Survey Text

Burundi 2016
India 2005
India 2015
Morocco 2003
Niger 2012
Senegal 2010
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Burundi 2016
Survey form view entire document:  text 
1111) A. Do you have any of the following illnesses? B. IF YES: Did you get a diagnosis from a medical professional?

a) Diabetes?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8
b) High blood pressure?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8
c) Heart problems?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8
d) Kidney failure?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8
e) Cancer?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8
f) Paralysis?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8
g) Asthma/chronic bronchitis?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8
h) Leprosy?
A.
YES 1
NO 2
B.
YES 1
NO 2
DON'T KNOW 8

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India 2005
Survey form view entire document:  text 
575. Do you currently have:

a. Diabetes?
b. Asthma?
c. Goiter or any other thyroid disorder?

DIABETES
YES 1
NO 2
DOESN'T KNOW 8
ASTHMA
YES 1
NO 2
DOESN'T KNOW 8
GOITER/THYROID
YES 1
NO 2
DOESN'T KNOW 8

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India 2015
Survey form view entire document:  text 
723A. Do you currently have:

a. Diabetes?
YES 1 (GO TO 723B)
NO 2 (GO TO NEXT)
DON'T KNOW 8 (GO TO NEXT)
b. Asthma?
YES 1 (GO TO 723B)
NO 2 (GO TO NEXT)
DON'T KNOW 8 (GO TO NEXT)
c. Goiter or any other thyroid disorder?
YES 1 (GO TO 723B)
NO 2 (GO TO NEXT)
DON'T KNOW 8 (GO TO NEXT)
d. Any heart disease?
YES 1 (GO TO 723B)
NO 2 (GO TO NEXT)
DON'T KNOW 8 (GO TO NEXT)
e. Cancer?
YES 1 (GO TO 723B)
NO 2 (GO TO NEXT)
DON'T KNOW 8 (GO TO NEXT)

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Morocco 2003
Survey form view entire document:  text 
THE FOLLOWING TABLE CONTAINS QUESTIONS REGARDING ILLNESSES. ASK QUESTION 502 STARTING WITH THE FIRST ILLNESS. IF THE RESPONSE IS YES, GO TO QUESTIONS 504-506 BEFORE MOVING TO THE NEXT ILLNESS.

503) Did you ever suffer from:

Polio?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Diabetes?
YES 1
NO 2 (GO TO NEXT ILLNESS)
High blood pressure?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Asthma?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Heart problems?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Rheumatism?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Jaundice?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Kidney disease?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Abdominal pain?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Anemia?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Goiter?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Other illness (SPECIFY)?
YES 1
NO 2 (GO TO NEXT ILLNESS)
Cancer?
YES 1
NO 2

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Niger 2012
Survey form view entire document:  text 
1210a) In the last 12 months, have you suffered from any of the following illnesses:
Diabetes
High blood pressure/stroke
Cardiac illnesses
Kidney failure
Cancer
Paralysis
Asthma/Chronic bronchitis
Ulcer

RECORD ALL MENTIONED

A NONE (GO TO 1301)
B DIABETES
C HIGH BLOOD PRESSURE/STROKE
D CARDIAC ILLNESSES
E KIDNEY FAILURE
F CANCER
G PARALYSIS
H ASTHMA/CHRONIC BRONCHITIS
I ULCER
X OTHER (SPECIFY)

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Senegal 2010
Survey form view entire document:  text 
1010A. Do you suffer from any of the following illnesses:

Diabetes?
High blood pressure/stroke?
Cardiac illnesses?
Kidney failure?
Cancer?
Paralysis?
Asthma/Chronic bronchitis?

RECORD ALL MENTIONED.

NONE A (GO TO 1101)
DIABETES B
HIGH BLOOD PRESSURE/STROKE C
CARDIAC ILLNESSES D
KIDNEY FAILURE E
CANCER F
PARALYSIS G
OTHER (SPECIFY) ______ X