Survey Text
Angola 2015
No questionnaire text is available for this sample.
Bangladesh 2011
No questionnaire text is available for this sample.
Benin 2001
Survey form
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Benin 2006
No questionnaire text is available for this sample.
Benin 2011
Survey form
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HOUSEHOLD SELECTED FOR MAN'S QUESTIONNAIRE, HIV, ANEMIA, MALARIA AND BLOOD PRESSURE TEST?
YES 1
NO 2
Benin 2017
No questionnaire text is available for this sample.
Burkina Faso 2003
Survey form
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CHECK HOUSEHOLD QUESTIONNAIRE COVER: IS THE ANEMIA TEST/HIV TEST ANTICIPATED FROM THIS HOUSEHOLD?
YES 1
NO 2
Burkina Faso 2010
No questionnaire text is available for this sample.
Burundi 2010
No questionnaire text is available for this sample.
Burundi 2016
No questionnaire text is available for this sample.
Cameroon 2004
No questionnaire text is available for this sample.
Cameroon 2011
No questionnaire text is available for this sample.
Cameroon 2018
No questionnaire text is available for this sample.
Congo (Democratic Republic) 2007
No questionnaire text is available for this sample.
Congo (Democratic Republic) 2013
Survey form
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CHECK COVER OF HOUSEHOLD QUESTIONNAIRE: WAS THE HOUSEHOLD SELECTED FOR THE MEN'S SURVEY, THE ANEMIA, MALARIA, HIV, AND VACCINATIONS TESTS, AND THE ANTHROPOMETRIC MEASUREMENTS? (YES 1, NO 2)
HOUSEHOLD SELECTED FOR MEN'S SURVEY ____
Congo Brazzaville 2005
No questionnaire text is available for this sample.
Congo Brazzaville 2011
No questionnaire text is available for this sample.
Cote d'Ivoire 2011
Survey form
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CHECK THE COVER OF HOUSEHOLD QUESTIONNAIRE IF SELECTED FOR MENS SURVEY, ANEMIA/HIV TEST IN THE HOUSEHOLD
YES 1
NO 2
Egypt 2000
Survey form
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060) CHECK COVER PAGE TO DETERMINE IF HOUSEHOLD IS INCLUDED IN THE SUBSAMPLE FOR ANEMIA TESTING
YES__: CHECK QUESTIONS 012, 012 AND 014 AND RECORD THE LINE NUMBERS FROM THE HOUSEHOLD SCHEDULE FOR EACH ELIGIBLE WOMAN, CHILD, AND ADOLESCENT IN THE APPROPRIATE GRIDS BELOW. USE AN ADDITIONAL QUESTIONNAIRE IF THERE ARE NOT SUFFICIENT LINES WITHIN A GRID TO RECORD ALL OF THE ELIGIBLE INDIVIDUALS.
NO__ (GO TO 082)
Egypt 2005
Survey form
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ANEMIA SUBSAMPLE:
YES 1
NO 2
Egypt 2014
No questionnaire text is available for this sample.
Eswatini (Swaziland) 2006
No questionnaire text is available for this sample.
Ethiopia 2005
Survey form
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HEMOGLOBIN MEASUREMENT
CHECK COVER PAGE:
HOUSEHOLD SELECTED FOR MALE SURVEY (GO TO 58)
HOUSEHOLD NOT SELECTED FOR MALE SURVEY (GO TO INTERVIEWER'S OBSERVATION ON LAST PAGE)
Ethiopia 2011
No questionnaire text is available for this sample.
Ethiopia 2016
No questionnaire text is available for this sample.
Ghana 2003
No questionnaire text is available for this sample.
Ghana 2008
No questionnaire text is available for this sample.
Ghana 2014
No questionnaire text is available for this sample.
Ghana 2016
Survey form
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HEMOGLOBIN MEASUREMENT AND MALARIA TESTING FOR CHILDREN AGE 0-5
101. CHECK COLUMN 9 IN HOUSEHOLD QUESTIONNAIRE. RECORD THE LINE NUMBER AND NAME FOR ALL ELIGIBLE CHILDREN 0-5 YEARS IN QUESTION 102; IF MORE THAN SIX CHILDREN, USE ADDITIONAL QUESTIONNAIRE(S).
Guinea 2005
No questionnaire text is available for this sample.
Guinea 2012
No questionnaire text is available for this sample.
Guinea 2018
Survey form
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IDENTIFICATION
PLACE NAME
NAME OF HEAD OF HOUSEHOLD
PLOT NUMBER
CLUSTER NUMBER
HOUSEHOLD NUMBER
ADMINISTRATIVE REGION
NATURAL REGION
SANITATION DISTRICT NUMBER
LOCATION OF HOUSEHOLD
CONAKRY 1
OTHER CITY 2
RURAL 3
Household selected for men's survey/tests/health spending?
YES 1
NO 2
India 2005
No questionnaire text is available for this sample.
Jordan 2002
Survey form
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text
HOUSEHOLD SELECTED FOR ANEMIA TESTING
YES 1
NO 2
Jordan 2007
Survey form
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NAME AND LINE NUMBER OF WOMAN: ____________
Jordan 2009
Survey form
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HOUSEHOLD SELECTED FOR ANTHROPOMETRY AND ANEMIA TESTING
YES 1
NO 2
Jordan 2012
No questionnaire text is available for this sample.
Jordan 2017
No questionnaire text is available for this sample.
Lesotho 2004
No questionnaire text is available for this sample.
Lesotho 2009
No questionnaire text is available for this sample.
Lesotho 2014
Survey form
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HOUSEHOLD SELECTED FOR MALE SURVEY AND BIOMARKER COLLECTION?
YES 1
NO 2
Madagascar 2003
No questionnaire text is available for this sample.
Madagascar 2008
No questionnaire text is available for this sample.
Malawi 2004
Survey form
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text
HOUSEHOLD SELECTED FOR MALE SURVEY AND BLOOD WORK?
YES 1
NO 2
Malawi 2010
Survey form
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IDENTIFICATION
PLACE NAME _________________________
NAME OF HOUSEHOLD HEAD __________________
DISTRICT _____________________ ___
CLUSTER NUMBER __
HOUSEHOLD NUMBER ___
HOUSEHOLD SELECTED FOR MALE INTERVIEW, ANTHROPOMETRY, AND BLOOD WORK?
YES 1
NO 2
Malawi 2016
No questionnaire text is available for this sample.
Mali 2001
No questionnaire text is available for this sample.
Mali 2006
Survey form
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HOUSEHOLD SELECTED FOR:
MEN'S SURVEY /HIV TEST/ANEMIA TEST 1
OTHER TESTS- TETANUS AND MEASLES VACCINES 2
HOUSEHOLD HEALTH EXPENSES 3
Mali 2012
Survey form
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HOUSEHOLD SELECTED FOR:
MEN'S SURVEY/HIV TEST/ANEMIA TEST/MALARIA TEST/HEALTH EXPENSES:
YES 1
NO 2
Mali 2018
No questionnaire text is available for this sample.
Mozambique 2011
No questionnaire text is available for this sample.
Myanmar 2015
No questionnaire text is available for this sample.
Namibia 2013
No questionnaire text is available for this sample.
Nepal 2006
No questionnaire text is available for this sample.
Nepal 2011
No questionnaire text is available for this sample.
Nepal 2016
No questionnaire text is available for this sample.
Niger 2006
Survey form
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MEASURE WEIGHT/HEIGHT, HEMOGLOBIN AND HIV TEST?
YES 1
NO 2
Niger 2012
Survey form
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UNICEF INTERVENTION ZONE______
YES 1
NO 2
COMMUNE 3
HOUSEHOLD SELECTED FOR MEN'S SURVEY______
YES 1
NO 2
HEIGHT/WEIGHT MEASUREMENT, HEMOGLOBIN AND HIV TEST, SALT SAMPLE (LABORATORY)?
MEN'S SURVEY_____
Nigeria 2018
No questionnaire text is available for this sample.
Rwanda 2005
Survey form
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HOUSEHOLD SELECTED FOR MALE INTERVIEW, HOUSEHOLD RELATIONS (SECTION X WOMEN)/HIV/ANEMIA TEST/ANTHROPOMETRIC MEASUREMENTS
YES 1
NO 2
Rwanda 2010
Survey form
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HOUSEHOLD SELECTED FOR MALE INTERVIEW, HIV, MALARIA TEST, ANTHROPOMETRIC MEASUREMENTS AND SECTION 12 OF THE WOMAN'S QUESTIONNAIRE
YES 1
NO2
Rwanda 2014
No questionnaire text is available for this sample.
Senegal 2005
No questionnaire text is available for this sample.
Senegal 2010
No questionnaire text is available for this sample.
Senegal 2012
No questionnaire text is available for this sample.
Senegal 2014
No questionnaire text is available for this sample.
Senegal 2015
No questionnaire text is available for this sample.
Senegal 2016
No questionnaire text is available for this sample.
Senegal 2017
No questionnaire text is available for this sample.
South Africa 2016
No questionnaire text is available for this sample.
Tanzania 2004
No questionnaire text is available for this sample.
Tanzania 2010
No questionnaire text is available for this sample.
Tanzania 2015
No questionnaire text is available for this sample.
Togo 2013
Survey form
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URBAN/RURAL
URBAN 1
RURAL 2
Uganda 2001
No questionnaire text is available for this sample.
Uganda 2006
No questionnaire text is available for this sample.
Uganda 2011
No questionnaire text is available for this sample.
Uganda 2016
No questionnaire text is available for this sample.
Yemen 2013
Survey form
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IS THIS HOUSEHOLD SELECTED FOR ANEMIA TESTING?
YES 1
NO 2
Zambia 2018
No questionnaire text is available for this sample.
Zimbabwe 2005
No questionnaire text is available for this sample.
Zimbabwe 2010
No questionnaire text is available for this sample.
Zimbabwe 2015
No questionnaire text is available for this sample.