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Questionnaire Tittle: The Causes and Effects of Cholera Among Children in Mubi North Local Government SECTION A: Social Demographics Factors

This document contains a 15 question survey about cholera among children in Mubi North Local Government, Nigeria. The survey questions are divided into two sections. Section A collects social demographic information like gender, age, marital status and education level. Section B contains questions about the respondent's knowledge, attitudes and practices related to cholera, including whether they have heard of it, how soon they would seek treatment, their understanding of who is most at risk and how it can be prevented or treated. The purpose is to gather data on the causes and effects of cholera among children in the given local government area.

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Dedan Gideon
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174 views3 pages

Questionnaire Tittle: The Causes and Effects of Cholera Among Children in Mubi North Local Government SECTION A: Social Demographics Factors

This document contains a 15 question survey about cholera among children in Mubi North Local Government, Nigeria. The survey questions are divided into two sections. Section A collects social demographic information like gender, age, marital status and education level. Section B contains questions about the respondent's knowledge, attitudes and practices related to cholera, including whether they have heard of it, how soon they would seek treatment, their understanding of who is most at risk and how it can be prevented or treated. The purpose is to gather data on the causes and effects of cholera among children in the given local government area.

Uploaded by

Dedan Gideon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

QUESTIONNAIRE

Tittle: The Causes and effects of Cholera among children in Mubi North
Local government

SECTION A: Social Demographics Factors


1. Sex: Female ( ) Male ( )
2. How old are you?
1.15-24 ( )
2. 25-34 ( )
3. 35-44 ( )
4. ≥ 45 ( )

2. Marital status: Single ( ) Married ( ) Separated/divorced ( ) Windowed.


3. What is your high level of education achieved?
a)No formal education ( )
b)Primary level ( )
c)Secondary level ( )
d)Tertiary ( )

SECTION B: RESAERCH QUESTIONS


4. Have you ever heard about cholera?
a) Yes ( )
b) No ( )
5. Do you usually take any child who has fallen sick due to cholera to health care
facility?

a) Yes ( )
b) No ( )
6. How soon after suspecting cholera would you seek for treatment?
1. One day. (Within 24 hours). ( )
2. 2-3 days. ( )
3. 4-6 days. ( )
4. 7 days or more. ( )
7. Do you think cholera is serous and threatening disease?
a) Yes ( )
b) No ( )
8. Do you think the best way to prevent myself from getting cholera is to avoid
dirty water?
a) Yes ( )
b) No ( )
9. Am sure that I can treat the child if he or she gets cholera?
a) Yes ( )
b) No ( )
10. Children and pregnant mothers are at greater risk of getting cholera.
a) Yes ( )
b) No ( )
11. Do you think that one can recover from cholera without any treatment?
a) Yes ( )
b) No ( )
12. Do you think that it is dangerous if cholera medicine is not taken completely?
a) Yes ( )
b) No ( )
13. Do you have good water drainage system around your house?
a) Yes ( )
b) No ( )
14. Do you usually clear stagnant waters in broken pots, containers and ditches
around your house?

a) Yes ( )
b) No ( )
15. Do you have garbage heaps very close to your home?
a) Yes ( )
b) No ( )

Thank you for your participation.

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