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PDF, 1536K - Measure DHS

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SECTION 1. RESPONDENT’S BACKGROUND<br />

NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP<br />

M101<br />

RECORD THE TIME.<br />

MORNING = 1<br />

EVENING = 2<br />

MORNING/EVENING .............................<br />

HOUR ..........................................................<br />

MINUTES ....................................................<br />

M102<br />

First I would like to ask some questions about you and your household.<br />

For most of the time until you were 12 years old, did you live in a city, in<br />

a town, or in the countryside?<br />

CITY ..........................................................1<br />

TOWN........................................................2<br />

COUNTRYSIDE ........................................3<br />

M103<br />

M104<br />

M105<br />

How long have you been living continuously in (NAME OF WOREDA<br />

OR TOWN)?<br />

IF LESS THAN ONE YEAR, RECORD ‘00' YEARS.<br />

Just before you moved here, did you live in a city, in a town, or in the<br />

countryside?<br />

In what month and year were you born?<br />

YEARS ........................................................<br />

ALWAYS..................................................95<br />

VISITOR ..................................................96 105<br />

CITY ..........................................................1<br />

TOWN........................................................2<br />

COUNTRYSIDE ........................................3<br />

MONTH .......................................................<br />

DON’T KNOW MONTH ...........................98<br />

YEAR...........................................................<br />

M106<br />

How old were you at your last birthday?<br />

COMPARE AND CORRECT 105 AND/OR 106 IF INCONSISTENT.<br />

DON’T KNOW YEAR...........................9998<br />

AGE IN COMPLETED YEARS....................<br />

M107 Have you ever attended formal school? YES ...........................................................1<br />

NO .............................................................2 111<br />

M109<br />

What is the highest grade you completed?<br />

GRADE........................................................<br />

TECHNICAL / VOCATIONAL<br />

CERTIFICATE .....................................13<br />

UNVERSITY/COLLEGE DIPLOMA.........14<br />

UNVERSITY/COLLEGE DIGREE 15<br />

M110 CHECK 109:<br />

00-06 07 AND HIGHER<br />

114<br />

M111<br />

Now I would like you to read out loud as much of this sentence as you<br />

can.<br />

SHOW CARD TO RESPONDENT.<br />

CANNOT READ AT ALL ...........................1<br />

ABLE TO READ ONLY PARTS OF<br />

SENTENCE..........................................2<br />

ABLE TO READ WHOLE SENTENCE......3<br />

NO CARD WITH REQUIRED<br />

LANGUAGE ____________________ 4<br />

(SPECIFY LANGUAGE)<br />

115

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