roster_4
Sunday, March 23, 2008, 11:18 AM
Questionnaire
Option | Setting |
Parent Name | single item |
Child Name | multiple items |
Max user text length | 50 |
Min user text length | 0 |
Text Conversion | None |
Items | Jump to |
Head | What is {{s1q0}}'s gender? |
1st wife/husband | What is {{s1q0}}'s gender? |
2nd wife | What is {{s1q0}}'s gender? |
3rd wife | What is {{s1q0}}'s gender? |
4th wife | What is {{s1q0}}'s gender? |
Son/daughter | What is {{s1q0}}'s gender? |
Grandchild | What is {{s1q0}}'s gender? |
Father/mother | What is {{s1q0}}'s gender? |
Brother/sister | What is {{s1q0}}'s gender? |
Relative of head or head's spouse | What is {{s1q0}}'s gender? |
Other not related to head or head's spouse | Please specify {{s1q0}}'s relationship to the household head. |
Items | Jump to |
Male | |
Female |
Items | Jump to |
None | What is the main occupation of {{s1q0}} now? |
Kinder Garten | |
Primary | |
Middle/JSS | |
SSS/Tech/Com | |
Post sec/Nursing/Poly/Training college | |
University or other Higher Education |
Items | Jump to |
Farmer | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
Health Worker | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
House Worker | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
Agricultural Labourer | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
Non-agricultural Labourer | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
Trading/Shop Keeping | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
Civil Servant/Government | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
Student/Pupil | What is the secondary occupation of {{s1q0}}? (Interviewer: if only one occupation, then select "None" here.) |
Unemployed | Is {{s1q0}} married? |
Retired | Is {{s1q0}} married? |
None | Is {{s1q0}} married? |
Other | Please specify {{s1q0}}'s primary occupation. |
Items | Jump to |
Farmer | Is {{s1q0}} married? |
Health Worker | Is {{s1q0}} married? |
House Worker | Is {{s1q0}} married? |
Agricultural Labourer | Is {{s1q0}} married? |
Non-agricultural Labourer | Is {{s1q0}} married? |
Trading/Shop Keeping | Is {{s1q0}} married? |
Student/Pupil | Is {{s1q0}} married? |
Unemployed | Is {{s1q0}} married? |
Retired | Is {{s1q0}} married? |
None | Is {{s1q0}} married? |
Other | Please specify {{s1q0}}'s secondary occupation. |
Items | Jump to |
Married | |
Divorced | |
Widow/er | |
Not married |
Items | Jump to |
Asante | Health questions |
Akwapim | Health questions |
Fanti | Health questions |
Other Akan | Health questions |
Ga-Adangbe | Health questions |
Ewe | Health questions |
Guan | Health questions |
Nzema | Health questions |
Hausa | Health questions |
Dagomba | Health questions |
Mamprusi | Health questions |
Gonja | Health questions |
Grussi/Frafra | Health questions |
Dagarti | Health questions |
Kusasi | Health questions |
Kassena-Nankani | Health questions |
Konkomba | Health questions |
Nanumba | Health questions |
Builsa | Health questions |
Other | Please specify {{s1q0}}'s ethnic group: |
Items | Jump to |
Yes | |
No | Does {{s1q0}} suffer from any long-term illnesses or disorders? |
Prefer not to answer | Does {{s1q0}} suffer from any long-term illnesses or disorders? |
Items | |
partial or total loss of limb | |
paralyzed | |
partial or total blindness | |
partial or total deafness | |
other physical impairment | |
Free text |
Items | Jump to |
Yes | Next Question |
No | During 3 months of major crop season last year (NOVEMBER, DECEMBER, & JANUARY of 2003-2004), has {{s1q0}} suffered from any of the following conditions for a long time (at least 1 months? Choose all that apply or "Prefer not to answer". |
Prefer not to answer | During 3 months of major crop season last year (NOVEMBER, DECEMBER, & JANUARY of 2003-2004), has {{s1q0}} suffered from any of the following conditions for a long time (at least 1 months? Choose all that apply or "Prefer not to answer". |
Items | |
mental illness | |
cancer | |
malaria | |
immune disease (HIV/AIDS) | |
tuberculosis (TB) | |
leprosy | |
epilepsy | |
other long-term illness | |
Free text |
Items | |
Diarrhea | |
Severe weight loss | |
Fever | |
Pneumonia or difficulty breathing | |
Skin rash | |
Cough | |
None of the above | |
Prefer not to answer |
Items | Jump to |
very little or not at all | |
a few times | |
regularly or many times | |
almost all the time | |
do not know or cannot recall | |
prefer not to respond |
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