STRUCTURED QUESTIONNAIRE

INSTRUCTIONS TO THE PARTICIPANTS:

Dear Respondent,

• I seek your precious time, to gather information necessary for this

research.
• Kindly give your valuable answers to the Questions asked.
• The information collected will be kept confidential and used for research
purpose only.
• The questionnaire is divided into 2 parts. That is Part- A and Part- B
PART A:
Deals with demographic data of mothers with children 5-15 years. Such as Age
of mother, religion, age of children, education, occupation, marital status,
family income, type of family.
PART B:
Section 1: Deals with knowledge regarding transmission of covid-19.

Section 2: Deals with knowledge regarding preventive measures of covid-19.

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 PART-A
Demographic data
Code No:_________

1. Mother Age in years ( )

a. 18-23
b. 24-29
c. 30-35
d. above 35
2. Child Age in years ( )
a. 5
b. 6-10
c. 11-15
d. Above 15
3. Religion ( )
a. Hindu
b. Christian
c. Muslim
d. Others.
4. Education ( )
a. Illiterate
b. Primary education
c. Secondary education
d. Higher Secondary education.
e. Degree and above.

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5. Occupation of the mother. ( )
a. House wife
b. Labourer
c. Employer
d. Business
6. Family income per month in rupees ( )
a. Up to 10,000
b. 10,001-15,000
c. 15,001-20,000
d. Above 20,000
7. Type of family ( )
a. Nuclear family
b. Joint family
c. Extended family
d. Single parent family
8. Marital status ( )
a. Married
b. Widow
c. Divorced
d. Separated.

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 PART B

Section 1
Knowledge regarding transmission of covid-19.

1. What is covid-19? ( )
a. Harmless disease
b. Communicable disease
c. Non infectious disease
d. Non transmitted disease.
2. What is the cause of covid-19? ( )
a. Fungi
b. Virus
c. Bacteria
d. protozoa
3. How many days will take to show the symptoms of
covid-19 ? ( )
a. Less than 2 days
b. 2-5 days
c. 5-14 days
d. 15-20 days
4. How does covid-19 mostly spread? ( )
a. Droplets
b. Animal
c. Sexually transmitted
d. Insect bites

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5. What is the main symptom of covid-19 ? ( )
a. Skin discoloration
b. Weakness
c. Cough, Sore throat and body aches
d. Urination
6. Which organ is effected in covid-19 disease ? ( )
a. Heart
b. Lungs
c. Brain
d. Kidneys
7. What is the main function of the lungs? ( )
a. Co-ordination and control of the body
b. Gas exchange
c. Digestion
d. Excretion
8. Which is the best place to keep Covid effected persons ? ( )
a. Home
b. Covid centres
c. Office
d. Temples
9. How long the virus present on the surface of plastic and steel ? ( )
a. 24 hours
b. 48 hours
c. 72 hours
d. 5 hours

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 10. How does covid-19 spread from person to another person? ( )
a. By touching
b. By sneezing
c. By coughing
d. All of the above
11. In which climate corona virus can be transmitted easily? ( )
a. Hot climate
b. Cold climate
c. Hot and cold climate
d. Dry climate
12. When the corona is more dangerous in person with other health
problems? ( )
a. Cancer
b. Heart disease
c. Respiratory disease
d. Kidney disease

Section- 2

Knowledge regarding preventive measures of covid-19

13.What is the best method to prevent the spreading of covid-19 ? ( )

a. Close contact
b. Treatment
c. Healthy food
d. Wear mask.

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14.How much physical distance should be maintained between person to
person? ( )
a. 6 feet
b. 3 feet
c. 5 feet
d. 1 feet
15. Why it is necessary to wear a handmade face mask? ( )
a. Limit spread of infection.
b. Easy to wear
c. Costless
d. Looking Attractive
16. When we must definitely wear face mask? ( )
a. Any essential travel
b. Talking to others
c. Signs of cough, cold
d. All of the above.
17. How much time you will wash your hands? ( )
a. 45-60sec
b. 35-50sec
c. 25-30sec
d. 15-20 sec
18. How frequently do wash your hands? ( )
a. After washing clothes
b. Before sleeping
c. After touching contaminated objects.
d. before bathing

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19. How you will stop the spreading of droplets while cough or sneeze?
( )
a. Open windows and doors
b. Try to stop coughing
c. Going far away
d. Wear mask
20.Which type of disinfectant solution is better to use to do hand washing ?
( )
a. Detergent
b. Alcohol based hand sanitizer
c. Water
d. shampoo
21. What is the National toll free helpline number for any covid-19 related
queries? ( )
a. 108
b. 1075
c. 100
d. 1094
22. Telangana state Covid helpline number? ( )
e. 1123978046
f. 1122978046
g. 1100978046
h. 1122334455
23. What are the preventive measures do you follow to prevent the spread
of covid-19 ( )
a. Hand hygiene.
b. Keep surroundings clean
c. Maintain social distance
d. All of the above.

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24. How we can avoid the anxiety of infected persons with covid-19? ( )
a. Health education
b. Psychological support.
c. Isolation
d. Discriminate
25.What is best diet to improve immunity ( )
a. Home-made food
b. Balanced diet
c. Outside food
d. Fat food
26.What are all the preventive measures other than hand hygiene ? ( )
a. Avoid going out
b. Avoid travelling.
c. Avoid consuming outdoor foods
d. All of the above
27. What might be helpful to prevent covid-19? ( )
a. Awareness
b. Encourage crowd
c. Self-isolation
d. Close contact
28. Vaccine for covid-19 ( )
a. Covishield or covaxine
b. BCG
c. TT
d. Hepatitis B

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 KEY
S.No. Answer S.No. Answer
1) b 26) d
2) b 27) a
3) c 28) a
4) a
5) c
6) b
7) b
8) b
9) c
10) d
11) c
12) c
13) d
14) a
15) a
16) d
17) a
18) c
19) d
20) b
21) b
22) a
23) d
24) b
25) b

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