Baseline Women's questionnaire - Yoruba/English

RECORD THE THREENAMES MENTIONED INQ729 (1-3)1______________(NAME)Q730 Q731 Q732 Q733 Q734 Q735What is your relationship to______?Bawo ni ese je si ______?MOTHER…………….......01MOTHER-IN-LAW………02SISTER (OR IN-LAW).…03DAUGHTER (IN-LAW)…04AUNTIE………………….05OTHER RELATIVE . .….06FRIEND .................... ...07OTHER PERSON………96___________(SPECIFY)Does this person live in this city,another city or town, or a ruralarea (village)?Se ilu nla yi ni eni yi n gbe tabi ilunla miran, tabi igberiko(ilukekere)THIS CITY/TOWN..…1OTHER CITY/TOWN.….2RURAL……..….3Have you discussedabout familyplanning/birthspacing with _____in the past year?Nje e ti soro nipaifeto somo bibi/fifayesi ibimo/fifaye siomo bibi pelu_____laarin osumefa sehin?YES .................. 1NO .................... 2DON’T KNOW ... 8Does ____ currentlyuse a familyplanning/birth spacingmethod?Nje ____ nlo ara ifetosomo bibi/fifaye siibimo/fifaye si omo bibikan lowolowo?YES .................. 1NO .................... 2DON’T KNOW .. 8SKIP NO/DK TO Q735What method does____ currently use?Iru ara wo ni ____ nlolowolowo?MULTIPLERESPONSESPOSSIBLE.STERLIZATION……AIMPLANT……………BIUD………………….CINJECTABLES…… DDAILY PILL…………EEC…………………..FCONDOM……………GOTHER………………X______________SPECIFYDoes ______ think that youshould use a familyplanning/birth spacing methodor that you should not use afamily planning/ birth spacingmethod?Nje ______ fara mo pe ki e loara ifeto somo bibi/fifaye siibimo/fifaye si omo bib Kankantabi ki e ma lo ara ifeto somobibi/fifaye si ibimo/fifaye siomo bib Kankan?THINKS YOUSHOULD USE…………..1THINKS YOUSHOULD NOT USE……2OTHER………………….6____________________SPECIFYDON’T KNOW…………..8Page 48