Survey Text

Benin 2001 Burkina Faso 1998 Liberia 2013 South Africa 2016
Benin 2006 Burkina Faso 2003 Mali 2001
Benin 2011 Burkina Faso 2010 Nepal 2016
Benin 2017 Jordan 1997 Nigeria 2008
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Benin 2001
Survey form view entire document:  text 
617) In the last few months have you heard about family planning:

On the radio?
YES 1
NO 2
On the television?
YES 1
NO 2
In a newspaper or magazine?
YES 1
NO 2
On a poster?
YES 1
NO 2
In a leaflet/brochure?
YES 1
NO 2
In a cultural/educational animated performance?
YES 1
NO 2
At school?
YES 1
NO 2

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Benin 2006
Survey form view entire document:  text 
617) In the last few months have you heard about family planning:

On the radio?
YES 1
NO 2
On the television?
YES 1
NO 2
In a newspaper or magazine?
YES 1
NO 2
On a poster?
YES 1
NO 2
In a leaflet/brochure?
YES 1
NO 2
In a cultural/educational animated performance?
YES 1
NO 2
At school?
YES 1
NO 2

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Benin 2011
Survey form view entire document:  text 
714) In the last few months have you:

Heard about family planning on the radio?
Seen anything about family planning on the television?
Read about family planning in a newspaper or magazine?
On a poster?
In a leaflet/brochure?
In a cultural/educational animated performance?
In a religious institution (church/mosque)?
At school?

RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
NEWSPAPER OR MAGAZINE
YES 1
NO 2
POSTER
YES 1
NO 2
BROCHURE
YES 1
NO 2
CULTURAL ANIMATION
YES 1
NO 2
CHURCH/MOSQUE
YES 1
NO 2
AT SCHOOL
YES 1
NO 2

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Benin 2017
Survey form view entire document:  text 
815. In the last few months have you:

a) Heard about family planning on the radio?
YES 1
NO 2
b) Seen anything about family planning on the television?
YES 1
NO 2
c) Read about family planning in a newspaper or magazine?
YES 1
NO 2
d) Received a voice or text message about family planning on a mobile phone?
YES 1
NO 2

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Burkina Faso 1998
Survey form view entire document:  text 
616. Over the last few months, have you heard or read messages about family planning:

On the radio?
On the television?
In a newspaper or magazine?
On a poster?
In brochures?
On a billboard?
During a community meeting?
In a health center/by a health agent?
At the mosque, church or temple?
At school/by a teacher?
At the workplace?
By a relative/friend?
By a neighbor?
During a theatrical performance?

THE RADIO
YES 1
NO 2
THE TELEVISION
YES 1
NO 2
NEWSPAPER OR MAGAZINE
YES 1
NO 2
ON A POSTER
YES 1
NO 2
IN BROCHURES
YES 1
NO 2
ON A BILLBOARD
YES 1
NO 2
DURING A COMMUNITY MEETING
YES 1
NO 2
IN A HEALTH CENTER/BY A HEALTH AGENT
YES 1
NO 2
AT THE MOSQUE, CHURCH OR TEMPLE
YES 1
NO 2
AT SCHOOL/BY A TEACHER
YES 1
NO 2
AT THE WORKPLACE
YES 1
NO 2
BY A RELATIVE/FRIEND
YES 1
NO 2
BY A NEIGHBOR
YES 1
NO 2
DURING A THEATRICAL PERFORMANCE
YES 1
NO 2

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Burkina Faso 2003
Survey form view entire document:  text 
617. In the last few months have you heard about family planning:

On the radio?
On television?
In newspapers or magazines?
On posters?
In a prospectus/brochure?
At a cultural/educational performance?
At school?

ON THE RADIO
YES 1
NO 2
ON TELEVISION
YES 1
NO 2
IN NEWSPAPERS OR MAGAZINES
YES 1
NO 2
ON POSTERS
YES 1
NO 2
IN A PROSPECTUS/BROCHURE
YES 1
NO 2
CULTURAL/EDUCATIONAL PERFORMANCE
YES 1
NO 2
AT SCHOOL
YES 1
NO 2

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Burkina Faso 2010
Survey form view entire document:  text 
714. In the last few months have you:

Heard about family planning on the radio?
Heard about family planning on the television?
Heard about family planning in cultural/educational cartoons?
Heard about family planning at school?
Read something on family planning in a newspaper or magazine?
Read something about family planning on posters or leaflets?

ON THE RADIO
YES 1
NO 2
ON THE TELEVISION
YES 1
NO 2
CULTURAL/EDUCATIONAL CARTOONS
YES 1
NO 2
AT SCHOOL
YES 1
NO 2
IN A NEWSPAPER OR MAGAZINE
YES 1
NO 2
ON POSTERS OR LEAFLETS
YES 1
NO 2

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Jordan 1997
Survey form view entire document:  text 
616. From what sources do you receive information about family planning? (CIRCLE ALL RESPONSES MENTIONED) (PROBE: Any others?)

No source?
YES 1
NO 2
Government health worker?
YES 1
NO 2
Private doctor or nurse?
YES 1
NO 2
JAFPP staff?
YES 1
NO 2
Husband?
YES 1
NO 2
Friends/relatives?
YES 1
NO 2
Radio?
YES 1
NO 2
Television?
YES 1
NO 2
Print materials (newspapers, posters, etc.)
YES 1
NO 2
School, library or other academic source?
YES 1
NO 2
Community or public meetings?
YES 1
NO 2
Lectures?
YES 1
NO 2
Other, Specify ____________
YES 1
NO 2
Don't know?
YES 1
NO 2

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Liberia 2013
Survey form view entire document:  text 

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Mali 2001
Survey form view entire document:  text 
617. During the last few months, have you heard about family planning:

On the radio?
On the television?
In newspapers or magazines?
On a poster?
On a flier or brochure?
Cultural organization?
School?

RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
NEWSPAPERS OR MAGAZINES
YES 1
NO 2
POSTER
YES 1
NO 2
FLIER OR BROCHURE
YES 1
NO 2
CULTURAL ORGANIZATION
YES 1
NO 2
SCHOOL
YES 1
NO 2

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Nepal 2016
Survey form view entire document:  text 
815. In the last few months have you:
a) Heard about family planning on the radio?
b) Seen anything about family planning on the television?
c) Read about family planning in a newspaper or magazine?
d) Received a voice or text message about family planning on a mobile phone?
e) Read about family planning in brochure or flipchart?
f) Seen message on family planning in a poster, hoarding board or billboard?
g) Read/seen message in the internet?
h) Seen street dramas on family planning?
i) Heard from mother's group/teachers?
j) Heard from FCHVs?

A) RADIO
YES 1
NO 2
B) TELEVISION
YES 1
NO 2
C) NEWSPAPER OR MAGAZINE
YES 1
NO 2
D) MOBILE PHONE
YES 1
NO 2
E) BROCHURE OR FLIPCHART
YES 1
NO 2
F) POSTER, HOARDING BOARD
YES 1
NO 2
G) INTERNET/WEBSITE
YES 1
NO 2
H) STREET DRAMA
YES 1
NO 2
I) MOTHER'S GROUP/TEACHER
YES 1
NO 2
J) FCHV
YES 1
NO 2

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Nigeria 2008
Survey form view entire document:  text 
716. In the last few months have you:

Heard about family planning through a peer group discussion?
YES 1
NO 2
Heard about family planning in school?
YES 1
NO 2
Heard about family planning through community leaders?
YES 1
NO 2

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South Africa 2016
Survey form view entire document:  text 
815) e) Heard about family planning at school?

YES 1
NO 2