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    Socio Demographic Data Sheet

    Uploaded by

    shravan thimmappa
    This document contains a socio demographic data sheet with questions about a person's age, education level, occupation, type of family, monthly income, area of residence, history of mental illness, medical complications during pregnancy, family support, and gravida status. Respondents are asked to tick boxes with the correct answers for each multiple choice question.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Socio Demographic Data Sheet

    Uploaded by

    shravan thimmappa
    743 views2 pages
    This document contains a socio demographic data sheet with questions about a person's age, education level, occupation, type of family, monthly income, area of residence, history of mental illness, medical complications during pregnancy, family support, and gravida status. Respondents are asked to tick boxes with the correct answers for each multiple choice question.

    Original Description:

    Socio demographic data sheet is a very important tool used during data collection process

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    This document contains a socio demographic data sheet with questions about a person's age, education level, occupation, type of family, monthly income, area of residence, history of mental illness, medical complications during pregnancy, family support, and gravida status. Respondents are asked to tick boxes with the correct answers for each multiple choice question.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    743 views2 pages

    Socio Demographic Data Sheet

    Uploaded by

    shravan thimmappa
    This document contains a socio demographic data sheet with questions about a person's age, education level, occupation, type of family, monthly income, area of residence, history of mental illness, medical complications during pregnancy, family support, and gravida status. Respondents are asked to tick boxes with the correct answers for each multiple choice question.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Socio Demographic Data Sheet

    Instructions
    Read the following question carefully and give tick ( ✓ ) in a given box for
    correct answers.
    1) Age in years
    a) 21 to 25 yrs ( )
    b) 26 to 30 yrs ( )
    c) 31 to 35 yrs ( )
    d) 36 yrs and above ( )
    2) Education
    a) Primary education ( )
    b) Secondary education ( )
    c) Undergraduate ( )
    d) Post graduate and above ( )
    3) Occupation
    a) House wife ( )
    b) Private employee ( )
    c) Business ( )
    d) Government employee ( )
    f) Other__________
    5) Type of Family
    a) Nuclear family ( )
    b) Joint family ( )
    c) Extended family ( )
    6) Monthly income of the family
    a) ≤ ₨. 10000 ( )
    b) ₨. 10001 – 50,000 ( )
    c) ₨. 50,001 – 80,000 ( )
    d) ≥ ₨. 80,000 ( )

    7) Area of residence
    a) Urban ( )
    b) Semi urban ( )
    c) Rural ( )
    8) History of previous mental illness
    a) Yes ( )
    b) No ( )

    9) Any other medical complication during pregnancy


    a) Yes ( )
    b) No ( )

    10) Support of the family members


    a) Husband ( )
    b) Father & Mother ( )
    c) Brothers & Sisters ( )
    d) Both a & b ( )
    e) Mother -in -law & Father -in -law ( )
    f) Brother -in -laws & Sister -in -laws ( )

    12) Gravida
    a) Primigravida ( )
    b) Multigravida ( )

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