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Questionnaire - Measurement, Learning & Evaluation Project

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Q831Q832Q833Q834Q835Q836Where did you see or hear this phrase?A ina ki ka ga ko ji wannan kalmar?CIRCLE ALL MENTIONED“Ki la siri ewa re” – “ifeto somo bibi lasiri ewa mi”(meaning what is the secret of your beauty? Familyplanning is the secret of my beauty)( Ma’ana-Menene sirrin kyawon ki? Tsarin iyali shinesirrin kyau na)What does this phrase mean to you?Menene wannan kalmar ta ke nufi?[IF RESPONDENT ONLY GIVES THE COMMONDEFINITION OF THE PHRASE, PROBE TO SEE IFTHERE IS ANY OTHER MEANING.CIRCLE ALL MENTIONEDWhere did you see or hear this phrase?A ina ki ka ga ko ji wannan kalmar?CIRCLE ALL MENTIONEDDo you understand Hausa language?Kin a jin Hausa?In the past year, have you heard the phrase “Ko kugane, tazaran haihuwa” (meaning Go for familyplanning)?RADIO……………………………………………………...ATELEVISION……………………………………………….BPOSTER ………………………………………………….CUMBRELLA……………………………………………….DSHOPPING BAG…………………………………………ET-SHIRT…………………………………………………...FLEAFLET………………………………………………….GBADGE……………………………………………………HCAPS………………………………………………….…...IWRISTBAND…………………………………………..….JON A SIGN AT A HEALTH FACILITY…………………KON A SIGN AT A PHARMACY / CHEMIST…………...LAT A ROADSHOW / RALLY……………………………MAT A PARADE……………………………………………NOTHER (Specify)_____________________________XDON’T KNOW……………………………………………ZYES…………………………………………………….1NO……………………………………………………...2DON’T KNOW…………………………………………8AGE AT MARRIAGE………………..……….……....ADELAYING FIRST BIRTH…………………………...BUSE FAMILY PLANNING…………………………...CDELAYING AGE AT FIRST SEX…………………...DABSTINENCE………………………………………..ESPACING BETWEEN BIRTHS……………………..FLIMITING FAMILY SIZE……………………………..GTALK TO HEALTH PROVIDER ABOUT FP………HTALK TO SPOUSE/PARTNER ABOUT FP…….…IOTHERS (Specify)_________________________XDON’T KNOW……………………………………...…ZRADIO……………………………………………..……...ATELEVISION……………………………………….…….BPOSTER …………………………………………..…….CUMBRELLA………………………………………...…….DSHOPPING BAG…………………………………………ET-SHIRT…………………………………………………...FLEAFLET………………………………………………….GBADGE……………………………………………………HCAPS………………………………………………….…...IWRISTBAND………………………………………….….JON A SIGN AT A HEALTH FACILITY…………………KON A SIGN AT A PHARMACY / CHEMIST……….…..LAT A ROADSHOW / RALLY……………………………MAT A PARADE……………………………………………NOTHER (Specify)_____________________________XDON’T KNOW………………………………………….…ZYES……………………………………………………1NO……………………………………………………..2YES……………………………………………………1NO……………………………………………………..2Q835Q835Q839Q839Q837A cikin shekara daya da ta shige,kin tab a jin wa takalma “Ko kun gane, tazaran haihuwa”.What does this phrase mean to you?Me wannan kalmar ta ke nufi?[IF RESPONDENT ONLY GIVES THE COMMONDEFINITION OF THE PHRASE, PROBE TO SEE IFTHERE IS ANY OTHER MEANING.CIRCLE ALL MENTIONEDDON’T KNOW……………………………………......8AGE AT MARRIAGE………………..……….……....ADELAYING FIRST BIRTH…………………………...BUSE FAMILY PLANNING…………………………...CDELAYING AGE AT FIRST SEX…………………...DABSTINENCE………………………………………..ESPACING BETWEEN BIRTHS……………………..FLIMITING FAMILY SIZE……………………………..GTALK TO HEALTH PROVIDER ABOUT FP………HTALK TO SPOUSE/PARTNER ABOUT FP…….…IOTHERS (Specify)_________________________XDON’T KNOW……………………………………...…ZQ83939

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