Health Center
Respondent Id
ID5.  Respondent's Sex
ID6.  Child Sex
ID7.  District Name
ID9.  Diagonisis
Q1.  What is the main material of the floor inside of your house?
Q2.  What is the main material of the exterior/ outer wall?
Q3.  What is the main material of the roof?
Q4.  What type of toilet facility do you have in the HH?
Q5.  What is the highest level of education of the household head attended?
Q6.  Can the household head fluently read?
Q7.  When you are prescribed LA by the physician, how long are you expected to t
Q8.  How far are you from the pond, stream/river or stagnant water?
Q9.  What is the main source of drinking water for members of your HH?
Q10.  Have you ever attended the health talks on malaria prevention either in yo
Q11.  Who conducted the health talks
Q13.  For how long can it take for you to access the preventive messages of mala
Q14.  How often do you clear the weeds at your yard?
Q15.  What is the most important way of preventing Malaria?  INTERVIEWER: READ T
Q16.  Does your house hold have any mosquito nets that can be used while sleepin
Q17.  How many mosquito nets does your house hold have?
Q18.  What is the shape of the mosquito net-
Q19.  How many months ago did your household obtain the mosquito net?  IF LESS T
Q20.  Did you buy the net or got it free of charge?
Q21.  When you got or receive the mosquito net, did it come with a treatment kit
Q22.  Since you got the mosquito net, was it ever soaked or dipped in a liquid t
Q23.  How many months ago were it soaked or dipped?  IF LESS THAN ONE MONTH RECO
Q24.  Why was the net not treated?
Q25.  Did anyone sleep under this mosquito net last night?-
Q26.  What shape of mosquito net do you prefer?
Q12a.  How often did you hear malaria prevention messages?
Q12b.  How often did you attend malaria prevention messages?