LACK OF KNOWLEDGE OF SERVICES 01
NOT NECESSARY 02
NOT CUSTOMARY 03
FINANCIAL COST 04
INCONVENIENT 05
POOR QUALITY SERVICE 06
HEALTH STAFF VISIT AT HOME 07
NO TIME TO GO 08
NOT PERMITTED TO GO 09
OTHER (SPECIFY) ________ 10

NOT NECESSARY 01
NOT CUSTOMARY 02
COST TOO MUCH 03
TOO FAR/NO TRANSPORT 04
POOR QUALITY SERVICE 05
NO TIME TO GO 06
FAMILY DID NOT ALLOW 07
LACK OF KNOWLEDGE 08
NO HEALTH WORKER VISITED 09
OTHER (SPECIFY) ________ 96

HAD NO COMPLAINTS 1
HAD PREVIOUS EXPERIENCE 2
COSTS TOO MUCH 3
SERVICE NOT AVAILABLE 4
SERVICES TOO FAR 5
OTHER (SPECIFY)____ 6