| Section G-Health and Food Security | |
| G.1 | In the past 24 h how many times have household women eaten? |
| G.2 | In the past 24 h how many times have household men eaten? |
| G.3 | In the past 24 h how many times have household children eaten? |
| G.4 | In the past 24 HOURS has anyone in your household eaten the following? (1 if No, 2 if yes) Maize Rice Sorghum Other grains? Bread Chicken Fish Beef Pork Other meat Eggs Beans Vegetables Milk or dairy Other food (specify) │______________________________________________________│ |
| G.5 | In the past 7 DAYS has anyone in your household eaten the following? (1 if No, 2 if yes) Maize Rice Sorghum Other grains? Bread Chicken Fish Beef Pork Other meat Eggs Beans Vegetables Milk or dairy Other food (specify) │______________________________________________________│ |
| G.6 | How many household children 0–5 years old have died recently (in the past 2 years)? |
| G.7 | (If 0, Skip to next question) By what cause(s)? _____________________________________________ |
| G.8 | How many household adults have died recently (in the past 2 years)? |
| G.9 | In the past 30 days, how many household members have visited a hospital or clinic? |