How high is the [contribution] compared to benefits you get from the [CHIP]?
How difficult is for your household to pay the [CHIP] [contribution]?
If someone in your household had questions about the [CHIP], would they know whom to ask or where to go?
How difficult is it to reach that person or place when information is needed?
How much do you think healthy people in [the country] should contribute to pay for the health care used by sick people?
How much do you think people in [the country] should contribute to pay for the health care used by poor people when they become sick?
Can you please tell me how many rooms there are in your home?
How many cars are there in your household?
For your [child’s] last visit, how would you rate your experience of being involved in making decisions about your health care or treatment?
For your [child’s] last visit, how would you rate the way the health services ensured you could talk privately to health care providers?
For your [child’s] last visit, how would you rate the way your personal information was kept confidential?
For your [child’s] last visit, how would you rate the freedom you had to choose your health care provider?
For your [child’s] last visit, how would you rate the cleanliness of the rooms inside the facility, including toilets?
For your [child’s] last visit, how would you rate the amount of space in the waiting and examination rooms?
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Sex
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