Sample questionnaire

Section 1: Demographics የስነ ሕዝብ መረጃ/ መሰረታዊ መረጃ

1. What is your name? (Text) ስምህ ማን ነው?
2. What is your age? (Numeric) ዕድሜ ስንት ነው?
3.What is your gender? (Select One) ፆታህ ምንድን ነው? (አ ን ድ ም ረ ጥ)
1. Male ሀ. ወንድ

2. Female ለ. ሴት

3. Other ሐ. ሌላ

4.What is your occupation? (Text) ሥራህ ምንድን ነው? (ጽሑፍ)

Section 2: Health
4. Have you ever been diagnosed with any medical ከጤና ጋር በተገናኝ ምርመራ አድርግህ ታውቃለህ ?
conditions? (Select One) ሀ. አዎ

a. Yes ለ. አይ

b. No

5. Are you currently taking any medication? (Select መድሃኒት እየወሰዱ ነው? (አ ን ድ ም ረ ጥ)
ሀ. አዎ
One) ለ. አይ
a. Yes
b. No
6. If yes, please list the medication(s) you are አዎ ከሆነ፣ እባክህ አሁን የምትወስዳቸውን መድሃኒቶች
ይዘርዝሩ። (ጽሑፍ)
currently taking. (Text)
7. What is your current location? (Geopoint) አሁን ያለህበት ቦታ? (ጂኦፖይንት)

8. Please take a picture of your current surroundings.
(Image)
9. Please record a short audio clip of you talking
about your experiences [topic]. (Audio Recording)
እባክዎን አሁን ያሉበትን አካባቢ ፎቶ ፎቶ ያንሱ። (ምስል)
ስለ ልምዶችዎ የሚገልጽ አጭር የድምፅ ክሊፕዎን እባክዎን
ይመዝግቡ

10. What is the total amount spent on groceries this በዚህ ወር አጠቃላይ ለግሮሰሪ የወጣው ገንዘብ ስንት ነው?
month? Calculation:
11. What is the Amount spent on Groceries: A= ግሮሰሪ A ላይ ምን ያህል ገንዘብ አወጡ ?
money?
12. What is the Amount spent on Groceries: B= ግሮሰሪ B ላይ ምን ያህል ገንዘብ አወጡ ?
money?

13. What is the total amount spent on groceries this

month=( Groceries A + Groceries B + Groceries
C?)

14.