual activity in order to gain a better understanding of some family planning issues.

410. When was the last time you had sexual intercourse with your spouse/the woman with whom you live?

IF "NEVER HAD RELATIONS", GO BACK TO 401, CIRCLE CODE '3' (MARRIAGE NOT CONSUMMATED) AND FOLLOW THE NEW INSTRUCTIONS STARTING WITH 401.

NUMBER OF DAYS 1 _____
NUMBER OF WEEKS 2 _____
NUMBER OF MONTHS 3 _____
NUMBER OF YEARS 4 _____

410A. CHECK 301 AND 302:

KNOWS WHAT CONDOMS ARE: The last time you had sex with your spouse/the woman with whom you live, was a condom used?

DOES NOT KNOW WHAT CONDOMS ARE: Some men used a condom, which means they put a rubber sheath on their penis during sexual intercourse. The last time you had sex with your spouse/the woman with whom you live, was a condom used?

YES 1
NO 2 (GO TO 410B)
DOESN'T KNOW/UNSURE 8 (GO TO 410B)

410AA. During this last sexual relation, who suggested using the condom?

RESPONDENT HIMSELF 1
SPOUSE/WOMAN 2
BOTH 3

410B. Have you had sexual relations with someone other than your spouse/the woman with whom you live in the last 12 months?

YES 1
NO 2 (GO TO 413)

410C. When was the last time you had sexual relations with someone other than your wife/the woman with whom you live?

NUMBER OF DAYS 1 _____
NUMBER OF WEEKS 2 _____
NUMBER OF MONTHS 3 _____

410CA. The last time you had sexual relations with someone other than your wife/the woman with whom you live, was it a regular partner, an acquaintance, someone who you paid, or someone else?

REGULAR PARTNER 1
ACQUAINTANCE 2
SOMEONE YOU PAID 3
SOMEONE ELSE 4

410D. Was a condom used on this occasion?

YES 1
NO 2 (GO TO 410E)
DOESN'T KNOW 8 (GO TO 410E)

410DA. During this last sexual relation, who suggested using the condom?

RESPONDENT HIMSELF 1
PARTNER 2
BOTH 3

410E. During the last 12 months, how many different people other than your spouse/the woman with whom you live did you have sexual relations with?

NUMBER OF PEOPLE ______ (GO 413)
DOESN'T KNOW 98 (GO TO 413)

Now I would like to ask you some questions about sexual activity in order to gain a better understanding of some family planning issues.

410F. When was the last time you had sexual intercourse (if ever)?

NEVER 000 (GO TO 509)
DAYS AGO 1 _____
WEEKS AGO 2 _____
MONTHS AGO 3 _____
YEARS AGO 4 _____

410FA. The last time you had sexual relations, was it a regular partner, an acquaintance, someone who you paid, or someone else?

REGULAR PARTNER 1
ACQUAINTANCE 2
SOME PAID 3
SOMEONE ELSE 4

410G. CHECK 301 AND 302:

KNOWS WHAT CONDOMS ARE: The last time you had sex, was a condom used?

DOES NOT KNOW WHAT CONDOMS ARE: Some men used a condom, which means they put a rubber sheath on their penis during sexual intercourse. The last time you had sex with this other person, was a condom used?

YES 1
NO 2 (GO TO 410H)
DOESN'T KNOW 8 (GO TO 410H)

410GA. During this last sexual relation, who suggested using the condom?

RESPONDENT HIMSELF 1
PARTNER 2
BOTH 3

410H. CHECK 410F:

LESS THAN 12 MONTHS SINCE LAST SEXUAL RELATION (GO TO 410I)
12 MONTHS OR MORE SINCE LAST SEXUAL RELATION (GO TO 413)

410I. In total, with how many different people have you had sex in the last 12 months?

NUMBER OF PEOPLE _____
DOESN'T KNOW 98

413. Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 415)

414. Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME _____
PUBLIC SECTOR
HOSPITAL 11
FAMILY PLANNING CLINIC 12
FREE CLINIC 13
MEDICAL POST 14
OTHER PUBLIC (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE CLINIC 22
FAMILY PLANNING CENTER 23
PHARMACY 24
COMMUNITY AGENT/COMMUNITY BASED HEALTH AGENT 25
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
FRIENDS/RELATIVES 36
TRADITIONAL PRACTITIONER 37
OTHER (SPECIFY) _____ 96

414A. CHECK 410A, 410D, AND 410G:

AT LEAST ONE 'YES' (GO TO 414B)
NO 'YES' (GO TO 415)

414B. Where did you get the condoms last time?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _____
PUBLIC SECTOR
HOSPITAL 11
HEATH CENTER 12
FREE CLINIC 13
MEDICAL POST 14
OTHER PUBLIC (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE HOSPITAL/CLINIC 22
FAMILY PLANNING CENTER 23
PHARMACY 24
COMMUNITY AGENT/COMMUNITY BASED HEALTH AGENT 25
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
RELATIVES/FRIENDS 36
TRADITIONAL HEALER 37
PARTNER HAD CONDOM 41 (GO TO 415)
OTHER (SPECIFY) _____ 96

414C. Do you know the brand name of the condoms that you used last time?

PRUDENCE 01
PRUDENCE NOUVEAU 02
PROMESSE 03
PROTECTOR 04
GOLD CIRCLE 05
COOL 06
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

414D. The last time you bought condoms, how many did you buy?
DETERMINE THE NUMBER AND RECORD. RECORD '90' FOR 90 OR MORE.

NUMBER OF CONDOMS _____
DOESN'T KNOW 98

414E. How much did you pay?

COST _____

FREE 9996
DOESN'T KNOW 9998

415. How old were you when you first had sexual intercourse?

AGE _____
FIRST TIME WHEN MARRIED 96

SECTION 5. FERTILITY PREFERENCES

501. CHECK 401:

NOT IN UNION (GO TO 502)
CURRENTLY MARRIED OR LIVING WITH A WOMAN (GO TO 503)

502. CHECK 404:

HAS REGULAR SEX PARTNER (GO TO 503)
HAS OCCASIONAL SEX PARTNER (GO TO 503)
DOES NOT HAVE SEX PARTNER (GO TO 505A)

503. Is your spouse (or one of your spouses/partners) currently pregnant?

YES 1
NO 2 (GO TO 505A)
UNSURE 8 (GO TO 505A)

504. When she became pregnant did you want her to get pregnant then, did you want to wait until later, or did you not want her to get pregnant?

THEN 1 (GO TO 505B)
LATER 2 (GO TO 505B)
NOT AT ALL 3 (GO TO 505B)

505(A) SPOUSE/PARTNER NOT PREGNANT OR UNSURE: Now I have some questions about the future. Would you like to have (another) child, or would you prefer to not have any (more) children?

HAVE (ANOTHER) CHILD 1
NO (MORE) 2 (GO TO 507)
SAYS WIFE CANNOT GET PREGNANT 3 (GO TO 507)
SAYS HE CANNOT HAVE ANY CHILDREN 4 (GO TO 507)
UNDECIDED/DOESN'T KNOW 8 (GO TO 507)

505(B) SPOUSE/PARTNER PREGNANT: Now I have some questions about the future. After the child your wife/partner is expecting now, would you like to have another child, or would you prefer not have any more children?

HAVE (ANOTHER) CHILD 1
NO (MORE) 2 (GO TO 507)
SAYS WIFE CANNOT GET PREGNANT 3 (GO TO 507)
SAYS HE CANNOT HAVE ANY CHILDREN 4 (GO TO 507)
UNDECIDED/DOESN'T KNOW 8 (GO TO 507)

506. CHECK 503:

NO, UNSURE, OR 503 NOT ASKED: How long would you like to wait from now before the birth of (a/another) child?

YES: After the birth of this child your spouse/partner is expecting now, how long would you like to wait before the birth of another child?

MONTHS 1 _____
YEARS 2 _____

SOON/NOW 993
SAYS WIFE CAN'T GET PREGNANT 994
AFTER MARRIAGE 995
OTHER (SPECIFY) _____ 996
DOESN'T KNOW 998


507. CHECK 308:
USES A METHOD?

NOT ASKED (GO TO 508)
NOT CURRENTLY USING (GO TO 508)
CURRENTLY USING (GO TO 512)

508. Do you think you will use a contraceptive method to delay or avoid pregnancy in the next 12 months?

YES 1 (GO TO 510)
NO 2
DOESN'T KNOW 8

509. Do you think you will use a contraceptive method to delay or avoid pregnancy at any time in the future?

YES 1
NO 2 (GO TO 511)
DOESN'T KNOW 8 (GO TO 511)

510. Which contraceptive method would you prefer to use?

PILL 01 (GO TO 512)
IUD 02 (GO TO 512)
INJECTABLES 03 (GO TO 512)
IMPLANT 04 (GO TO 512)
DIAPHRAGM/FOAM/GEL 05 (GO TO 512)
CONDOM 06 (GO TO 512)
FEMALE STERILIZATION 07 (GO TO 512)
MALE STERILIZATION 08 (GO TO 512)
PERIODIC ABSTINENCE 09 (GO TO 512)
WITHDRAWAL 10 (GO TO 512)
OTHER (SPECIFY) _____ 96 (GO TO 512)
UNSURE 98 (GO TO 512)

511. What is the main reason that you think you would never use a method of contraception to avoid pregnancy?

NOT MARRIED 11
FERTILITY-RELATED REASONS
INFREQUENT SEX 22
WIFE MENOPAUSAL/HYSTERECTOMY 23
WIFE SUB-FECUND/IN FECUND 24
WANTS CHILDREN 26
OPPOSED TO USE
RESPONDENT OPPOSED 31
HUSBAND/PARTNER OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
CULTURAL TABOOS 35
LACK OF KNOWLEDGE
KNOWS NO METHOD 41
KNOWS NO SOURCE 42
METHOD-RELATED REASONS
HEALTH CONCERNS 51
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COSTS TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
USE CONCERNS WIFE 61
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

512. CHECK 202 AND 204:

HAS LIVING CHILDREN: If you could go back to the time you did not have any children and could choose exactly the number of children to have in your whole life, how many would that be?

NO LIVING CHILDREN: If you could choose exactly the number of children to have in your whole life, how many would that be?

PROBE FOR A NUMERIC RESPONSE.

NUMBER OF CHILDREN _____ (IF '00' GO TO 514)
OTHER (SPECIFY) _____ 96 (GO TO 514)

513. How many of these children would you like to be boys, how many would you like to be girls, and for how many would it not matter?

NUMBER OF BOYS _____
OTHER (SPECIFY) _____ 96
NUMBER OF GIRLS _____
OTHER (SPECIFY) _____ 96
NUMBER OF EITHER _____
OTHER (SPECIFY) _____ 96

514. Would you say that you approve or disapprove of couples using a contraceptive method to avoid getting pregnant?

APPROVE 1
DISAPPROVE 2
NO OPINION 3

515. Is it acceptable or not acceptable to you for information on family planning to be provided:

On the radio?
On the television?

ON THE RADIO
ACCEPTABLE 1
NOT ACCEPTABLE 2
DOESN'T KNOW 8
ON THE TELEVISION
ACCEPTABLE 1
NOT ACCEPTABLE 2
DOESN'T KNOW 8

516. In the last 6 months have you heard about family planning:

On the radio?
On the television?
In a newspaper in magazine?
Poster?
From leaflets or brochures?
On an advertising sign?
During a community meeting?

ON THE RADIO
YES 1
NO 2
ON THE TELEVISION
YES 1
NO 2
IN A NEWSPAPER IN MAGAZINE
YES 1
NO 2
POSTER
YES 1
NO 2
FROM LEAFLETS OR BROCHURES
YES 1
NO 2
ON AN ADVERTISING SIGN
YES 1
NO 2
DURING A COMMUNITY MEETING
YES 1
NO 2

516A. What is your main source of information on family planning?

NONE 01
PUBLIC HEALTH WORKER 02
PRIVATE HEALTH WORKER 03
COMMUNITY HEALTH WORKER 04
FAMILY PLANNING CLINIC 05
WIFE/PARTNER 06
OTHER RELATIVES 07
FRIENDS/RELATIVES 08
RADIO 09
TELEVISION 10
NEWSPAPERS/POSTERS 11
SCHOOL/LIBRARY 12
COMMUNITY MEETINGS 13
OTHER (SPECIFY) _____96
DOESN'T KNOW 98

518. In the last 12 months, have you discussed the practice of family planning with anyone?

YES 1
NO 2 (GO TO 520)

519. With whom?
Anyone else?
RECORD ALL PERSONS MENTIONED.

SPOUSE/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTERS F
MOTHER-IN-LAW G
FRIENDS/NEIGHBORS H
OTHER (SPECIFY) _____ X

520. CHECK 401:

YES, CURRENTLY MARRIED (GO TO 521)
YES, LIVING WITH A MAN (GO TO 521)
NO, NOT IN A UNION (GO TO 601A)

Spouses/partners do not always agree on everything. Now I want to ask you about your wife/(wives)/partner(s)' views on family planning.

521. Do you think your wife/(wives)/partner(s) approves or disapproves of couples using a contraceptive method to avoid pregnancy?

APPROVES 1
DISAPPROVES 2
SOME APPROVE/OTHERS DISAPPROVE 3
DOESN'T KNOW 8

522. How often have you talked to your wife/(wives)/partner(s) about family planning in the last twelve months?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

SECTION 6. AIDS AND OTHER SEXUALLY TRANSMITTED INFECTIONS

601A. Have you ever heard of an illnesses that you can get from having sex?

YES 1
NO 2 (GO TO 601F)

601B. What illnesses have you heard of?
RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
PAIN IN LOWER ABDOMEN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

601C. CHECK 410 AND 410F:

HAS HAD SEXUAL INTERCOURSE (GO TO 601D)
HAS NEVER HAD SEXUAL INTERCOURSE (GO TO 601F)

601D. Over the last 12 months, have you had any of these illnesses?

YES 1
NO 2 (GO TO 601F)
DOESN'T KNOW 8 (GO TO 601F)

601E. Which illnesses did you have?
RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
PAIN IN LOWER ABDOMEN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

601F. Have you had any discharge from your penis in the last 12 months?

YES 1
NO 2
DOESN'T KNOW 8

601G. During the last 12 months, have you had a sore or ulcer near your penis?

YES 1
NO 2
DOESN'T KNOW 8

601H. CHECK 601E, 601F, AND 601G:

HAS HAD AT LEAST ONE INFECTION (GO TO 601I)
HAS NOT HAD ANY INFECTION (GO TO 601N)

601I. The last time you had (INFECTION FROM 601E/DISCHARGE/SORE), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 601JA)

601J. Where did you go? Anywhere else?
RECORD ALL MENTIONED.

PUBLIC SECTOR
HOSPITAL A
FAMILY PLANNING CLINIC B
FREE CLINIC C
MEDICAL POST D
OTHER PUBLIC (SPECIFY) _____ E
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR F
PRIVATE CLINIC/HOSPITAL G
FAMILY PLANNING CENTER H
PHARMACY I
OTHER PRIVATE MEDICAL J
OTHER PRIVATE SECTOR
SHOP/MARKET K
INFORMAL COMMERCIAL DISTRIBUTION L
CHURCH M
FRIENDS/RELATIVES N
TRADITIONAL PRACTITIONER O
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

601JA. CHECK 410 AND 410F:

HAS HAD SEXUAL RELATIONS (GO TO 601K)
HAS NOT HAD SEXUAL RELATIONS (GO TO 601N)

601K. When you had (INFECTION FROM 601E/DISCHARGE/SORE), did you inform the people that you were having sexual intercourse with?

YES 1
NO 2

601L. When you had (INFECTION FROM 601E/DISCHARGE/SORE), did you do something to avoid infecting your sexual partner(s)?

YES 1
NO 2 (GO TO 601N)
PARTNER(S) ALREADY INFECTED 3 (GO TO 601N)

601M. What did you do?
RECORD ALL MENTIONED.

STOPPED SEX A
USED CONDOM B
TOOK DRUGS C
OTHER (SPECIFY) _____ X

601N. CHECK 601B:

DID NOT MENTION AIDS OR 601B NOT ASKED (GO TO 601O)
MENTIONED AIDS (GO TO 602)

601O. Have you ever heard of an illness called AIDS?

YES 1
NO 2 (GO TO 611C)

602. From which sources of information have you learned most about AIDS? Any other sources? RECORD ALL MENTIONED.

RADIO A
TV B
NEWSPAPERS/MAGAZINES C
PAMPHLETS/POSTERS D
HEALTH WORKERS/CENTER E
MOSQUES/CHURCHES F
SCHOOLS/TEACHERS G
COMMUNITY MEETINGS H
THEATER I
FRIENDS/RELATIVES J
WORK PLACE K
OTHER (SPECIFY) _____ X

602A. If you wanted more information on AIDS, where (from whom) would you like to get this information?

RADIO 01
TV 02
NEWSPAPERS/MAGAZINES 03
PAMPHLETS/POSTERS 04
HEALTH WORKERS/CENTERS 05
MOSQUES/CHURCHES 06
SCHOOLS/TEACHERS 07
COMMUNITY MEETINGS 08
THEATER 09
FRIENDS/RELATIVES 10
WORK PLACE 11
ENOUGH INFORMATION 12
OTHER (SPECIFY) _____ 96

602B. How can you get AIDS? Any other way?
RECORD ALL MENTIONED.

SEX A
SEX WITH SEVERAL PARTNERS B
SEX WITH PROSTITUTES C
NOT USING A CONDOM D
SEX WITH HOMOSEXUALS E
BLOOD TRANSFUSIONS F
INJECTIONS G
KISSING H
MOSQUITO BITES I
CUTTING WITH SOILED BLADES, SCISSORS, OR KNIVES K
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

603. Is there anything a person can do to avoid getting AIDS or the virus that causes AIDS?

YES 1
NO 2 (GO TO 607)
DOESN'T KNOW 8 (GO TO 807)

604. What can a person do? Anything else?
RECORD ALL WAYS MENTIONED.

ABSTAIN FROM SEX B
USE CONDOMS C
AVOID MULTIPLE PARTNERS D
AVOID SEX WITH PROSTITUTES E
AVOID SEX WITH HOMOSEXUALS F
AVOID BLOOD TRANSFUSIONS G
AVOID INJECTIONS H
AVOID KISSING I
AVOID MOSQUITO BITES J
AVOID USING SOILED BLADES, SCISSORS, KNIVES K
SEEK PROTECTION FROM TRADITIONAL PRACTITIONER L
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

607. Is it possible for a healthy-looking person to have the AIDS virus?

YES 1
NO 2
DOESN'T KNOW 8

608. Do you think that persons with AIDS almost never die from the disease, sometimes die, or almost always die from the disease?

ALMOST NEVER 1
SOMETIMES 2
ALMOST ALWAYS 3
DOESN'T KNOW 8

608A. Can AIDS be cured?

YES 1
NO 2
DOESN'T KNOW 8

608B. Can AIDS be transmitted from a mother to a child?

YES 1
NO 2
DOESN'T KNOW 8

608C. Do you know someone personally who has AIDS or someone who died of AIDS?

YES 1
NO 2
DOESN'T KNOW 8

609. Do you think your chances of getting AIDS are small, moderate, great, or no risk at all?

SMALL 1
MODERATE 2 (GO TO 609C)
GREAT 3 (GO TO 609C)
NO RISK AT ALL 4
HAS AIDS 5 (GO TO 611A)

609B. Why do you think that you (have no risk/have a small risk) for getting AIDS? Any other reason? RECORD ALL MENTIONED.

IS FAITHFUL A (GO TO 611A)
ABSTAINS FROM SEX B (GO TO 611A)
USES CONDOMS C (GO TO 611A)
ONLY HAS ONE SEXUAL PARTNER D (GO TO 611A)
HAS A LIMITED NUMBER OF SEXUAL PARTNERS E (GO TO 611A)
AVOIDS PROSTITUTES F (GO TO 611A)
PARTNER DOESN'T HAVE ANY OTHER PARTNERS G (GO TO 611A)
DOESN'T HAVE HOMOSEXUAL RELATIONSHIPS H (GO TO 611A)
DOESN'T GET BLOOD TRANSFUSIONS I (GO TO 611A)
DOESN'T GET INJECTIONS J (GO TO 611A)
AVOIDS CUTTING WITH SOILED BLADES, SCISSORS, AND KNIVES K (GO TO 611A)
OTHER (SPECIFY) _____ X (GO TO 611A)

609C. Why do you think you have a (moderate/great) risk of getting AIDS? Any other reason? RECORD ALL MENTIONED.

DOESN'T USE CONDOMS C
HAS MORE THAN 1 SEXUAL PARTNER D
HAS SEVERAL SEXUAL PARTNERS E
GOES TO PROSTITUTES F
PARTNER HAS OTHER PARTNERS G
HAS HOMOSEXUAL RELATIONSHIPS H
BLOOD TRANSFUSIONS I
INJECTIONS J
CUTS WITH SOILED BLADES, SCISSORS, AND KNIVES K
OTHER (SPECIFY) _____ X

611A. Since you have heard of AIDS, have you changed your behavior to avoid getting AIDS?
IF YES: What have you done? Anything else?
RECORD ALL MENTIONED.

HAS NOT STARTED HAVING SEX A (GO TO 611C)
STOPPED HAVING SEX B (GO TO 611C)
STARTED USING CONDOMS C (GO TO 611C)
RESTRICTS SEX TO ONE PARTNER D (GO TO 611C)
REDUCES NUMBER OF SEXUAL PARTNERS E (GO TO 611C)
AVOIDS PROSTITUTES F (GO TO 611C)
ASKS PARTNER TO BE FAITHFUL G (GO TO 611C)
STOPPED HOMOSEXUAL RELATIONSHIPS H (GO TO 611C)
STOPPED INJECTIONS J
AVOIDS SOILED BLADES, SCISSORS, AND KNIVES K
OTHER (SPECIFY) _____ X
NO CHANGE Y
DOESN'T KNOW Z

611B. Has your knowledge of AIDS influenced or changed your decisions about having sex or sexual behavior? IF YES, PROBE: In what way? RECORD ALL MENTIONED.

DID NOT START SEX A
STOPPED ALL SEX B
STARTED USING CONDOMS C
RESTRICTED SEX TO ONE PARTNER D
REDUCED NUMBER OF PARTNERS E
AVOIDS PROSTITUTES F
ASKS PARTNER TO BE FAITHFUL G
STOPPED HOMOSEXUAL RELATIONS H
OTHER (SPECIFY) _____ X
NO CHANGE IN SEXUAL BEHAVIOR Y
DOESN'T KNOW Z

611C. Some people use condoms during sex to avoid getting AIDS or other sexually transmitted illnesses. Have you ever heard of condoms?

YES 1
NO 2 (GO TO 611F)

611D. CHECK 410 AND 410F:

HAS HAD SEX (GO TO 611E)
HAS NOT HAD SEX (GO TO 701)

611E. We may have already discussed this. Have you ever used a condom during sexual relations to avoid getting AIDS or transmitting illnesses, like AIDS?

YES 1
NO 2 (GO TO 611G)

611EA. Do you use a condom from time to time, often, or with each sexual encounter?

TIME TO TIME 1 (GO TO 611G)
OFTEN 2 (GO TO 611G)
EACH ENCOUNTER 3 (GO TO 611G)

611F. CHECK 410 AND 410F:

HAS HAD SEX (GO TO 611G)
HAS NOT HAD SEX (GO TO 701)

611G. Have you given or received money, gifts, or favors in exchange for sexual relations in the last 12 months?

YES 1
NO 2

SECTION 7. TRADITIONAL PRACTICES

701. Have you ever heard of female circumcision?

YES 1 (GO TO 703)
NO 2

702. In a number of countries, there is a practice in which a girl may have part of her genitals cut. Have you ever heard of this practice?

YES 1
NO 2 (GO TO 713)

703. CHECK 401 AND 405:

YES, CURRENTLY MARRIED OR LIVING WITH A WOMAN (GO TO 704(A))
YES, WAS MARRIED OR LIVED WITH WOMAN (GO TO 704(B))
NO, NEVER IN A UNION (GO TO 706)

704 (A) CURRENTLY MARRIED OR LIVING WITH A WOMAN: Is your wife/(wives)/partner(s) circumcised?

YES 1
NO 2 (GO TO 707)

704(B) WAS MARRIED OR LIVED WITH A WOMAN: Was your wife/(wives)/partner(s) circumcised?

YES 1
NO 2 (GO TO 707)

705. Did you know that your wife was circumcised when you got married?

YES 1 (GO TO 707)
NO 2 (GO TO 707)

706. Do you prefer to marry a woman who is circumcised, a woman who is not circumcised, or does it not matter?

CIRCUMCISED 1
NOT CIRCUMCISED 2
DOESN'T MATTER 3

707. What are the advantages, if there are any, for girls to get circumcised?
RECORD ALL RESPONSES GIVEN.

CLEANLINESS/HYGIENE A
SOCIAL APPROVAL B
BETTER CHANCE AT MARRIAGE C
PRESERVE VIRGINITY/AVOID PREMARITAL SEX D
AVOID ADULTERY E
MORE PLEASURE FOR HUSBAND F
RELIGIOUS REQUIREMENT G
OTHER (SPECIFY) _____ X
NO ADVANTAGES Y

708. What are the disadvantages, if there are any, for girls to get circumcised?
RECORD ALL RESPONSES GIVEN.

MEDICAL COMPLICATIONS/HEALTH PROBLEMS A
PAINFUL B
PREVENTS FEMALE SEXUAL SATISFACTION C
PREVENTS MALE SEXUAL SATISFACTION D
GOES AGAINST RELIGIONS E
OTHER (SPECIFY) _____ X
NO DISADVANTAGES Y

709. Would you say that this practice is a way to prevent a girl from having sex before marriage or does it have no effect on premarital sex?

PREVENTS PREMARITAL SEX 1
NO EFFECT 2
DOESN'T KNOW 8

710. Would you say that this type of practice increases a girls' chance of marriage or has no effect?

INCREASE 1
NO EFFECT 2
DOESN'T KNOW 8

711. Do you think this practice is accepted by your religion?

YES 1
NO 2
DOESN'T KNOW 8

712. Do you think that men want this practice to be continued, or discontinued?

CONTINUED 1
DISCONTINUED 2
DEPENDS 3
DOESN'T KNOW 8

713. END OF INTERVIEW. RECORD THE TIME:

HOURS___
MINUTES___

INTERVIEWER'S OBSERVATIONS

TO BE FILLED IN AFTER COMPLETING INTERVIEW.

COMMENTS ABOUT RESPONDENT _____

COMMENTS ON SPECIFIC QUESTIONS _____

ANY OTHER COMMENTS _____

SUPERVISOR'S OBSERVATIONS _____
NAME _____
DATE _____

EDITOR'S OBSERVATIONS _____
NAME _____
DATE _____