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

A. Are you in the correct household? This is the picture of the front of the home taken during the Household Questionnaire.
ODK will display the photo taken as part of the Household Questionnaire linked to this Female Questionnaire.
B. How many times have you visited this household to interview this female respondent?

C. Your name: Is this your name?
If not, please record your name:
ODK will display the name associated with the phone's serial number
D. CURRENT DATE AND TIME
Is this date and time correct?

E. Record the correct date and time.

F. The following information is from the Household Questionnaire. Please review to make sure you are interviewing the correct respondent.
ODK will display the County, District (Sub-­County), Division, Location, Sub-­location, Enumeration Area, Structure Number, and Household Number entered into the Household Questionnaire linked to this Female Questionnaire.

G. How well acquainted are you with the respondent?

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

[pg. 1]
INFORMED CONSENT Find the woman between the ages of 15-­49 associated with this Female Respondent Questionnaire. The interview must have auditory privacy. Read the following greeting:
Hello. My name is ____________________________________ and I am working for the International Center for Reproductive Health in Kenya, in collaboration with the Ministry of Health and the Kenya National Bureau of Statistics. We are conducting a local survey that asks women about various reproductive health issues. We would very much appreciate your participation in this survey. This information will help us inform the government to better plan health services. The survey usually takes between 15 and 20 minutes to complete. Whatever information you provide will be kept strictly confidential and will not be shown to anyone other than members of our survey team.
Participation in this survey is voluntary, and if we should come to any question you don't want to answer, just let me know and I will go on to the next question? or you can stop the interview at any time. However, we hope that you will participate in this survey since your views are important. At this time, do you want to ask me anything about the survey?

I. Provide a paper copy of the Consent Form to the respondent and explain it. Then, ask: May I begin the interview now?
WARNING: TO CONDUCT THE SURVEY, THE RESPONDENT MUST SIGN OR TOUCH THE CHECKBOX.
K. Interviewer's name
PLEASE RECORD 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 IN ODK.

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

0. In what month and year were you born?

1. How old were you at your last birthday?
MUST BE LESS THAN 130. MUST AGREE WITH FQ0.

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

3. Are you currently married or living together with a man as if married?
IF NO, ASK WHETHER THE RESPONDENT IS DIVORCED, SEPARATED, OR WIDOWED.
[pg. 3]
4. Have you been married or lived with a man only once or more than once?

5a. In what month and year did you start living with your FIRST husband / partner?
ENTER JAN 2020 FOR NO RESPONSE.
5b. 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.
CHECK 3: Currently married/cohabitating?

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

7. 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.

8. How many times have you given live birth?
ENTER -­88 FOR DO NOT KNOW AND -­99 FOR NO RESPONSE. 0 IS A POSSIBLE ANSWER.

Were all of those live births?
IF NO, GO BACK AND CHANGE FQ8 TO RECORD ONLY LIVE BIRTH EVENTS

8a. When was your FIRST live birth?
PLEASE RECORD THE DATE OF THE FIRST BIRTH. THE DATE SHOULD BE FOUND BY CALCULATING FORWARD OR BACKWARD FROM MEMORABLE EVENTS IF NEEDED. ENTER JAN 2020 FOR NO RESPONSE.
9. When was your MOST RECENT live birth?
PLEASE RECORD THE DATE OF THE LAST BIRTH. THE DATE SHOULD BE FOUND BY CALCULATING BACKWARDS FROM MEMORABLE EVENTS IF NEEDED. ENTER JAN 2020 FOR NO RESPONSE.
10. 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.
11. Is your last baby / child still alive?

[pg. 4]
12. 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. ENTER JAN 2020 FOR NO RESPONSE.
13. 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.

14. Are you pregnant now?

15. How many months pregnant are you?
PLEASE RECORD THE NUMBER OF COMPLETED MONTHS. ENTER -­88 FOR DO NOT KNOW AND -­99 FOR NO RESPONSE.

CHECK 14: Currently pregnant?

16a. Now I have some questions about the future. Would you like to have a/another child or would you prefer not to have any / any more children?

16b. Now I have some questions about the future. After the child you are expecting now, would you like to have another child, or would you prefer not to have any more children?

17a. 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.

17b. 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.CHECK 8: Number of births

CHECK 14: Currently pregnant?

[pg. 5]
18a. 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?

18b. 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.

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

20. How old were you when you first used a method to delay or avoid getting pregnant?
ENTER THE AGE IN YEARS. ENTER -­88 IF RESPONDENT DOES NOT KNOW, ENTER -­99 IF THERE IS NO RESPONSE. CANNOT BE YOUNGER THAN 9.

20a. How many living children did you have at that time, if any?
ENTER -­99 FOR NO RESPONSE.

21. Which method did you first use to delay or avoid getting pregnant?
DO NOT READ THE METHOD CHOICES. BE SURE TO SCROLL TO BOTTOM TO SEE ALL CHOICES.

CHECK 14: Currently pregnant?

[pg. 6]
22. Are you currently doing something or using any method to delay or avoid getting pregnant?

23. Which method or methods are you using?
PROBE: ANYTHING ELSE?
SELECT ALL METHODS MENTIONED. BE SURE TO SCROLL TO BOTTOM TO SEE ALL CHOICES.

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

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

CHECK 14: Currently pregnant?

26a. 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?

26b. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?

CHECK 19: Ever used contraceptives?

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

[pg. 7]
28. Which method did you use most recently?
PROBE: ANYTHING ELSE?
SELECT MOST EFFECTIVE METHOD (HIGHEST METHOD IN LIST).
BE SURE TO SCROLL TO BOTTOM TO SEE ALL CHOICES

29. When did you begin using your (MOST RECENT / CURRENT METHOD)?
PLEASE RECORD THE DATE. THE DATE SHOULD BE FOUND BY CALCULATING BACKWARDS FROM MEMORABLE EVENTS IF NEEDED. MUST BE AFTER FQ30. ENTER JAN 2020 FOR NO RESPONSE.CHECK 22: Currently using contraceptives?

30. When did you stop using your (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.
31. Why did you stop using your (MOST RECENT METHOD)?

[pg. 8]
32. Where did you obtain your (MOST RECENT / CURRENT METHOD) when you started using it?
SCROLL TO BOTTOM TO SEE ALL CHOICES
33. In the last 12 months, have you paid any fees for family planning services (including the most recent/current method)?

34. How much did you pay?
ENTER ALL PRICES IN KENYAN SHILLINGS. ENTER -­88 IF RESPONDENT DOES NOT KNOW, -­99 FOR NO RESPONSE.

35. 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?

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

37. 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?

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

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

[pg. 9]
40. During that visit, who made the final decision about what method you got?

CHECK 32: Where did you obtain your (MOST RECENT / CURRENT METHOD)?

41. Would you return to this provider?

42. 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 use a method?

[pg. 10]
43. You said that you do not want any / anymore children and that you are not using a method to avoid pregnancy.
Can you tell me the main reason why you are not using a method to prevent pregnancy?
CANNOT SELECT ?DO NOT KNOW? OR ?NO RESPONSE? WITH OTHER OPTIONS. CANNOT SELECT ?NOT MARRIED' IF FQ3 IS ?YES, CURRENTLY MARRIED.? SCROLL TO BOTTOM TO SEE ALL CHOICES.
44. In the last 12 months, were you visited by a health worker who talked to you about family planning?

45. In the last 6 months, have you visited a health facility for care for yourself?
FOR ANY HEALTH SERVICES.
46. Did any staff member at the health facility speak to you about family planning methods?

47. In the last few months have you:

ENTER -­99 FOR NO RESPONSE.

48. How old were you when you first had sexual intercourse?
ANSWER MUST AGREE WITH THE CURRENT AGE, PREGNANCY STATUS, AND NUMBER OF BIRTHS. ENTER 0 IF SHE HAS NEVER HAD SEX. -­88 IF DOES NOT KNOW.

If age at first sex less than 10 years:
CHECK: You have entered that the respondent was X years old when she first had sexual intercourse. Is this what she said?
IF NO, GO BACK AND CORRECT FQ48

[pg. 11]
49. When was the last time you had sexual intercourse?
IF 12 MONTHS (ONE YEAR) OR MORE AGO, ANSWER MUST BE RECORDED IN YEARS. IF LESS THAN 12 MONTHS AGO, ANSWER MUST BE RECORDED IN DAYS, WEEKS OR MONTHS. ENTER 0 DAYS FOR TODAY. YOU WILL ENTER A NUMBER FOR X ON THE NEXT SCREEN.

Section 4 - Water
Now I would like to ask you a couple of questions about your water practices.

50. On a typical day in the DRY season, how much time each day do you spend collecting water? ONLY RECORD RESPONDENT'S TIME;? NOT ANYONE ELSE'S TIME. IF YOU SELECT MINUTES OR HOURS YOU WILL ENTER A NUMBER FOR X ON THE NEXT SCREEN

51. On a typical day in the WET season, how much time each day do you spend collecting water? ONLY RECORD RESPONDENT'S TIME;? NOT ANYONE ELSE'S TIME. IF YOU SELECT MINUTES OR HOURS YOU WILL ENTER A NUMBER FOR X ON THE NEXT SCREEN.

Thank the respondent for her time
THE RESPONDENT IS FINISHED, BUT THERE ARE STILL 2 MORE QUESTIONS FOR YOU TO COMPLETE OUTSIDE THE HOME

LOCATION
M. TAKE A GPS POINT NEAR THE ENTRANCE TO THE HOUSEHOLD.
RECORD LOCATION WHEN THE ACCURACY IS SMALLER THAN 6 M.
Instructions are given directly by the ODK software
QUESTIONNAIRE RESULT
N. RECORD THE RESULT OF THE FEMALE RESPONDENT SURVEY