Baseline Women's questionnaire - Yoruba/English

Q1111Q1112Q1113What is the name and mobile phonenumber (if possible) of someone elsewithin your household?Kini oruko tabi nomba ibanisoro (ti oba seese) ti elo miran ninu idile yin?What is the name, location (addressand description), and mobile phonenumber (if possible) of someoneoutside of your household?Kini oruko, agbegbe (amono atiapejuwe), ati nomba ero ibanisoroalagbeka (ti o ba see se) eni kan tiko si ninu idile yin?What is the name, location (addressand description), and mobile phonenumber (if possible) of anotherperson outside of your household?Kini oruko, agbegbe (amono atiapejuwe), ati nomba ero ibanisoroalagbeka (ti o ba see se) eni kan tiko si ninu idile yin?NAME: _________________________MOBILE NUMBER: [ __|___|___|___|___|___|___|___|___|___|___|ENTER LINE NUMBER FROM THE HOUSEHOLD SCHEDULE |___|___|NAME: _________________________LOCATION:_____________________________________________________MOBILE NUMBER: [ __|__|___|___|___|___|___|___|___|___]___]RELATIONSHIP TO RESPONDENT_____________________________NAME: _________________________LOCATION:_____________________________________________________MOBILE NUMBER: [ __|___|___|___|___|___|___|___|___|___]___]RELATIONSHIP TO RESPONDENT_____________________________Q1114Other than this place of residence(house), where else does thehousehold head frequently stay? Isthere a phone number and contactperson there?OTHER RESIDENCEPHONE NUMBER________________________________________________________________Yato si ibi ti e n gbe yi, ibo miranwo ni e saba ma n duro si? Se elefun wa ni nomba ero ibanisoro e niti ale basoro nibei ibe?Se nomba ero ibanisoro ati eni ti aleba soro wa nibeCONTACT PERSON THERE____________________________Q1115Do you have an email address forcontacting you?Nje e ni adiresi ero ayelujara ti a le fibayin soro?EMAIL ADDRESS _____________________________________________RECORD END TIME.HOUR……………………………….[__|__]MINUTES…………………………..[__|__]COMMENTS:END THE INTERVIEW AND THANK THE RESPONDENT FOR HER TIME AND PARTICIPATION.Page 68