Survey Text

Benin 2017 Chad 2014 Jordan 2017 Senegal 2017
Burundi 2016 Congo (Democratic Republic) 2013 Myanmar 2015 Togo 2013
Cameroon 2011 Jordan 2012 Rwanda 2014 Uganda 2016
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Benin 2017
Survey form view entire document:  text 
1210) During the last three days did you or a member of your family age 15 or older participate with (name) in one of the following activities:
If yes, ask: Who participated in this activity with (name)?

Circle all mentioned.

a) Read books or looked at illustrated books with (name)?
Mother A
Father B
Other person X
No one Y
b) Told stories to (name)?
Mother A
Father B
Other person X
No one Y
c) Sang songs to (name), or with (name), including lullabies?
Mother A
Father B
Other person X
No one Y
d) Took (name) for a walk outside of the house, the residence, the courtyard or the enclosure wall?
Mother A
Father B
Other person X
No one Y
e) Played with (name)?
Mother A
Father B
Other person X
No one Y
f) Spent time with (name), naming, counting, and/or drawing?
Mother A
Father B
Other person X
No one Y

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Burundi 2016
Survey form view entire document:  text 
1310) During the last three days did you or a member of your family age 15 or old participate with (NAME) in one of the following activities:

IF YES, ASK: Who participated in this activity with (NAME)?

CIRCLE ALL MENTIONED.

a) Read books or looked at illustrated books with (NAME)?
YES 1
NO 2

MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
b) Told stories to (NAME)?
YES 1
NO 2

MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
c) Sang songs to (NAME), or with (NAME), including lullabies?
YES 1
NO 2

MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
d) Took (NAME) for a walk outside of the house, the residence, the courtyard or the enclosure wall?
YES 1
NO 2

MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
e) Played with (NAME)?
YES 1
NO 2

MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
f) Spent time with (NAME), naming, counting, and/or drawing?
YES 1
NO 2

MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y

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Cameroon 2011
Survey form view entire document:  text 
1013) In the past three days, have you, or another member of your family over 15, participated in the following activities with (NAME)?

IF YES, ASK: Who participated in this activity with (NAME)?

CIRCLE ALL MENTIONED.

a) Read books or looked at picture books with (NAME)?
b) Told stories to (NAME)?
c) Sung songs to (NAME) or with (NAME), including lullabies?
d) Taken (NAME) for a walk outside the house, of the dwelling, yard, or property?
e) Played with (NAME)?
f) Spent time naming, counting, and/or drawing with (NAME)?

READ BOOKS
MOTHER A
FATHER B
OTHER X
NO ONE Y
TOLD STORIES
MOTHER A
FATHER B
OTHER X
NO ONE Y
SANG SONGS
MOTHER A
FATHER B
OTHER X
NO ONE Y
WALKED
MOTHER A
FATHER B
OTHER X
NO ONE Y
PLAYED
MOTHER A
FATHER B
OTHER X
NO ONE Y
SPENT TIME
MOTHER A
FATHER B
OTHER X
NO ONE Y

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Chad 2014
Survey form view entire document:  text 
1410) During the last three days did you or a member of your family age 15 or old participate with (name) in one of the following activities:
IF YES, ASK: Who participated in this activity with (name)?
CIRCLE ALL MENTIONED.

a) Read books or looked at illustrated books with (name)?

YES 1- Who participated in this activity with (name)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
NO 2

b)Told stories to (name)?

YES 1- Who participated in this activity with (name)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
NO 2

c) Sang songs to (name), or with (name), including lullabies?

YES 1- Who participated in this activity with (name)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
NO 2

d) Took (name) for a walk outside of the house, the residence, the courtyard or the enclosure wall?

YES 1- Who participated in this activity with (name)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
NO 2

e) Played with (name)?

YES 1- Who participated in this activity with (name)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
NO 2

f) Spent time with (name), naming, counting, and/or drawing?

YES 1- Who participated in this activity with (name)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
NO 2

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Congo (Democratic Republic) 2013
Survey form view entire document:  text 
1212) During the last three days did you or a member of your family age 15 or old participate with (NAME) in one of the following activities:
IF YES, ASK: Who participated in this activity with (NAME)?
CIRCLE ALL MENTIONED.

a) Read books or looked at illustrated books with (NAME)?
b) Told stories to (NAME)?
c) Sang songs to (NAME), or with (NAME), including lullabies?
d) Took (NAME) for a walk outside of the house, the residence, the courtyard or the enclosure wall?
e) Played with (NAME)?
f) Spent time with (NAME), naming, counting, and/or drawing?

READ
IF YES, ASK: Who participated in this activity with (NAME)?
YES 1
NO 2
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
TOLD STORIES
IF YES, ASK: Who participated in this activity with (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
SANG SONGS
IF YES, ASK: Who participated in this activity with (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
WALK
IF YES, ASK: Who participated in this activity with (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
PLAYED
IF YES, ASK: Who participated in this activity with (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
SPENT TIME WITH
IF YES, ASK: Who participated in this activity with (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y

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Jordan 2012
Survey form view entire document:  text 
1113. In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (NAME)?
IF YES, ASK: Who engaged in this activity with (NAME)?
CIRCLE ALL THAT APPLY

a) Read books to or look at picture books with (NAME)
b) Told stories to (NAME)?
c) Sang songs to (NAME) or with (NAME), including lullabies?
d) Took (NAME) outside of the home, compound, yard or enclosure?
e) Played with (NAME)?
f) Named, counted, or drew things to or with (NAME)?

READ BOOKS
MOTHER A
FATHER B
OTHER X
NO ONE Y
TOLD STORIES
MOTHER A
FATHER B
OTHER X
NO ONE Y
SANG SONGS
MOTHER A
FATHER B
OTHER X
NO ONE Y
TOOK OUTSIDE
MOTHER A
FATHER B
OTHER X
NO ONE Y
PLAYED WITH
MOTHER A
FATHER B
OTHER X
NO ONE Y
NAMED/COUNTED
MOTHER A
FATHER B
OTHER X
NO ONE Y

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Jordan 2017
Survey form view entire document:  text 
1213) In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (NAME)?

IF YES, ASK:
Who engaged in this activity with (NAME)?

a) Read books to or looked at picture books with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
b) Told stories to (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
c) Sang songs to (NAME) or with (NAME), including lullabies?
MOTHER A
FATHER B
OTHER X
NO ONE Y
d) Took (NAME) outside of the home, compound, yard, or enclosure?
MOTHER A
FATHER B
OTHER X
NO ONE Y
e) Played with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
f) Named, counted, or drew things to or with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y

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Myanmar 2015
Survey form view entire document:  text 
571) In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (NAME)? IF YES, ASK: Who engaged in this activity with (NAME)? CIRCLE ALL THAT APPLY.

a) Read books or to look at picture books with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
b) Told stories to (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
c) Sang songs to (NAME) or with (NAME), including lullabies?
MOTHER A
FATHER B
OTHER X
NO ONE Y
d) Took (NAME) outside of the home, compound, yard or enclosure?
MOTHER A
FATHER B
OTHER X
NO ONE Y
e) Played with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
f) Named, counted, or drew things to or with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y

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Rwanda 2014
Survey form view entire document:  text 
573) In the past 3 days, did you or any household member age 15 or over engage in any of the following activities with (NAME):

RECORD ALL MENTIONED.

a) Read books to or looked at picture with (NAME)?
MOM A
DAD B
OTHER X
NO ONE Y
b) Told stories to (NAME)?
MOM A
DAD B
OTHER X
NO ONE Y
c) Sang songs to (NAME) or with (NAME), including lullabies?
MOM A
DAD B
OTHER X
NO ONE Y
d) Took (NAME) outside the home, compound, yard, or enclosure?
MOM A
DAD B
OTHER X
NO ONE Y
e) Played with (NAME)?
MOM A
DAD B
OTHER X
NO ONE Y
f) Named, counted, or drew things to or with (NAME)?
MOM A
DAD B
OTHER X
NO ONE Y

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Senegal 2017
Survey form view entire document:  text 
1410) During the last three days did you or a member of your family age 15 or old participate with (NAME) in one of the following activities:
IF YES, ASK: Who participated in this activity with (NAME)?

CIRCLE ALL MENTIONED.

a) Read books or looked at illustrated books with (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
b) Told stories to (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
c) Sang songs to (NAME), or with (NAME), including lullabies?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
d) Took (NAME) for a walk outside of the house, the residence, the courtyard or the enclosure wall?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
e) Played with (NAME)?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
f) Spent time with (NAME), naming, counting, and/or drawing?
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y

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Togo 2013
Survey form view entire document:  text 
1212) During the last three days did you or a member of your family age 15 or old participate with (NAME) in one of the following activities:
IF YES, ASK: Who participated in this activity with (NAME)?

a) READ BOOKS OR LOOKED AT ILLUSTRATED BOOKS WITH (NAME)?
YES 1- WHO PARTICIPATED IN THIS ACTIVITY WITH (NAME)?
NO 2
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
b) TOLD STORIES TO (NAME)?
YES 1- WHO PARTICIPATED IN THIS ACTIVITY WITH (NAME)?
NO 2
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
c) SANG SONGS TO (NAME), OR WITH (NAME), INCLUDING LULLABIES?
YES 1- WHO PARTICIPATED IN THIS ACTIVITY WITH (NAME)?
NO 2
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
d) TOOK (NAME) FOR A WALK OUTSIDE OF THE HOUSE, THE RESIDENCE, THE COURTYARD OR THE ENCLOSURE WALL?
YES 1- WHO PARTICIPATED IN THIS ACTIVITY WITH (NAME)?
NO 2
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
e) Played with (name)?
YES 1- WHO PARTICIPATED IN THIS ACTIVITY WITH (NAME)?
NO 2
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y
f) SPENT TIME WITH (NAME), NAMING, COUNTING, AND/OR DRAWING?
YES 1- WHO PARTICIPATED IN THIS ACTIVITY WITH (NAME)?
NO 2
MOTHER A
FATHER B
OTHER PERSON X
NO ONE Y

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Uganda 2016
Survey form view entire document:  text 
EC10) In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (NAME)?

IF YES, ASK:
Who engaged in this activity with (NAME)?

a) Read books to or looked at picture books with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
b) Told stories to (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
c) Sang songs to (NAME) or with (NAME), including lullabies?
MOTHER A
FATHER B
OTHER X
NO ONE Y
d) Took (NAME) outside of the home, compound, yard or enclosure?
MOTHER A
FATHER B
OTHER X
NO ONE Y
e) Played with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y
f) Named, counted, or drew things to or with (NAME)?
MOTHER A
FATHER B
OTHER X
NO ONE Y