WP1. Factory/Farm Name _________________ WP2. Factory/Farm Code__________ WP4. #___________ WP3. Interviewer’s name________________ Interviewer’s Date of interview dd/mm/yyyy___ ___ ______ ______ WP5. Type of Industry breweries and wineries 1 WATER/soft drinks 2 HorticalturE 3 FRUITS AND Vegetables 4 Leather processing 5 Textile 6 Construction 7 steel and metal 8 OTHER (SPECIFY)________________ 98 WP6. Region where the factory/farm is found Addis Ababa 1 Oromia 2 Amhara 3 Interview Start time : HrsMts No QUESTIONS AND PROBS CODING CATEGORIES SKIP SECTION 1: SOCIO-DEMOGRAPHICS, SEXUALITY AND Reproductive Health CHARACTERISTICS In the next few minutes, I will be asking you about some questions related to you and your family including fertility, sexuality and reproductive health issues. 101 How old are you in complete years? 102 Have you ever attended formal Yes 1 If = 2104 schooling? No 2 103 What is the highest level of formal Primary 1 schooling you have completed? Secondary 2 Technical/vocational 3 Higher 4 104 What is your religion? Orthodox 1 Catholic 2 Protestant 3 Muslim 4 Other________________________ 5 Refused 99 105 What is your current marital status? Married 1 Living in union 2 Widowed 3 Divorced 4 107 Separated 5 Never married/never in union 6 106 Is your husband/partner living with you Living with her 1 now or is he staying elsewhere? Staying elsewhere 2 107 Have you ever given birth? Yes 1 If = 2109 No 2 108 How many living children do you have Number of children __________ currently? 109 Are you pregnant now? Yes 1 If = No 2
WP1. Factory/Farm Name _________________ WP2. Factory/Farm Code__________ WP3. Interviewer’s name________________ WP4. Interviewer’s #___________ Date of interview dd/mm/yyyy___ ___ ______ ______ WP5. Type of Industry breweries and wineries WATER/soft drinks HorticalturE FRUITS AND Vegetables Leather processing Textile Construction steel and metal OTHER (SPECIFY)________________ 1 2 3 4 5 6 7 8 98 WP6. Region where the factory/farm is found Addis Ababa Oromia Amhara 1 2 3 Interview Start time : HrsMts No QUESTIONS AND PROBS CODING CATEGORIES SKIP SECTION 1: SOCIO-DEMOGRAPHICS, SEXUALITY AND Reproductive Health CHARACTERISTICS In the next few minutes, I will be asking you about some questions related to you and your family including fertility, sexuality and reproductive health issues. 101 How old are you in complete years? 102 Have you ever attended formal schooling? Yes No 1 2 If = 2104 103 What is the highest level of formal schooling you have completed? Primary Secondary Technical/vocational Higher 1 2 3 4 104 What is your religion? Orthodox Catholic Protestant Muslim Other________________________ Refused 1 2 3 4 5 99 105 What is your current marital status? Married Living in union Widowed Divorced Separated Never married/never in union 1 2 3 4 5 6 107 106 Is your husband/partner living with you now or is he staying elsewhere? Living with her Staying elsewhere 1 2 107 Have you ever given birth? Yes No 1 2 If = 2109 108 How many living children do you have currently? Number of children __________ 109 Are you pregnant now? Yes No 1 2 If =
FP-FINAL-Report_CORHA_2017.docx