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: Age
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: Lack of money
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: Social class
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: Ethnic group or colour
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: Type of illness
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: Nationality
What was the name of the last hospital or long term care facility you [child] stayed in, in the last 5 years ?
Was the hospital or long term care facility: - operated by the government - privately operated - NGO - other
When was your [child's] last overnight stay? - In the last 4 weeks - In the last year - In the last 2 years - In the last 3 years - In the last 5 years
Which of the following best describes the reason for your [child's] last overnight stay? - High fever, severe diarrhoea, or cough - Childbirth - Arthritis - Asthma - Heart disease - Bodily injury - Minor surgery - Other
How long was your [child's] stay on this occasion? - 1-2 days - 3-5 days - 6-14 days - 15 days and more
In your opinion, was the skill of the health care providers adequate for your [child’s] treatment?
How many televisions are there in your household?
Does anyone in your household have a bicycle?
Does anyone in your household have a video cassette recorder?
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