| Check Box | |
| Born premature | |
| No |
|
| Yes |
|
| Born term low birth weight | |
| No |
|
| Yes |
|
| Mother’s education | |
| Illiterate |
|
| Up-to secondary |
|
| Graduate |
|
| Mother’s occupation | |
| Working |
|
| Nonworking |
|
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