11.07.2015 Views

Afghanistan Mortality Survey 2010 - Measure DHS

Afghanistan Mortality Survey 2010 - Measure DHS

Afghanistan Mortality Survey 2010 - Measure DHS

SHOW MORE
SHOW LESS
  • No tags were found...

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Introduction and ConsentHello. My name is _____________________________________ and I am working with the Ministry of PublicHealth. 'We are conducting a survey about health all over <strong>Afghanistan</strong>.Your household was selected for the survey. The questions usually take about 15 to 20 minutesI would like to ask you some questions about your household. This information will help the government to planhealth services.We would very much appreciate your participation in this survey. Whatever information you provide will be keptstrictly confidential.No information identifying you or members of your household will ever be released to anyone outside of thissurvey.Participation in this survey is voluntary, and if we should come to any question you don't want to answer, just letme know and I will go on to the next question; or you can stop the interview at any time. However, we hope youwill participate in the survey since your answers will help the government improve health services for Afghans.At this time, do you want to ask me anything about the survey?May I begin the interview now?Signature of interviewer:RESPONDENT AGREESTO BE INTERVIEWEDDate:. . . . . . . . . 1 RESPONDENT DOES NOT . . . . . . . . . . . 2 ENDAGREE TO BE INTERVIEWED204 | Appendix F

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!