Beruflich Dokumente
Kultur Dokumente
Demographics:
Primary Care-Giver information:
Age _____ Gender _____ Relationship to child______________________
Occupation __________ Educational Attainment__________________________
Page 1 of 2
Health Literacy Survey Batch 2018
C. Regarding vegetables
10. To your knowledge, how do vegetables benefit the health of a child?
_________________________________________________________________________
11. Do you give the child vegetables for every meal?
Yes ____ No, because__________________________________________________
12. How do you prepare the vegetables to be given to the child?
Cooked_____ Washed and eaten as salad_____; Water comes from__________
D. Regarding hygienic practice
13. To your knowledge, can a child get sick when walking/running around on bare feet/without
footwear?
Yes, the child can get_____________________________ No______
14. Do you make sure the childs hands are washed before meals?
Yes, because ___________________________________________________________
No, because _______________________________________________________________
E. Regarding Immunization
15. To your knowledge, what is the reason for immunizing the child?
_________________________________________________________________________
16. To your knowledge, what is the vaccine being given by mouth?
_________________________________________________________________________
17. Do you know where to avail of immunization?
Yes, at the _____________________________________________ No____
18. Is the child under your care up to date with his/her immunizations?
Yes, because______________________________________________________________
No, because_______________________________________________________________
19. What is the degree of difficulty in your understanding of the immunization schedule that your
doctor/barangay nurse/midwife has instructed?
Very difficult ___ Have to ask for clarification/explanation ____ Not difficult at all ____
Page 2 of 2