Survey Text

Bangladesh 1994 Egypt 1988 Kenya 1998 Pakistan 1991
Bangladesh 1997 Egypt 1992 Madagascar 1992 Rwanda 1992
Benin 1996 Egypt 1995 Madagascar 1997 Sri Lanka 1987
Benin 2006 Egypt 2003 Malawi 1992 Sudan 1989
Burkina Faso 1993 Ghana 1993 Mali 1995 Tanzania 1991
Burkina Faso 1998 Ghana 1998 Morocco 1992 Tanzania 1996
Cameroon 1991 Guinea 1999 Mozambique 1997 Togo 1998
Cameroon 1998 India 1998 Niger 1992 Yemen 1991
Central African Republic 1995 Jordan 1990 Niger 1998 Zambia 1992
Chad 1996 Jordan 1997 Niger 2006 Zambia 1996
Cote d'Ivoire 1994 Jordan 2012 Nigeria 1990 Zimbabwe 1988
Cote d'Ivoire 1998 Kenya 1993 Nigeria 1999 Zimbabwe 1994
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Bangladesh 1994
Survey form view entire document:  text 
318J. How much does one (packet/cycle) or pills cost you?

COST ___
FREE 9996
DON'T KNOW 9998

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Bangladesh 1997
Survey form view entire document:  text 
317. How much does one (packet or cycle) of pills cost you?

COST ___ (GO TO 324)
FREE 996 (GO TO 324)
DOES NOT KNOW 998 (GO TO 324)

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Benin 1996
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 326)
FREE 996 (GO TO 326)
DON'T KNOW 998 (GO TO 326)

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Benin 2006
Survey form view entire document:  text 
312C) How much does one packet (cycle) of pills cost you?
ASK THE RESPONDENT IF THE COST PER PACKET REFERS TO ONE CYCLE OR THREE CYCLES AND RECORD THE CORRESPONDING PRICE.

PRICE OF 1 CYCLE______ 1 (GO TO 316A)
PRICE OF 3 CYCLES______ 2 (GO TO 316A)

FREE 9996 (GO TO 316A)
DON'T KNOW 9998 (GO TO 316A)

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Burkina Faso 1993
Survey form view entire document:  text 
317. How much does one box of pills cost?
NOTE THE PRICE.

COST ______

FREE 9996
DOESN'T KNOW 9998

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Burkina Faso 1998
Survey form view entire document:  text 
317. How much does one box (cycle) of pills cost you?

COST IN CFA _____ (GO TO 326)

FREE 9996 (GO TO 326)
DOESN'T KNOW 9998 (GO TO 326)

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Cameroon 1991
Survey form view entire document:  text 
317 How much does one (packet/cycle) of pills cost you?

COST ______
FREE 996
DK 998

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Cameroon 1998
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 326)
FREE 996 (GO TO 326)
DON'T KNOW 998 (GO TO 326)

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Central African Republic 1995
Survey form view entire document:  text 
316) How much does one packet (cycle) of pills cost you?

COST____ (GO TO 325)
FREE 9996 (GO TO 325)
DON'T KNOW 9998 (GO TO 325)

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Chad 1996
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 326)
FREE 996 (GO TO 326)
DON'T KNOW 998 (GO TO 326)

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Cote d'Ivoire 1994
Survey form view entire document:  text 
319) How much does one packet of pills cost you?

PRICE ______

FREE 9996
DON'T KNOW 9998

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Cote d'Ivoire 1998
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 326)
FREE 996 (GO TO 326)
DON'T KNOW 998 (GO TO 326)

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Egypt 1988
Survey form view entire document:  text 
342. How much does one cycle of pills usually cost you?

COST (IN PIASTRES) ___
NOT SURE/DON'T KNOW 998

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Egypt 1992
Survey form view entire document:  text 
333. How much does one cycle of pills cost you?

COST (IN PIASTRES) _____
FREE 996
DON'T KNOW 998

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Egypt 1995
Survey form view entire document:  text 
343. How much did it cost to get your method? (IF LESS THAN 1 POUND, RECORD IN PIASTRES.)

COST (IN PIASTRES) 1 ____
COST (IN POUNDS) 2 ____
FREE 99995
DON'T KNOW 99998

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Egypt 2003
Survey form view entire document:  text 
325. How much does one cycle of pills cost?

POUNDS____
PIASTERS____
FREE 9995
DON'T KNOW 9998

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Ghana 1993
Survey form view entire document:  text 
317. How much does one (packet/cycle) of pills cost you?

COST ____
FREE 9996
DON'T KNOW 9998

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Ghana 1998
Survey form view entire document:  text 
317. How much did you pay for the pills the last time you go them?

CEDIS ___
FREE 9996
DON'T KNOW 9998

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Guinea 1999
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

PRICE ______ (GO TO 326)

FREE 9996 (GO TO 326)
DOESN'T KNOW 9998 (GO TO 326)

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India 1998
Survey form view entire document:  text 
333. How much does one packet of pills/condoms cost you?

COST Rs: _____
FREE 995 (GO TO 335)
DOESN'T KNOW 998 (GO TO 335)

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Jordan 1990
Survey form view entire document:  text 
320) How much does one (packet/cycle) of pills cost you?

COST ______ (GO TO 323)
FREE 996 (GO TO 323)
DON'T KNOW 998 (GO TO 323)

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Jordan 1997
Survey form view entire document:  text 
416. How much does one packet (cycle) of pills cost you?

COST (DINAR)________ (GO TO 423)
COST (PIASTRE) _________ (GO TO 423)
FREE 99996 (GO TO 423)
DON'T KNOW 99998 (GO TO 423)

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Jordan 2012
Survey form view entire document:  text 
305B. How much did you pay for the pills?

COST IN JD ____ (GO TO 308A)

FREE 95 (GO TO 308A)
DON'T KNOW 98 (GO TO 308A)

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Kenya 1993
Survey form view entire document:  text 
317. How much does one (packet/cycle) of pills cost you?

SHILLINGS ____
FREE 996
DOES NOT KNOW 998

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Kenya 1998
Survey form view entire document:  text 
317) How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 324)
FREE 996 (GO TO 324)
DON'T KNOW 998 (GO TO 324)

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Madagascar 1992
Survey form view entire document:  text 
317 How much does one (packet/cycle) of pills cost you?

COST ______
FREE 996
DK 998

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Madagascar 1997
Survey form view entire document:  text 
317. How much does one box (cycle) of pills cost you?
RECORD IN 1000 MADAGASCAR FRANCS.

COST ______ (GO TO 326)
FREE 996 (GO TO 326)
DOESN'T KNOW 998 (GO TO 326)

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Malawi 1992
Survey form view entire document:  text 
317. How much does one packet/cycle of pills cost you?

COST (kwacha) ____
FREE 996
DON'T KNOW 998

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Mali 1995
Survey form view entire document:  text 
317. How much does a cycle box of pills cost you?

COST __ (GO TO 326)
FREE 9996 (GO TO 326)
DOESN'T KNOW 9998 (GO TO 326)

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Morocco 1992
Survey form view entire document:  text 
317) How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 324)
FREE 996 (GO TO 324)
DON'T KNOW 998 (GO TO 324)

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Mozambique 1997
Survey form view entire document:  text 
317. How much does one packet of pills cost you last time you bought it?

COST (IN METICAL 1000 [MOZAMBICAN CURRENCY]) ____ (GO TO 326)

FREE 996 (GO TO 326)

DOESN'T KNOW 998 (GO TO326)

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Niger 1992
Survey form view entire document:  text 
317) How much does one packet of pills cost you?

RECORD PRICE.

317A) For how many cycles have you used this packet of pills?

RECORD NUMBER OF CYCLES.

COST: ___
FREE 9996
DON'T KNOW 9998

NUMBER OF CYCLES: ___

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Niger 1998
Survey form view entire document:  text 
317) How much does a 3 cycle box of pills cost you?

COST: ___ (GO TO 326)
FREE 9996 (GO TO 326)
DON'T KNOW 9998 (GO TO 326)

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Niger 2006
Survey form view entire document:  text 
312C. How much does a 3 cycle box of pills cost you?

COST _____ (GO TO 316A)
FREE 9996 (GO TO 316A)
DON'T KNOW 9998 (GO TO 316a)

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Nigeria 1990
Survey form view entire document:  text 
316. How much does one packet of pills cost you?

COST __.__ (GO TO 319)

FREE 9996 (GO TO 319)
DON'T KNOW 9998 (GO TO 319)

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Nigeria 1999
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

COST __.__

FREE 9996 (GO TO 326)
DOES NOT KNOW 9998 (GO TO 326)

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Pakistan 1991
Survey form view entire document:  text 
317 How much does one (packet/cycle) of pills cost you?

COST ______
FREE 996
DK 998

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Rwanda 1992
Survey form view entire document:  text 
317 How much does one (packet/cycle) of pills cost you?

COST ______
FREE 996
DK 998

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Sri Lanka 1987
Survey form view entire document:  text 
321) How much does one packet (cycle) of pills cost you?

COST____ (GO TO 327)
FREE 9996 (GO TO 327)
DON'T KNOW 9998 (GO TO 327)

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Sudan 1989
Survey form view entire document:  text 
314B How much does one packet (cycle) of pills cost you?

COST _____
FREE 96
DONT KNOW 98

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Tanzania 1991
Survey form view entire document:  text 
317. How much does one pack of pills cost you?

COST ____
FREE 996
DK 998

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Tanzania 1996
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 326)
FREE 996 (GO TO 326)
DON'T KNOW 998 (GO TO 326)

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Togo 1998
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 326)
FREE 996 (GO TO 326)
DON'T KNOW 998 (GO TO 326)

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Yemen 1991
Survey form view entire document:  text 
811) How much does one packet (cycle) of pills cost you?

COST (IN RIALS)____
FREE 996
DON'T KNOW 998

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Zambia 1992
Survey form view entire document:  text 
317 How much does one (packet/cycle) of pills cost you?

COST ______
FREE 996
DK 998

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Zambia 1996
Survey form view entire document:  text 
317. How much does one packet (cycle) of pills cost you?

KWACHA COST ____ (GO TO 326)

FREE 9996 (GO TO 326)
DON'T KNOW 9998 (GO TO 326)

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Zimbabwe 1988
Survey form view entire document:  text 
316. How much does one packet (cycle) of pills cost you?

COST____ (GO TO 319)

FREE 996 (GO TO 319)
DON'T KNOW 998 (GO TO 319)

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Zimbabwe 1994
Survey form view entire document:  text 
317) How much does one packet (cycle) of pills cost you?

COST _____ (GO TO 324)
FREE 996 (GO TO 324)
DON'T KNOW 998 (GO TO 324)