Survey Text

Burkina Faso 2003
Burkina Faso 2010
Ghana 1998
Madagascar 2003
Mozambique 2003
Zambia 1996
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Burkina Faso 2003
Survey form view entire document:  text 
620. With whom did you discuss it? Anyone else?
RECORD ALL MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER(S) F
SON(S) G
MOTHER-IN-LAW H
FRIEND(S)/NEIGHBOR(S) I
HEALTH WORKERS J
PEER EDUCATORS K
OTHER (SPECIFY) ______ X

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Burkina Faso 2010
Survey form view entire document:  text 
715B. With whom? Anyone else?
RECORD ALL PERSONS MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTERS(S) F
SON(S) G
MOTHER(S)-IN-LAW H
FRIEND(S)/NEIGHBOR(S) I
HEALTH CARE WORKER J
PEER EDUCATORS K
OTHER (SPECIFY) _____ X

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Ghana 1998
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619. With whom?

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER F
MOTHER-IN-LAW G
FRIENDS/NEIGHBORS H
OTHER (SPECIFY) __________ X

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Madagascar 2003
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619. Over the last several months, have you discussed family planning with your friends, neighbors, or relatives?

YES 1
NO 2 (GO TO 621)

620. With whom did you discuss it?
Anyone else?
RECORD ALL MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER(S) F
SON(S) G
MOTHER-IN-LAW H
FRIEND(S)/NEIGHBOR(S) I
HEALTH WORKERS J
PEER EDUCATORS K
OTHER (SPECIFY) ______ X

Survey form view entire document:  text 
619. Over the last several months, have you discussed family planning with your friends, neighbors, or relatives?

YES 1
NO 2 (GO TO 621)

620. With whom did you discuss it?
Anyone else?
RECORD ALL MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER(S) F
SON(S) G
MOTHER-IN-LAW H
FRIEND(S)/NEIGHBOR(S) I
HEALTH WORKERS J
PEER EDUCATORS K
OTHER (SPECIFY) ______ X

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Mozambique 2003
Survey form view entire document:  text 
620) With whom?
Anyone else?

RECORD ALL PERSONS MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER(S) F
SON(S) G
MOTHER(S)-IN-LAW H
FRIENDS/NEIGHBORS I

OTHER (SPECIFY): __________ X

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Zambia 1996
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618. In the last few months have you discussed the practice of family planning with your husband, partner, friends, neighbors, or relatives?

YES 1
NO 2 (GO TO 620)

619. With whom?
Anyone else?
RECORD ALL MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER F
MOTHER-IN-LAW G
FRIENDS/NEIGHBORS H
COMMUNITY HEALTH WORKER I
LOCAL COMMUNITY LEADER J
RELIGIOUS LEADER K
OTHER (SPECIFY) ___________ X