Spots - Roll Back Malaria

Sample pretesting screening questionnairefor group discussionFor urban (semi-urban/rural) women (men) with at least one child under 2, who speak the language used inthe spot and listen to the radio regularly.APPROACH women(/men) in urban(/semi-urban/rural) areas.READ: I need to talk to people about a radio program and am looking for appropriate participants. Can I askyou a few questions to see if you can participate? ___ if “No,” end interview1. How many children under the age of 2 do you have or take care of?__________ if “0” (zero), end interview2. What languages do you speak?___ Swahili (Language of spot)___ OtherIf Swahili not mentioned, end interview3. About how many hours during the week do you listen to the radio?__________ if less than 7 hours, end interview4. Do you live in this area?___ Yes___ No end interviewEXPLAIN that you are going to ask some questions about a radio program later. Say it will take about 2 hours.Explain the details (where it will be held, when, any incentive/transport costs). Say that the information will bekept confidential.ASK: Would it be possible for you to participate? If “Yes,” interviewer should write your own name forverification.Name of interviewee:Where recruited:Name of interviewer:Date:Please check appropriate criteria: Male Female Urban Peri-urban UrbanWhich group to attend: Place:__________________________ Date__________ Time_________114 Spot On Malaria: Guide