Questionnaire - Measurement, Learning & Evaluation Project

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Please tell me how you would agree or disagree with the followingstatements.Don AllahIna son ki gaya mini ko zaki yarda ko ba zaki yarda dawadannan maganganun ba.Strongly Agree Agree Disagree StronglyDisagreeQ718Q719Q720Q721Q722Q723Q724You could start a conversation with your partner aboutfamily planning.Zaki iya fara magana da mijin/abokin zamanki akan tsariniyaliYou could convince your partner that you should use amethod of family planning.Zaki iya shawo kan mijin/abokin zaman ki don ki faraamfani da dabarar tsarin iyaliYou could obtain a family planning/child birthspacing/child spacing method if you decided to use one.Zaki iya samun dabarar tsarin iyali /tazara tsakaninhaihuwa/tazara tsakani yara idan kina son ki yi amfani dashi.You could use a method of family planning/ child birthspacing/child spacing even if your partner doesn’t wantyou to.Zaki iya yin amfani da dabarar tsarin iyali /tazara tsakaninhaihuwa/tazara tsakani yara ko mijin/abokin zaman kibaya son kiyi.You could use a method of family planning/child birthspacing/child spacing even if none of your friends orneighbors uses one.Zaki iya yin amfani da dabarar tsarin iyali /tazara tsakaninhaihuwa/tazara tsakani yara ko da kawayen ki komakobtan ki basu amfani da shi.You could use a method of family planning/child birthspacing/child spacing even if your religious leader did notthink you should use one.Zaki iya yin amfani da dabarar tsarin iyali /tazara tsakaninhaihuwa/tazara tsakani yara ko da wani shugaban addininkana ganin cewa ba za ka yi amfani da shi ba.You could continue to use a family planning/child birthspacing/child spacing method even if you experiencesome side effects.Zaka iya cigaba da amfani dadabarar tsarin iyali/tazaratsakanin haihuwa/tazara tsakanin yara ko da ka samuwasu matsaloli.4 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 134
Q801.Q802.Q803.Do you read newspaper(s) or magazines?SECTION 8: MEDIA EXPOSUREQuestions and filters Coding categories SkipKina karanta jarida ko mujalla?Have you read any articles on family planning/child birth spacingin newspapers/magazines in the past three months?Kin karanta wa ta kasida akan tsarin iyali/ tazarar haihuwa acikin watanni ukku da suka shige?Do youlisten to the radio?Ki na sauraren rediyo?YES .............................................................. 1NO .................................................................. 2YES .................................................................... 1NO ...................................................................... 2DON’T KNOW ................................................. ….8YES .............................................................. 1NO…………………………………………………2Q803Q807Q804.How many days in a week do you listen to radio?Kwanakinawa a sati ki ke sauraren rediyo?NUMBER OF DAYS IN A WEEKLESS THAN WEEKLY/NOT REGULARLY .......... 8Q805.Q806.On average how long in total do you listen to radio on a normalday?A taikace tsawon lokaci nawa a yini ki ke jin rediyo?Have you heard any family planning/ child birth spacinginformation on the radio in the past three months?Kin taba jin bayani a rediyo game da dabarun tsarin iyali/tazara tsakanin haihuwa a cikin watanni ukku da suka shige?HOURS PER DAY…………………1 [__|__]ORMINUTES PER DAY………………2 [__|__]YES................................………….………….…...1NO....................................………….....................2DON’T KNOW………………………….…………..8ASK THE FOLLOWING QUESTION BASED ON CITY:FCT ABUJA:Have you ever heard about a radio program called “SecondChance”?A cikin shekara daya da ta shige, kin ta ba ji ko ganin wannankalmar “Mu hade tare”Q807.IBADAN OR ILORIN:Have you ever heard about a radio program called “IretiEda”?Kin tab a sauraro wani shirin rediyo da ake kira “Ireti Eda”?YES………………………………………………..……1NO…………………………………………………..…..2DON’T KNOW ................................................. ……8Q811Q811KADUNA:Have you ever heard about a radio program called “KomaiNisan Jifa”?Kin ta ba sauraron wani shiri a gidan rediyo “ komai nisan jifa”Q808.Q809.PROBE: “You may have heard this program played on the radioor on a CD”Maiyuwa kin ji wannan shirin a rediyo ko “CD”.Have you ever listened to this radio program?Kin ta ba sauraron wannan shirin?How often do you listen to this program – every week, once ortwice a month, or less than once a month?Kamar sau nawa ki ke sauraron wannan shirin- ko wane sati,sau daya ko biyu a wata ko kasa da s au daya a wata?YES……………………………………………………..1NO………………………………………………………2DON’T KNOW………………………………………....8DON’T LISTEN TO THE RADIO…………………….9EVERY WEEK…………………………………………1ALMOST EVERY WEEK……………………………..2ONCE OR TWICE A MONTH………………………..3LESS THAN ONCE A MONTH………………………4USED TO LISTEN BUT DON’T ANYMORE……….5ONLY LISTENED ONCE……………………………..6Q810Q810Q810Q810.Have you ever attended a meeting where this program wasplayed or discussed?Kin ta ba halartar wani taron da a ka sa wannan shirin ko aketattaunawa akai?YES……………………………………………………..1NO………………………………………………………2DON’T KNOW ................................................. …...835
Page 1 and 2: OFFICE USE ONLY: QUESTIONNAIRE NO:
Page 3 and 4: Kuma babu mamaki wani yazo wurinmu
Page 5 and 6: Q110As you know, some women take up
Page 7 and 8: Since January 2010,Tun da ga Januar
Page 10 and 11: From which type of facility did you
Page 12 and 13: SECTION 3: CONTRACEPTIONCHECK FOR P
Page 14 and 15: CHECK Q305, Q218, Q245(01)-Q245(03)
Page 16 and 17: Q310Q311Q312Who decided which type
Page 18 and 19: FERTILITY RELATED REASONS:A. NO SEX
Page 20 and 21: Quality of Care - Services and Trea
Page 22 and 23: When you came to the facility for d
Page 24 and 25: PUBLIC SECTORGOVERNMENT HOSPITAL…
Page 26 and 27: Q424In the past year, did you recei
Page 28 and 29: Q508Q509Q510Including yourself, in
Page 30 and 31: CHECK Q602:Q604NOT PREGNANT ORUNSUR
Page 32 and 33: SECTION 7: SPOUSAL AND INTERPERSONA
Page 39 and 40: Q831Q832Q833Q834Q835Q836Where did y
Page 41 and 42: Q846Q847Q848Q849Q850In the past thr
Page 43 and 44: Which rural area did you visit most
Page 45 and 46: OFFICE USE ONLY: QUESTIONNAIRE NO:

Questionnaire - Measurement, Learning & Evaluation Project

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