• Survey questions for CDS

  • Hello, my name is (your name). I am working with the University of Zurich. We are currently doing a study on monitoring child development that will be conducted in your village over the next weeks. For this purpose we are now writing down the composition of the households in this village. All the information we obtain will remain strictly confidential. May I ask you some questions about your household for the next 5 minutes or more?
  • Are you the head of this household?

  • Starting with the youngest child, please tell me the name, age, and gender of all children age 0-17 that live in this dwelling.

  • Is {whatIs10} a male or female?
  • Does {whatIs10} attend school?
  • Is {whatIs17} a male or female?
  • Is there another child living in this dwelling?
  • Is {whatIs25} a male or female?
  • Does {whatIs25} attend school?
  • Is {whatIs32} a male or female?
  • Is there another child living in this dwelling?
  • Is {whatIs36} a male or female?
  • Does {whatIs36} attend school?
  • Is {whatIs43} a male or female?
  • Is there another child living in this dwelling?
  • Is {whatIs47} a male or female?
  • Does {whatIs47} attend school?
  • Is {whatIs54} a male or female?
  • Is there another child living in this dwelling?
  • Is there any member of your household who owns a functioning mobile phone?
  • Over the next 6 weeks we would like to send text messages or ask additional questions over the phone. And we would like to send you suggestions regarding your children's health. Would you be interested in receiving such text messages or phone calls?

  • Thanks for your answers. If your household is selected, we will come back to your household in the next few weeks.

  • Now I will ask you some clinical questions about your children.

  • result for malaria rapid diagnostic test?
  • MUAC colour result?
  • any drugs has been taken?

  • Now I'm going to ask you some follow-up questions. First, I will ask you some questions about your household.

  • In what year and month were you born?
     - -
    4 digit year, 2 digit month, 2 digit day
  • What is the main source of your household income?

  • Now I'm going to ask you some questions about the wearable devices and the experience about the study.

  • Please have a look at the following picture, it's a ECG hand pad. Then please answer questions about the device.

  • Was the device (ECG hand pad) used on your child during the study?
  • Did you feel uncomfortable about the device (ECG pad)?

  • Please have a look at the following picture, it's an EEG head band. Then please answer questions about the device.

  • Was the device (EEG hand pad) used on your child during the study?
  • Did you feel uncomfortable about the device (EEG pad)?
  • Some people in your village may have observed that the devices were used on other children but not on their own children. How do you think these people thought about the participating households?
  • How much do you trust the HSA in your village?
    This matrix type is not available for legacy form layout.
  • How much do you trust the volunteer in your village?
    This matrix type is not available for legacy form layout.
  • Should be Empty: