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. 2018 Sep 20;34(1):346–369. doi: 10.1002/hpm.2643
the questionnaire should be filled in only for respondents who are 18 years old or older.
fill in the following information:
sampling point graphic file with name HPM-34-346-g001.jpg
region graphic file with name HPM-34-346-g002.jpg
respondent id number graphic file with name HPM-34-346-g003.jpg
date of the interview
(dd/mm/yyyy)
graphic file with name HPM-34-346-g004.jpg
start time
(use 24 hours clock)
graphic file with name HPM-34-346-g005.jpg
interviewer id number graphic file with name HPM-34-346-g006.jpg
conduct the interview only if the respondent answers with yes in the informed consent form.
ask the questions following their order in the questionnaire.
read the exact wording of the questions, and afterwards, if necessary, make clarifications.
use local currency for all relevant questions (mmk).
please try to avoid “don’t know” answers and refusals.
if the respondent refuses to answer, keep the answer box blank.
if the respondent responds with “don’t know”, fill in dnk in the box.
 
© Maastricht University, 2015
No parts of this questionnaire may be used, translated, stored, published, copied or transmitted in any form and by any means (electronic, mechanical, copying, recording and etc.) without the written permission issued by ....