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Anambra State Post-Campaign Net Tracking Survey

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ID number<br />

Use this section for net 4-6 and additional sheet if more than 6 nets<br />

Complete all questions about each net (Q74 to Q92) before going to the next net.<br />

No Question Mosquito net 4 Mosquito net 5 Mosquito net 6<br />

Could you show me<br />

Q74 the nets in the<br />

Observed 1 Observed 1 Observed 1<br />

household?<br />

Not observed 0 Not observed 0 Not observed 0<br />

Q75<br />

Q76<br />

Q77<br />

Q78<br />

Q79<br />

Q80<br />

Q81<br />

Q82<br />

Observe the net and<br />

net label (if any) and<br />

identify the brand of<br />

the net<br />

>> if net is not<br />

observed show net<br />

pictures and probe<br />

>>Observe or ask<br />

the shape of net<br />

What is the shape of<br />

the net?<br />

>>Observe or ask<br />

the colour of net<br />

What is the colour of<br />

the net?<br />

When you got this net<br />

was it already treated<br />

at the factory with an<br />

insecticide (chemical)<br />

to kill or repel<br />

mosquitoes?<br />

When you got the net<br />

was there a packet of<br />

insecticide in the<br />

packaging?<br />

Since you got the net<br />

was it ever soaked or<br />

dipped in a chemical<br />

to kill or repel<br />

mosquitoes?<br />

If yes, how long ago<br />

was the last time it<br />

was dipped or<br />

soaked?<br />

How long ago did you<br />

obtain this net?<br />

>> enter “00” for<br />

months if less than<br />

one month<br />

Perma<strong>Net</strong> 1 Perma<strong>Net</strong> 1 Perma<strong>Net</strong> 1<br />

Olyset 2 Olyset 2 Olyset 2<br />

Duranet 3 Duranet 3 Duranet 3<br />

Interceptor 4 Interceptor 4 Interceptor 4<br />

Icon Life 5 Icon Life 5 Icon Life 5<br />

Taylor made 6 Taylor made 6 Taylor made 6<br />

Unbranded (no label) 7 Unbranded (no label) 7 Unbranded (no label) 7<br />

Other 8 Other 8 Other 8<br />

Specify<br />

Specify<br />

Specify<br />

Specify<br />

No or DNK����Q82<br />

Rectangular 1 Rectangular 1 Rectangular 1<br />

Conical 2 Conical 2 Conical 2<br />

White 1 White 1 White 1<br />

Green 2 Green 2 Green 2<br />

Blue 3 Blue 3 Blue 3<br />

Other 4 Other 4 Other 4<br />

Specify<br />

Specify<br />

Yes 1 Yes 1 Yes 1<br />

No 0 No 0 No 0<br />

Don’t know 9 Don’t know 9 Don’t know 9<br />

Yes 1 Yes 1 Yes 1<br />

No 0 No 0 No 0<br />

Don’t know 9 Don’t know 9 Don’t know 9<br />

Yes 1 Yes 1 Yes 1<br />

No 0 No 0 No 0<br />

Don’t know 9 Don’t know 9 Don’t know 9<br />

No or DNK����Q82<br />

No or DNK����Q82<br />

Months if less than 1 year Months if less than 1 year Months if less than 1 year<br />

More than 1 year 1 More than 1 year 1 More than 1 year 1<br />

Don’t remember 9 Don’t remember 9 Don’t remember 9<br />

Months if less than 2 years Months if less than 2 years Months if less than 2 years<br />

Years if more than 2 years Years if more than 2 years Years if more than 2 years<br />

Don’t remember 98 Don’t remember 98 Don’t remember 98<br />

<strong>Anambra</strong> <strong>State</strong> <strong>Post</strong>-<strong>Campaign</strong> <strong>Net</strong> <strong>Tracking</strong> <strong>Survey</strong> Page 14 of 18

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