Questionnaire Text

Ghana 2016
Ghana 2017
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Ghana 2016
Questionnaire form view entire document:  text 
PHC103a. For what reasons were you seeking care?
Do not read out loud. Select all that apply
[] Family planning
[] Maternity services
[] Vaccination
[] Malaria/fever
[] Feel sick (undifferentiated symptoms)
[] CHW told me to go
[] Snake bite
[] Injury
[] Blood pressure
[] Diabetes
[] HIV testing/treatment
[] Worried about a new symptom or feeling
[] Other
[] No response

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Ghana 2017
Questionnaire form view entire document:  text 
PHC_105. During your most recent visit to the health facility, for what reasons were you seeking care?

Do not read out loud. Select all that apply.

[] Family planning
[] Maternal health services
[] Vaccination
[] Malaria / fever
[] Feel sick (undifferentiated symptoms)
[] CHW told me to go
[] Snake bite
[] Injury
[] Blood pressure
[] Diabetes
[] HIV testing / treatment
[] Eye issue
[] Breathing issue / cough
[] Abdominal pain / issue (including diarrhea)
[] Check-up for preventive or routine care
[] Worried about a new symptom or feeling
[] Other
[] No response