Location

Age (In Years)……………….

Marital Status
Married
Single
Divorced
Widow
Sex Male [ ] Female [ ]

Religion
Islam
Christian
Traditional religion
Monthly Income (Amount in Naira)……………….
Educational Level
Primary
Secondary
Tertiary
None
Occupational of the Respondents
Civil servant
Trading
Farming
Others
1. How is your accessibility to healthcare facility from your settlement?
Excellent
Good
Fair

1
Poor
2. What is your means of transportation to the HCF in your area
Animal cart
Walking on foot
Pushcart
Keke Napep
Car
Motor cycles
3. Do you encounter difficulty in accessing HCF in your area? Yes [ ] No [ ]
4. Do you have HCF in your village? Yes [ ] No [ ]
5. What is the cost transportation to access HCF In your area?
N 20-40
N 60-80
N 80-120
Above N 120
6. What is the travel distance to the nearest HCF in your area?
1-2km
3- 4km
5-6km
Above 6km
7. What is the nature of road from your village to the HCF
Excellent
Good
Fair
Poor
8. What is the travel time by road transport system (Animal cart, Walking on foot, Pushcart,
Napep, Car, Motor cycle) from your village to the nearest HCF
5-10 minutes

2
15-20 minutes
25-30 minutes
Above 30 minutes
9. Does seasonal condition affect your accessibility to HCF (raining and dry season) Yes [ ]
No [ ]
10. Are you satisfy with existing in your area HCF Yes [ ] No [ ]
11. Does HCF in your area have adequate staff?
Strongly agree
Agree
Neither agrees nor disagrees
Strongly disagree
Disagree
12. Does HCF in your area have medical equipment
Strongly agree
Agree
Neither agrees nor disagrees
Strongly disagree
Disagree