Questionnaire Text

Questionnaire form view entire document:  text  image

9. From this dwelling to the nearest health center or clinic:


What is the distance?

Kilometers _ _
Meters _ _ _
Blocks _ _
Varas _ _ _ [Unit of measure that varies but measures approximately one meter]

Questionnaire instructions view entire document:  text  image

Question 9. How far is it from this dwelling to the nearest health center or clinic?

Use two digits to write the answer in the spaces corresponding to kilometers and blocks. Put a "0" before the numbers 1-9.

Use three digits to write the answer in the spaces corresponding to meters and varas. [A vara is unit of length measuring 84 centimeters in Nicaragua. Its exact length varies from country to country.] Put "00" before the numbers 1-9 and "0" before numbers 10-99.


For distance and time:
Use only whole numbers and a single unit of measurement, rounding up to the next number. For example, if they declare that the nearest health-care center or station is 1.5 kilometers away, write the answer as: "Kilometers: 02"