1405) Where have you received health, medical, or dental care?
PROBE: Anywhere else?
PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, RECORD 'X' AND WRITE THE NAME OF THE PLACE.
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT CLINC/COMMUNITY HEALTH CENTRE B
OTHER PUBLIC SECTOR (SPECIFY) ________ C
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR D
CHEMIST/PHARMACY E
DENTIST/ORAL HYGIENIST/DENTAL THERAPIST F
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _________ G
OTHER SOURCE
WORKPLACE HEALTH SERVICE H
TRADITIONAL HEALER I
TRADITIONAL HERBALST J
FAITH HEALER K
OTHER (SPECIFY) ____ X