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Baseline Women's questionnaire - Yoruba/English

Baseline Women's questionnaire - Yoruba/English

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Q1008Q1009Q1010Q1011How long do you usually stay when you visit [NAME OFCITY/TOWN?Bawo ni e se maa n duro peto ti e ba lo si [NAME OFCITY/TOWN]?In the last year, how much time have you spent at [NAME OFTOWN/CITY ]?Laarin odun ti o koja o to asiko wo ni e lo ni [NAME OFTOWN/CITY ]?During your visit(s), do you ever discuss family planning/birthspacing/child spacing with anybody?Ni asiko abewo tabi awon abewo yi, nje e jiroro lori ifeto somobibi/afo si ibimo/ afo somo bibiDuring your visit(s), do you ever seek family planning spacingservices?Ni asiko ibewo yi, nje e wa eto ifeto somo bibi?HOURS…………………..…………...2 [__|__]DAYS…………………………………..3 [__|__]WEEKS ……………………………….4 [__|__]MONTHS …………………..………....5 [__|__]HOURS…………………..…………...1 [__|__]DAYS…………………………………..2 [__|__]WEEKS ……………………………….3 [__|__]MONTHS …………………..………....4 [__|__]YES………………………………………………………..1NO…………………………………………………………2YES………………………………………………………..1NO…………………………………………………………2Q1012 Do friends or family from this city/town [MENTIONED IN Q1006]ever come to visit you?Q1013Q1014Nje awon ore tabi ebi lati ilu nla/ ilu yi [MENTIONED IN Q1006] fiigba kan wa be yin wo?Do you ever talk about family planning with your friends andfamily who are visiting you here?Nje e ti fi igbakan soro nipa ifeto somo bibi pelu awon ore ati ebiti won beyin wo nibi yi?Do your friends and family who visit ever seeks family planningservices when they are visiting?Nje awon ore ati ebi ti o n be yin wo fi igbakan beere fun onaifeto somo bibi ni igba ti won beyin wo?YES………………………………………………………...1NO………………………………………………………….2YES………………………………………………………...1NO………………………………………………………….2YES……………………………………………………NO……………………………………………………..DON’T KNOW………………………………………128Q1015Q1015In the past 12 months, have you visited a rural area in Nigeriain order to visit family or friends?Laarin osu mejila sehin, nje eti be igberiko kan wo ni orile edeNigeria lati be ebi tabi awon ore wo?YES . . . . . . . . . . . . . . . . . . . . . . ………………NO . . . . . . . . . . . . . . . . . . . . . . …………………12 Q1101Q1016 Which rural area did you visist most often in the past 12months?Igberiko wo ni e ti be wo lopolopo igba laarin osu mejila sehin?GIVE THE NAME OF THE VILLAGE, LGA AND STATENAME OF VILLAGE_______________________LOCAL GOVERNMENTAREA:_____________________________________CODE BOXES: OFFICE ONLY [__|__|__]STATE___________________________CODE BOXES: OFFICE ONLY [__|__|__]Q1017How often did you visit this rural area [NAME OF PLACE INQ1016] in the last 12 months?PER WEEK……………………..….…1[__|__]Bawo ni e se n be igberiko [NAME OF PLACE IN Q1016] wo tolaarin osu mejila sehin?PER MONTH…………………………2[__|__]PER YEAR……………………………3[__|__]Page 65

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