Where did you give birth to (NAME)?
Was it government operated or private?
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
In the last 30 days, how much difficulty did you have in dealing with conflicts and tensions with others?
Do you wear glasses or contact lenses?
In the last 30 days, how much difficulty did you have in Seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters)?
In the last 30 days, how much difficulty did you have in seeing and recognizing an object at arm’s length or in reading?
Overall in the last 30 days, how much of a problem did you have 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?
Overall in the last 30 days, how much of a problem did you have with feeling sad, low or depressed?
Overall in the last 30 days, how much of a problem did you have with worry or anxiety?
Overall in the last 30 days, how much of a problem did [name of person] have with feeling sad, low, or depressed?
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