IDENTIFICATION
Please record the following information prior to beginning the interview.

A. Are you in the correct household? Here is the household number in the neighborhood.
[ODK will display the household number in the neighborhood for the Household Questionnaire linked to this Female Questionnaire]
Go to the right household.
B. How many times have you visited this household to interview this female respondent?

C. Your name:
[ODK will display the interviewer's name linked with the telephone number]
Is this your name?

C. Enter your name below.
Please record your name

D. Current date and time.
Is this date and time correct?

E. Record the correct date and time.

F. The following info is from the household questionnaire. Please review to make sure you are interviewing the correct respondent.
[ODK will display the province, health zone, neighborhood number, street or avenue number, Structure Number, and Household Number from the linked Household Questionnaire.]

G. Is the respondent present and available to be interviewed today?

H. How well acquainted are you with the respondent?

INFORMED CONSENT
Find the woman between the age of 15-49 associated with this Female Respondent Questionnaire. The interview must have auditory privacy. Read the following greeting

Hello, My name is ______________________________. I am here to represent the Ministry of Health and the School of Public Health Kinshasa to learn more about health services in Kinshasa. I will now read you a statement explaining the survey. Our team collects information on family planning in the Democratic Republic of Congo. We would like to ask you about the characteristics of your household, as well as activities related to family planning. Information about you may be used for activities and family planning services in the Democratic Republic of Congo. The data collected will be analyzed by researchers, but your name will be removed from all analyses, so that your information remains anonymous. You can refuse to answer questions that will be asked as many times as you want, and decide to stop the survey at any time. Do you have questions about this survey?

I. Provide a paper copy of the Consent Form to the respondent and explain it. Then, ask: May I begin the interview now?

J. Respondent's signature
Please ask the respondent to sign or check the box in agreement of their participation.
Checkbox: []

K. Interviewer's name: [YOUR NAME]
Mark your name as a witness to the consent process.
L. Respondent's first name.
You may correct the spelling here if it is not correct, but you must be interviewing the person whose name appears below.
PLEASE ENTER THE RESPONDENT'S NAME.

Section 1 -- Respondent's Background, Marital Status, Household characteristics
Now I would like to ask about your background and socioeconomic conditions.

FQ0. In what month and year were you born?

Cannot be in the future.

FQ1. How old were you at your last birthday?
Must be more than 14. Must agree with FQ0.
Age in the Household Roster:
[AGE]

FQ2.What is the highest level of school you attended?

FQ3. Are you currently married or living together with a man as if married?
Probe: If no, ask whether the respondent is divorced, separated, or widowed.
FQ4. Have you been married or lived with a man only once or more than once?

FQ5a. In what month and year did you start living with your FIRST husband / partner?
Enter Jan 2020 for no responseCannot be in the future, and cannot be before respondent's birth.

CHECK: Based on the response you entered in FQ5a, the respondent was possibly 15 years old or younger at the time of her first marriage.
Did you enter FQ5a correctly?

FQ5b. Now I would like to ask about when you started living with your CURRENT or MOST RECENT husband / partner. In what month and year was that?

Enter Jan 2020 for no response
Cannot be in the future, and cannot be before respondent's birth.

CHECK: Based on the response you entered in FQ5b, the respondent was possibly 15 years old or younger at the time of her current or most recent marriage.
Did you enter FQ5b correctly?

FQ6. Does your husband / partner have other wives or does he live with other women as if married?

FQ7. Is your husband / partner living with you now or is he staying elsewhere?

Section 2 -- Reproduction, Pregnancy and Fertility Preferences
Now I would like to ask about all the births you have had during your life.

FQ8. How many times have you given birth?
0 is a possible answer
Check: You entered that the respondent has given birth [NUMBER OF BIRTHS] times. Is that what she said?
Go back and change FQ8 if that is not correct.
FQ8a. Were all of those live births? (there were not stillbirths)?
If no, go back and change FQ8 to record only live birth events.
FQ8b. When was your FIRST live birth?
Please record the date of the FIRST birth. The date should be found by calculating backwards from memorable events if needed.
Enter Jan 2020 for no response.Cannot be in the future, respondent must be at least 10 years old at birth.

FQ9. When was your MOST RECENT live birth?
Please record the date of the MOST RECENT birth. The date should be found by calculating backwards from memorable events if needed.
Enter Jan 2020 for no response.
FQ10. When did you give birth before the most recent one?
Please record the date of the birth before the last. The date should be found by calculating backwards from memorable events if needed.
Enter Jan 2020 for no response.
Must be at least 6 months before your most recent birth, respondent must be at least 10 years old at birth.
FQ11. Is your last baby / child still alive?

FQ12. When did your last baby / child die?
Please record the date of the child's death. The date should be found by calculating backwards from memorable events if needed.

Month____ Year____

Enter Jan 2020 for no response.
Cannot be in the future and must be at least the date of birth.

FQ13. When did your last menstrual period start?
If you select days, weeks, months, or years, you will enter a number for X on the next screen.
FQ13 . Enter the number of [MENSTRUAL PERIOD VALUES] ago:
Enter 0 days for today, not 0 weeks/months/years.
Must be 0 days or larger. Must be 1 week/month/year or larger.

FQ14. Are you pregnant now?

FQ15. How many months pregnant are you?
Please record the number of completed months.
FQ16a. Now I have some questions about the future.
Would you like to have another/other child(ren) or would you prefer not to have any (more) children?

FQ16b. After the child you are expecting now, would you like to have another child or would you prefer not to have any more children?

FQ17a. How long would you like to wait from now before the birth of a/another child?
If you select months or years, you will enter a number for X on the next screen. Please check that you correctly entered the value for months/years.

FQ17b. After the birth of the child you are expecting now, how long would you like to wait before the birth of another child?
If you select months or years, you will enter a number for X on the next screen.
Please check that you correctly entered the value for months/years.

FQ17. Enter the number of [TIME] you would like to wait:

FQ18a. Now I would like to ask a question about your last live birth.
At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any / any more children at all?

FQ18b. Now I would like to ask a question about your current pregnancy.
At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any / any more children at all?

Section 3 -- Contraception
Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.

FQ19. Have you ever used anything or tried in any way to delay or avoid getting pregnant?

FQ20. How old were you when you first used a method to delay or avoid getting pregnant?
The respondent said she was [AGE] years old at her last birthday.
Enter the age in years. Cannot be younger than 9.
FQ20a. How many living children did you have at that time, if any?
Note: the respondent said that she gave birth [BIRTH EVENTS] times in FQ8.

FQ21. Which method did you first use to delay or avoid getting pregnant?
Do not read the method choices. Scroll to bottom to see all choices.
FQ21a. Please explain how you used this method?

FQ22. Are you currently doing something or using any method to delay or avoid getting pregnant?
You said previously that you used female sterilization.
FQ23. Which method or methods are you using?
PROBE: Anything else?
Select all methods mentioned. Scroll to bottom to see all choices.
FQ23a. Please explain how you use this method?

FQ24. Did the provider tell you or your partner that this method was permanent?

FQ25. Do you know of a place where you can obtain a method of family planning?

FQ26a. You said that you are not currently using a contraceptive method. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?

FQ26b. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?

FQ27. In the last 12 months, have you ever done something or used a method to delay or avoid getting pregnant?

FQ28. Which method did you use most recently?
PROBE: Anything else?
Select most effective method (highest method in list). Scroll to bottom to see all choices.
FQ29. When did you begin using [MOST RECENT / CURRENT METHOD]?
Calculate backwards from memorable events if needed. Enter Jan 2020 for no response.
FQ30. When did you stop using [MOST RECENT METHOD]?
Please record the date.
The date should be found by calculating backwards from memorable events if needed. Must be after FQ29. Enter Jan 2020 for no response.
FQ31. Why did you stop using [MOST RECENT METHOD]?

FQ32. Where did you obtain [MOST RECENT / CURRENT METHOD] when you started using it?

FQ33. In the last 12 months, have you paid any fees for family planning services (including the most current method)?

FQ34. How much did you pay?
Enter all prices in Congolese Francs.Must be larger than 0.

FQ35. When you obtained your [MOST RECENT / CURRENT METHOD], were you told by the provider about side effects or problems you might have with a method to delay or avoid getting pregnant?

FQ36. Were you told what to do if you experienced side effects or problems?

FQ37. At that time, were you told by the family planning provider about methods of family planning other than the [MOST RECENT / CURRENT METHOD] that you could use?

FQ38. During that visit, did you obtain the method you wanted to delay or avoid getting pregnant?

FQ39. Why didn't you obtain the method you wanted?

FQ40. During that visit, who made the final decision about what method you got?

FQ41. Would you return to this provider?

FQ42. Would you refer your relative or friend to this provider / facility?

CHECK 16: Desire for future child?

CHECK 17: 2 or more years before next child?

CHECK 22: Currently using contraceptive method?

CHECK 19: Ever used contraceptives?

FQ43. You said that you do not want [(a/another) child soon] / [any (more) children]} and that you are not using a method to avoid pregnancy. Can you tell me the reasons why you are not using a method to prevent pregnancy?
PROBE: Anything else?Scroll to bottom to see all choices.
FQ44. In the last 6 months, were you visited by a health worker who talked to you about family planning?

FQ45. In the last 6 months, have you visited a health facility for care for yourself (or your children)?
For any health services.
FQ46. Did any staff member at the health facility speak to you about family planning methods?

FQ47. In the last few months have you:

FQ48. How old were you when you first had sexual intercourse?
Enter the age in years. Enter 0 if she never had sex. Answer must agree with the current age, pregnancy status, and number of births.
FQ49. When was the last time you had sexual intercourse?
If less than 12 months ago, answer must be recorded in months, weeks, or days.
Enter 0 days for today. You will enter a number for X on the next screen.
Enter X [VALUE]
If today, enter zero days only, not zero weeks/months/years. Must agree with the age of first sexual intercourse and the pregnancy status.

Section 4 -- Menstrual Hygiene
Now I would like to ask about your menstrual hygiene.

FQ50. Do you use your MAIN SANITATION FACILITY for any of your menstrual needs when you are bleeding?
MAIN SANITATION FACILITY:
[MAIN SANITATION FACILITY]

FQ51. In general, do you have the following available to take care of your menstrual bleeding each month?
Read all options out loud.
FQ52. Which four items are the most important to help you take care of your menstrual bleeding?
Read all options before ranking. 1 is most important. Rank them in order.

a. A private toilet/ bathroom
Ranks must be unique
b. Other private space/location(s)
Ranks must be unique
c. Water for cleaning yourself
Ranks must be unique
d. Pure (sachet/bottle) water for cleaning yourself
Ranks must be unique
e. Water for washing cloths
Ranks must be unique
f. Soap for washing
Ranks must be unique
g. Place to dispose of pads/materials
Ranks must be unique
h. Place to dry materials
Ranks must be unique
i. Safety to your person
Ranks must be unique
j. Sanitary pads/Cotton wool
Ranks must be unique
Did you read all options to the respondent?
You must read all options.
Thank the respondent for her time.
The respondent is finished, but there are still 2 more questions for you to complete outside the home.

M. Location
Take a GPS point near the entrance to the household. Record location when the accuracy is smaller than 6 m.

N. Questionnaire result
Record the result of the female respondent survey
Check answer to G, I, and consent.