Health care visit details See (Kowal et al., 2012) SAGE Individual Questionnaire B-Mexico Q5028, 5029, 5029c, 5031, 5033F Visit What were the main features of the visit? How long did How long was No. (list up to three elements) you wait for the 1 = assessment and/or diagnosis your consultation 2 = drug prescription consultation? (excluding (for condition listed on left) waiting 3 = drug prescription time)? (for other condition) (minutes) 4 = psychosocial support / care (minutes) 5 = follow-up visit 6 = referral (to other provider) 77 = other 888 = know don’t 1 2 3 Fees Travel HC#_WHO HC#WHY HC#_TRAVEL HC#_WAIT HC#_LONG VISNO# HC#_F1 HC#_F2 HC#_F3 HC#_WHERE ✍ ✍ HC#WHOO HC#WHYO Mins Mins Mins Mins Mins Mins
Health care visit details See (Kowal et al., 2012) SAGE Individual Questionnaire B-Mexico Q5028, 5029, 5029c, 5031, 5033F Visit No. What were the main features of the visit? (list up to three elements) 1 = assessment and/or diagnosis 2 = drug prescription (for condition listed on left) 3 = drug prescription (for other condition) 4 = psychosocial support / care 5 = follow-up visit 6 = referral (to other provider) 77 = other 888 = don’t know How long did you wait for your consultation? (minutes) How long was the consultation (excluding waiting time)? (minutes) 1 2 3 Fees Travel VISNO# HC#_WHO ✍ HC#WHOO HC#_WHERE HC#WHY ✍ HC#WHYO HC#_F1 HC#_F2 HC#_F3 HC#_TRAVEL HC#_WAIT HC#_LONG Mins Mins Mins Mins Mins Mins
PRIME%20Community%20Survey%20Questionnaire_FINAL.docx