Access to HIV Services for Mobile and Migrant Populations in Antigua
Access to HIV Services for Mobile and Migrant Populations in Antigua
Access to HIV Services for Mobile and Migrant Populations in Antigua
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CSW INTERVIEW SHEET<br />
Date of Interview:________________<br />
Form ID: _______________________<br />
(last <strong>in</strong>itial, first <strong>in</strong>itial, year of birth)<br />
Date of Birth: ___________________<br />
Address: ________________________<br />
Location: _________________________<br />
Sex: _____________________________<br />
Age: _____________________________<br />
Country of orig<strong>in</strong>: ___________________<br />
Demographics<br />
1. What is the highest level of education you have completed?<br />
a. None e. Some college<br />
b. Primary school f. Completed college<br />
c. Secondary School g. Other (specify) _____________________<br />
d. Technical/vocational school<br />
2. What languages do you speak?<br />
a. English<br />
b. Spanish<br />
c. French<br />
d. Other ___________________________________<br />
3. How long have you been <strong>in</strong> <strong>Antigua</strong>?<br />
a. Less than 1 month d. Between 6 <strong>and</strong> 12 months<br />
b. Between1<strong>and</strong> 3 months e. Between 1 <strong>and</strong> 2 years<br />
c. Between 3 <strong>and</strong> 6 months f. Over 2 years<br />
4. Who brought you <strong>to</strong> <strong>Antigua</strong>?<br />
a. Friend<br />
b. Family<br />
c. Someone offered you a job<br />
d. Came alone<br />
e. Other (specify) __________________________________________<br />
5. Do you have any family here with you?<br />
a. Yes b. No<br />
6. If yes, who is it?<br />
a. Spouse<br />
b. Children<br />
c. Parents or sibl<strong>in</strong>gs<br />
d. Other (specify) __________________________________________<br />
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