950) Where did you go? Any other place?
PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S).
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE(S)) _______________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH CLINIC C
STAND-ALONE VCT CENTER D
OTHER PUBLIC (SPECIFY) ____________ E
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC F
PRIVATE DOCTOR G
STAND-ALONE VCT CENTER H
PHARMACY I
FAMILY PLANNING ASSN. LIBERIA J
MOBILE CLINIC K
OTHER PRIVATE MEDICAL (SPECIFY) _____________ L
OTHER SOURCE
SHOP M
OTHER (SPECIFY) ________ X