1.17 Since this time last year have there been times when the household did not have Declined to Y enough money to buy bathing soap? answer Don’t know. N 1.18 How many mosquito nets does you household have? Please think back to how your life was 6 months ago. When answering the questions below, try to answer for how life was around that time. PERSONAL EXPOSURES 2.1 Have you ever had a job in a smoky / dusty environment? Don’t Y N know 2.2 If yes, what was that job? 2.3 Do you still do that job? Y N 2.4 How many years in total did you do that job for? 2.5 Do you care for anybody who has a chronic illness? Don’t Y N know 2.6 Have you ever drunk alcohol? Y N If no, skip to 2.12 2.7 How old where you when you first started drinking alcohol? 2.8 Do you still drink alcohol? Y N If yes, skip to 2.10 2.9 How old where you when you stopped drinking alcohol? 2.10 When drinking, what do you / did you tend to drink? (tick all that apply) Beer Local Spirits Spirits Wine Other (specify) 2.11 When you drank at your heaviest, how often did you tend to drink? (tick one) Less than 1-3 times per 1-3 times per 4-6 times per Everyday once a month month week week
1.17 Since this time last year have there been times when the household did not have enough money to buy bathing soap? Declined to answer Y Don’t know. N 1.18 How many mosquito nets does you household have? Please think back to how your life was 6 months ago. When answering the questions below, try to answer for how life was around that time. PERSONAL EXPOSURES 2.1 Have you ever had a job in a smoky / dusty environment? Don’t know Y N 2.2 If yes, what was that job? 2.3 Do you still do that job? Y N 2.4 How many years in total did you do that job for? 2.5 Do you care for anybody who has a chronic illness? Don’t know Y N 2.6 Have you ever drunk alcohol? If no, skip to 2.12 Y N 2.7 How old where you when you first started drinking alcohol? 2.8 Do you still drink alcohol? If yes, skip to 2.10 Y N 2.9 How old where you when you stopped drinking alcohol? 2.10 When drinking, what do you / did you tend to drink? (tick all that apply) Beer Local Spirits Spirits Wine Other (specify) 2.11 When you drank at your heaviest, how often did you tend to drink? (tick one) Less than once a month 1-3 times per month 1-3 times per week 4-6 times per week Everyday
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