730B. CHECK 731A:
NOT ASKED: Do you know of any other places where a person can get a male condom?
ASKED, YES: Where is that? Any other place?
PROBE TO IDENTIFY TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
NAME OF PLACE ___
PUBLIC SECTOR
GOVERNMENT HOSPITAL/CLINIC A
RURAL HEALTH CENTRE B
MUNICIPAL CLINIC C
ZNFPC CLINIC D
ZNFPC CBD/DEPOT HOLDER E
VILLAGE HEALTH WORKER F
MOHCC MOBILE CLINIC G
OTHER PUBLIC SECTOR (SPECIFY) H
MISSION HOSPITAL/CLINIC I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC J
PHARMACY K
PRIVATE DOCTOR L
CBD M
PRIVATE OUTREACH CLINIC N
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) O
RETAIL OUTLET
GENERAL DEALER P
SUPERMARKET/TUCK SHOP Q
SERVICE STATION R
BOTTLE STORE/BAR S
OTHER SOURCE
CHURCH T
FRIEND/RELATIVE U
PUBLIC TOILET V
STREET VENDOR W
WORKPLACE X
OTHER (SPECIFY) Y