Behavioural Surveillance Surveys - The Wisdom of Whores

No. Questions and filters Coding categories Skip to
How much did you pay for the
medicine you took?
[___][___]
ADAPT TO LOCALLY
APPROPRIATE
CATEGORIES
FILTER: SEE Q***:
Sought advice from a health worker in clinic or hospital:
[___] Yes No [__]→ → Q
↓
How long after first experiencing 1 week or less 1
symptoms did you seek advice from a
Less than 1 month
health worker in a clinic or hospital? but more than 1 week 2
One month or more 3
DON’T KNOW 8
NO RESPONSE 9
Did you receive a prescription Yes 1
for medicine? No 2
DON’T REMEMBER 8
NO RESPONSE 9
Did you obtain the medicine Yes, I obtained all of it 1
prescribed? I obtained some but not all 2
I did not obtain the
medicine 3
DON’T REMEMBER 8
NO RESPONSE 9
Did you take all of the medicine Yes 1
prescribed? No 2
DON’T KNOW 8
NO RESPONSE 9
(List locally appropriate Yes No
If not, why did you not take all of categories) 1 2
the medicine prescribed? DON’T REMEMBER 1 2
NO RESPONSE 1 2
CIRCLE ALL THAT APPLY.
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A PPEN DI X 1 B EHAV I OR A L SURV EI L L A NC E S U R V EY S