Is [NAME] currently living / did [NAME] before s/he died live in?
If deceased, a woman aged 15-49, was she pregnant when she died?
If deceased, a woman aged 15-49 did she die during childbirth?
In the last 30 days, how much bodily discomfort did [name of person]have?
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationships or participation in the community?
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
In the last 30 days, how much bodily discomfort did [name of person]have?
In the last 30 days, how much difficulty did you think [name of person]have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm's length or in reading?
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
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