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Project: Epidemiological Profile of Bawana region in North West District of Delhi दिल्ली के उत्तर पश्चिम जिले में बवाना क्षेत्र का महामारी विज्ञान अध्ययनPID 42
My Projects Project Home Project Setup Online Designer Data Dictionary Codebook

The Codebook is a human-readable, read-only version of the project's Data Dictionary and serves as a quick reference for viewing the attributes of any given field in the project without having to download and interpret the Data Dictionary. Note: Checkbox fields have their coded values displayed both in the format defined by users in the Online Designer/Data Dictionary as well as in the extended format seen in data imports and exports (i.e., field___code).

Data Dictionary Codebook 02-02-2026 00:13
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Data Dictionary Codebook
Project: Epidemiological Profile of Bawana region in North West District of Delhi दिल्ली के उत्तर पश्चिम जिले में बवाना क्षेत्र का महामारी विज्ञान अध्ययन (PID: 42)
02-02-2026 00:13
Instruments
Instrument Form Name
Form 1 form_1
# Variable / Field Name Field Label
Field Note
 Field Attributes (Field Type, Validation, Choices, Calculations, etc.)
Instrument:Form 1(form_1) Enabled as survey
1 [record_id] Record ID text
2 [interviewer_s_name] Interviewer's Name text, Required
3 [date_of_interview] Date of interview text (date_dmy), Required
4 [mohalla_location] Mohalla/Location
मुहल्ला/स्थान
 text, Required
5 [a_household_composition_of] A. HOUSEHOLD COMPOSITION OF RESPONDENTप्रतिक्रिया देने वाले के घर के सदस्यों की जानकारी descriptive
6 [type_of_family] Type of Family
परिवार का प्रकार 		radio, Required
1Joint / संयुक्त
2Nuclear / एकल
7 [religion] Religion radio, Required
1Hindu
2Muslim
3Sikh
4Christian
5Others
8 [specify_other_religion]
Show the field ONLY if:
[religion] = '5'
specify other text
9 [no_of_family_member] No of Family Member radio, Required
11
22
33
44
55
66
10 [monthly_income_from_all_so] Monthly income from all sourcesमहीने के आय सभी से सूत्रों का कहना है text (number), Required
11 [total_monthly_income_of_ho] Total monthly income of household
कुल महीने के की आय परिवार
 text (number), Required
12 [monthly_household_expense] Monthly household expense on Kitchen
महीने के परिवार व्यय रसोई पर
 text (number), Required
13 [house_type] House Typeमकान का प्रकार descriptive
14 [house_type_1] House Type
(मकान का प्रकार ) 		radio, Required
1Kuccha / कच्चा
2Jhopri / झोपड़ी
3Pucca / पक्का
15 [property_owned] Property Owned
स्वामित्व वाली संपत्ति 		yesno, Required
1Yes
0No
16 [type_of_property]
Show the field ONLY if:
[property_owned] = '1'
Type of property radio, Required
1Residential / आवासीय
2Agricultural / कृषि
3Commercial / वाणिज्यिक
4Others / अन्य
17 [specify_other]
Show the field ONLY if:
[type_of_property] = '4'
Specify other text
18 [locality] Locality
इलाका 		radio, Required
1Rural / ग्रामीण
2Semi urban / अर्धशहरी
3Urban / शहरी
4Urban slum / शहरी स्लम
5Urban planned / शहरी नियोजित
19 [household_assets] Household Assets
घरेलू संपत्ति 		checkbox, Required
1household_assets___1A.C. / ए.सी
2household_assets___2Refrigerator/ रेफ्रिजरेटर
3household_assets___3TV / टीवी
4household_assets___4VCR / वीसीआर
5household_assets___5Washing machine/ वॉशिंग मशीन
6household_assets___6Scooter / स्कूटर
7household_assets___7Car / कार
8household_assets___8Other
20 [other_household]
Show the field ONLY if:
[household_assets(8)] = '1'
Specify Other text
21 [domestic_animals] Domestic Animals
घरेलू पशु 		checkbox, Required
1domestic_animals___1Cows / गाय
2domestic_animals___2Buffalos / भैंस
3domestic_animals___3Pigs / सूअर
4domestic_animals___4Horses / घोड़े
5domestic_animals___5Goats / बकरी
6domestic_animals___6Other
22 [specify_other_dom_animal]
Show the field ONLY if:
[domestic_animals(6)] = '1'
Specify other text
23 [kitchen_garden] Kitchen Garden
किचन गार्डन 		yesno, Required
1Yes
0No
24 [domestic_servants] Domestic Servants
घरेलू नौकर 		yesno, Required
1Yes
0No
25 [gender_of_servent]
Show the field ONLY if:
[domestic_servants] = '1'
Gender of Servent radio, Required
1Male
2Female
26 [source_of_water] Source of Water
जल का स्रोत
 radio, Required
1Tap / नल
2Tank / टैंक
3Tube-well / ट्यूबवेल
4Hand or motor pump / हाथ या मोटर पंप
5Pond / तालाब
6Well / कुआं
7River / नदी
8Other
27 [other_source_of_water]
Show the field ONLY if:
[source_of_water] = '8'
Specify other text
28 [do_you_treat_water_before] Do you treat water before drinking? yesno, Required
1Yes
0No
29 [how_do_you_treat_purify_dr]
Show the field ONLY if:
[do_you_treat_water_before]="1"
How do you treat/purify drinking water? radio, Required
1Boiling (उबालना)
2Filter (फ़िल्टर)
3RO (Reverse Osmosis) (आरओ)
4UV treatment (यूवी उपचार)
5Chlorine tablets (क्लोरीन की गोलियाँ)
6No treatment (कोई उपचार नहीं)
30 [have_you_noticed_any_chang] Have you noticed any changes in water color/taste/odor?
क्या आपने पानी के रंग/स्वाद/गंध में कोई बदलाव देखा है?
 yesno, Required
1Yes
0No
31 [please_describe]
Show the field ONLY if:
[have_you_noticed_any_chang] ="1"
Please describe text
32 [kind_of_milk] Kind of Milk
दूध का प्रकार 		radio, Required
1Domestic source/ घरेलू स्रोत
2Milkman / दूधवाला
3Mother dairy/ मदर डेयरी
4Cow / गाय
5Buffalo / भैंस
6Goat / बकरी
7Other
33 [specify_other_milk]
Show the field ONLY if:
[kind_of_milk] = '7'
Specify other text
34 [individual_1]
Show the field ONLY if:
[no_of_family_member] >= 1
First family Member descriptive
35 [sex_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Sex
लिंग 		radio, Required
1Male
2Female
3Other
36 [specify_other_1]
Show the field ONLY if:
[sex_1] = '3'
Specify other text
37 [age_year_month_days_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Age
(Year/Month/Days)
आयु
(वर्ष/महीना/दिन)
Age in years
 text (number, Min: 1, Max: 99), Required
Field Annotation: @FORCE-MINMAX
38 [relationship_with_ego_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Relationship with ego
संबंध अहंकार के साथ
 text, Required
39 [present_marital_status_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Present Marital Status
उपस्थित वैवाहिक स्थिति
 radio, Required
1Single (never married)
2Married
3Widowed
4Divorced
5Separated.
40 [educational_status_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Educational Status
शैक्षणिक स्थिति
 radio, Required
11. Primary / प्राथमिक
22. Secondary / गौण
33. And above /और ऊपर
41 [occupational_status_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Occupational Status
व्यावसायिक स्थिति
 text, Required
42 [any_kind_of_illness_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Any kind of Illness?
किसी तरह का बीमारी?

 yesno, Required
1Yes
0No
43 [name_of_illness_1]
Show the field ONLY if:
[any_kind_of_illness_1] = '1'
Name of illness text, Required
44 [duration_of_illness_1]
Show the field ONLY if:
[any_kind_of_illness_1] = '1'
Duration of illness text
45 [any_treatment_given_1]
Show the field ONLY if:
[any_kind_of_illness_1] = '1'
Any treatment Given?
कोई इलाज दिया गया?
yesno, Required
1Yes
0No
46 [if_yes_what_1]
Show the field ONLY if:
[any_treatment_given_1] = '1'
If yes, what?
अगर हाँ क्या?
 text
47 [nutritional_status]
Show the field ONLY if:
[no_of_family_member] >= 1
Nutritional Status descriptive
48 [dietary_habit_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Dietary Habit
आहार संबंधी आदत 		radio, Required
1Veg / शाकाहारी
2Non-Veg / गैर-शाकाहारी
49 [amount_consumed_water_l_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Amount Consumed water (L/day):
उपभोग की गई राशि पानी (एल/दिन):
 radio, Required
1Less than 0.5 L
20.5 - 1 L
31 - 2 L
42 - 3 L
5More than 3 L
50 [no_of_full_meals_1]
Show the field ONLY if:
[no_of_family_member] >= 1
No of Full Meals:
पूर्ण भोजन की संख्या:
 radio, Required
11 meal/day
22 meals/day
33 meals/day
4More than 3 meals/day

Field Annotation: @FORCE-MINMAX
51 [frequency_non_vegetaria_1]
Show the field ONLY if:
[dietary_habit_1] = '2'
Frequency of Non-Vegetarian Food:
मांसाहारी भोजन की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/month)
3Weekly (1-2 times/week)
4Frequently (3-5 times/week)
5Daily
52 [frequency_of_vegetarian_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Frequency of Vegetarian Food:
शाकाहारी भोजन की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
53 [frequency_milk_products_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Frequency of Milk Products:
दुग्ध उत्पादों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
54 [frequency_of_pulses_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Frequency of Pulses:
दालों की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
55 [frequency_of_fruits_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Frequency of Fruits:
फलों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
56 [any_other_specific_diet_1]
Show the field ONLY if:
[no_of_family_member] >= 1
Any other specific diet
कोई अन्य विशिष्ट आहार
 text
57 [any_illness]
Show the field ONLY if:
[no_of_family_member] >= 1
Any Illnessकोई बीमारी descriptive
58 [nutritional_deficiency]
Show the field ONLY if:
[no_of_family_member] >= 1
Nutritional Deficiency
पोषण की कमी
 yesno, Required
1Yes
0No
59 [which_type_of_nutritional]
Show the field ONLY if:
[nutritional_deficiency] = '1'
Which type of Nutritional Deficiency text, Required
60 [age_at_nurition_def]
Show the field ONLY if:
[nutritional_deficiency] = '1'
Age (आयु) - At what age illness started? text (number)
61 [duration_nutrient_def]
Show the field ONLY if:
[nutritional_deficiency] = '1'
Duration (अवधि) - How long did it last? text
62 [physical_disability]
Show the field ONLY if:
[no_of_family_member] >= 1
Physical Disability
शारीरिक अपंगता
 yesno, Required
1Yes
0No
63 [which_type_of_physical_dis]
Show the field ONLY if:
[physical_disability] = '1'
Which type of Physical Disability
 text, Required
64 [duration_how_long_physical]
Show the field ONLY if:
[physical_disability] = '1'
Duration (अवधि) - How long did it last? text
65 [emotional_impairment]
Show the field ONLY if:
[no_of_family_member] >= 1
Emotional Impairment
भावनात्मक क्षति
 yesno, Required
1Yes
0No
66 [which_type_of_emotional_im]
Show the field ONLY if:
[emotional_impairment] = '1'
Which type of Emotional Impairment
 text, Required
67 [duration_how_long_emontiona]
Show the field ONLY if:
[emotional_impairment] = '1'
Duration (अवधि) - How long did it last? text
68 [major_therapeutic_irradiat]
Show the field ONLY if:
[no_of_family_member] >= 1
Major Therapeutic Irradiation Exposure
प्रमुख चिकित्सीय विकिरण एक्सपोजर
 yesno, Required
1Yes
0No
69 [which_type_of_major_therap]
Show the field ONLY if:
[major_therapeutic_irradiat] = '1'
Which type of Major Therapeutic Irradiation Exposure
 text, Required
70 [duration_how_long_major]
Show the field ONLY if:
[major_therapeutic_irradiat] = '1'
Duration (अवधि) - How long did it last? text
71 [long_illness]
Show the field ONLY if:
[no_of_family_member] >= 1
Long Illness
लंबी बीमारी
 yesno, Required
1Yes
0No
72 [which_type_of_long_illness]
Show the field ONLY if:
[long_illness] = '1'
Which type of Long Illness

 text, Required
73 [duration_how_long_ilness]
Show the field ONLY if:
[long_illness] = '1'
Duration (अवधि) - How long did it last? text
74 [g_have_you_ever_been_diagn]
Show the field ONLY if:
[no_of_family_member] >= 1
G. Have you ever been diagnosed by a doctor for any of the following conditions?जी. क्या आपको कभी किसी डॉक्टर द्वारा निम्नलिखित में से किसी भी स्थिति का निदान किया गया है? descriptive
75 [heart_failure_disease]
Show the field ONLY if:
[no_of_family_member] >= 1
Heart failure/disease
हृदय विफलता/बीमारी
 yesno, Required
1Yes
0No
76 [type_heart_disesae]
Show the field ONLY if:
[heart_failure_disease] = '1'
Type
प्रकार 		text
77 [age_heart_faliour]
Show the field ONLY if:
[heart_failure_disease] = '1'
Age
आयु
 text (number)
78 [irritable_bowel_disease]
Show the field ONLY if:
[no_of_family_member] >= 1
Irritable Bowel Disease
चिड़चिड़ा आंत्र रोग
 yesno, Required
1Yes
0No
79 [type_irritable_bowel]
Show the field ONLY if:
[irritable_bowel_disease] = '1'
Type
प्रकार
 text
80 [age_bowel_disease]
Show the field ONLY if:
[irritable_bowel_disease] = '1'
Age
आयु
 text (number)
81 [chronic_bronchitis]
Show the field ONLY if:
[no_of_family_member] >= 1
Chronic Bronchitis
क्रोनिक ब्रोंकाइटिस
 yesno, Required
1Yes
0No
82 [type_bronchitis]
Show the field ONLY if:
[chronic_bronchitis] = '1'
Type
प्रकार
 text
83 [age_bronchitis]
Show the field ONLY if:
[chronic_bronchitis] = '1'
Age
आयु
 text (number)
84 [hernia]
Show the field ONLY if:
[no_of_family_member] >= 1
Hernia
हरनिया
 yesno, Required
1Yes
0No
85 [type_hernia]
Show the field ONLY if:
[hernia] = '1'
Type
प्रकार
 text
86 [age_hernia]
Show the field ONLY if:
[hernia] = '1'
Age
आयु
 text (number)
87 [emphysema]
Show the field ONLY if:
[no_of_family_member] >= 1
Emphysema
वातस्फीति
 yesno, Required
1Yes
0No
88 [type_endometriosis]
Show the field ONLY if:
[emphysema] = '1'
Type
प्रकार
 text
89 [age_endometriosis]
Show the field ONLY if:
[emphysema] = '1'
Age
आयु
 text (number)
90 [arthritis]
Show the field ONLY if:
[no_of_family_member] >= 1
Arthritis
वात रोग
 yesno, Required
1Yes
0No
91 [type_arthritis]
Show the field ONLY if:
[arthritis] = '1'
Type
प्रकार 		text
92 [age_arthritis]
Show the field ONLY if:
[arthritis] = '1'
Age
आयु 		text (number)
93 [inflammatory_bowel_disease]
Show the field ONLY if:
[no_of_family_member] >= 1
Inflammatory bowel disease
सूजा आंत्र रोग
 yesno, Required
1Yes
0No
94 [type_inflammatory_bowel]
Show the field ONLY if:
[inflammatory_bowel_disease] = '1'
Type
प्रकार 		text
95 [age_inflammatory_bowel_disease]
Show the field ONLY if:
[inflammatory_bowel_disease] = '1'
Age
आयु 		text, Required
96 [depression]
Show the field ONLY if:
[no_of_family_member] >= 1
Depression
अवसाद
 yesno, Required
1Yes
0No
97 [type_depression]
Show the field ONLY if:
[depression] = '1'
Type
प्रकार 		text
98 [age_depression]
Show the field ONLY if:
[depression] = '1'
Age
आयु 		text (number)
99 [cancer]
Show the field ONLY if:
[no_of_family_member] >= 1
Cancer
कैंसर
 yesno, Required
1Yes
0No
100 [type_cancer]
Show the field ONLY if:
[cancer] = '1'
Type
प्रकार 		text
101 [age_cancer]
Show the field ONLY if:
[cancer] = '1'
Age
आयु 		text (number)
102 [have_you_been_diagnose_1]
Show the field ONLY if:
[no_of_family_member] >= 1
G11. Have you been diagnosed with Asthma?
क्या आपको अस्थमा का निदान हुआ है?
 yesno, Required
1Yes
0No
103 [age_at_diagnosis_g11]
Show the field ONLY if:
[have_you_been_diagnose_1] = "1"
Age at diagnosis: text
104 [g12_have_you_been_diagnose]
Show the field ONLY if:
[no_of_family_member] >= 1
G12. Have you been diagnosed with Typhoid/Enteric Fever? yesno, Required
1Yes
0No
105 [age_at_diagnosis_g_12]
Show the field ONLY if:
[g12_have_you_been_diagnose] = "1"
Age at diagnosis:
 text
106 [g13_have_you_been_diagnose]
Show the field ONLY if:
[no_of_family_member] >= 1
G13. Have you been diagnosed with Jaundice/Hepatitis? yesno, Required
1Yes
0No
107 [age_at_diagnosis_g13]
Show the field ONLY if:
[g13_have_you_been_diagnose] = "1"
Age at diagnosis: text
108 [h_have_you_or_your_family]
Show the field ONLY if:
[no_of_family_member] >= 1
H. Have you or your family member suffered from any of the listed symptoms in last 1 year?क्या आप या आपके परिवार के सदस्य पिछले एक वर्ष में सूचीबद्ध लक्षणों में से किसी से पीड़ित हुए हैं? descriptive
109 [high_fever]
Show the field ONLY if:
[no_of_family_member] >= 1
High fever / तेज़ बुखार yesno, Required
1Yes
0No
110 [when_highg_fever]
Show the field ONLY if:
[high_fever] = '1'
When
कब 		text
111 [how_many_times_fever]
Show the field ONLY if:
[high_fever] = '1'
How many times
कितनी बार
 text
112 [weakness_and_fatigue]
Show the field ONLY if:
[no_of_family_member] >= 1
Weakness and Fatigue
कमज़ोरी और थकान
 yesno, Required
1Yes
0No
113 [when_weakness]
Show the field ONLY if:
[weakness_and_fatigue] = "1"
When
कब 		text
114 [how_many_times_weakness]
Show the field ONLY if:
[weakness_and_fatigue] = "1"
How many times
कितनी बार 		text
115 [muscle_ache]
Show the field ONLY if:
[no_of_family_member] >= 1
Muscle ache
मांसपेशियों में दर्द
 yesno, Required
1Yes
0No
116 [when_muscle]
Show the field ONLY if:
[muscle_ache] = "1"
When
कब 		text
117 [how_many_times_muscle]
Show the field ONLY if:
[muscle_ache] = "1"
How many times
कितनी बार 		text
118 [stomach_pain]
Show the field ONLY if:
[no_of_family_member] >= 1
Stomach pain
पेट दर्द
 yesno, Required
1Yes
0No
119 [when_stomach]
Show the field ONLY if:
[stomach_pain] = "1"
When
कब 		text
120 [how_many_times_stomach]
Show the field ONLY if:
[stomach_pain] = "1"
How many times
कितनी बार 		text
121 [loss_of_appetite_and_weigh]
Show the field ONLY if:
[no_of_family_member] >= 1
Loss of appetite and weight
भूख और वजन में कमी
 yesno, Required
1Yes
0No
122 [when_appetite]
Show the field ONLY if:
[loss_of_appetite_and_weigh] ="1"
When
कब 		text
123 [how_many_times_appetite]
Show the field ONLY if:
[loss_of_appetite_and_weigh] ="1"
How many times
कितनी बार 		text
124 [dry_cough]
Show the field ONLY if:
[no_of_family_member] >= 1
Dry cough
सूखी खाँसी
 yesno, Required
1Yes
0No
125 [when_dry_cough]
Show the field ONLY if:
[dry_cough] = "1"
When
कब 		text
126 [how_many_times_dry_cough]
Show the field ONLY if:
[dry_cough] = "1"
How many times
कितनी बार 		text
127 [diarrhoea]
Show the field ONLY if:
[no_of_family_member] >= 1
Diarrhoea
दस्त
 yesno, Required
1Yes
0No
128 [when_diarrhoea]
Show the field ONLY if:
[diarrhoea] = "1"
When
कब 		text
129 [how_many_times_diarrheaea]
Show the field ONLY if:
[diarrhoea] = "1"
How many times
कितनी बार 		text
130 [hair_fall]
Show the field ONLY if:
[no_of_family_member] >= 1
Hair fall
बाल झड़ना
 yesno, Required
1Yes
0No
131 [when_hair_fall]
Show the field ONLY if:
[hair_fall] = '1'
When
कब 		text
132 [how_many_times_hair_fall]
Show the field ONLY if:
[hair_fall] = '1'
How many times
कितनी बार 		text
133 [itching_and_rashes]
Show the field ONLY if:
[no_of_family_member] >= 1
Itching and rashes
खुजली और चकत्ते
 yesno, Required
1Yes
0No
134 [when_itching]
Show the field ONLY if:
[itching_and_rashes] = "1"
When
कब 		text
135 [how_many_times_itching]
Show the field ONLY if:
[itching_and_rashes] = "1"
How many times
कितनी बार 		text
136 [headaches]
Show the field ONLY if:
[no_of_family_member] >= 1
Headaches
सिर दर्द
 yesno, Required
1Yes
0No
137 [when_headaches]
Show the field ONLY if:
[headaches] = "1"
When
कब 		text
138 [how_many_times_headaches]
Show the field ONLY if:
[headaches] = "1"
How many times
कितनी बार 		text
139 [eye_pain]
Show the field ONLY if:
[no_of_family_member] >= 1
Eye pain
आँख का दर्द
 yesno, Required
1Yes
0No
140 [when_eye_pain]
Show the field ONLY if:
[eye_pain] = "1"
When
कब 		text
141 [how_many_times_eyepain]
Show the field ONLY if:
[eye_pain] = "1"
How many times
कितनी बार 		text
142 [h12_shortness_of_breath_1]
Show the field ONLY if:
[no_of_family_member] >= 1
H12. Shortness of breath/Difficulty breathing
सांस की तकलीफ/सांस लेने में कठिनाई
 yesno, Required
1Yes
0No
143 [when_h12_1]
Show the field ONLY if:
[h12_shortness_of_breath_1] = "1"
When
कब 		text
144 [how_many_times_h12_1]
Show the field ONLY if:
[h12_shortness_of_breath_1] = "1"
How many times
कितनी बार 		text
145 [h13_wheezing_or_whistling_1]
Show the field ONLY if:
[no_of_family_member] >= 1
H13. Wheezing or whistling sound while breathing
सांस लेते समय घरघराहट या सीटी की आवाज
 yesno, Required
1Yes
0No
146 [when_h13_1]
Show the field ONLY if:
[h13_wheezing_or_whistling_1] = "1"
When
कब 		text
147 [how_many_times_h13_1]
Show the field ONLY if:
[h13_wheezing_or_whistling_1] = "1"
How many times
कितनी बार 		text
148 [h14_nasal_congestion_runny_1]
Show the field ONLY if:
[no_of_family_member] >= 1
H14. Nasal congestion/Runny nose
नाक बंद/नाक बहना
 yesno, Required
1Yes
0No
149 [when_h14_1]
Show the field ONLY if:
[h14_nasal_congestion_runny_1] = "1"
When
कब 		text
150 [how_many_times_h14_1]
Show the field ONLY if:
[h14_nasal_congestion_runny_1] = "1"
How many times
कितनी बार 		text
151 [h15_vomiting_1]
Show the field ONLY if:
[no_of_family_member] >= 1
H15. Vomiting
उल्टी 		yesno, Required
1Yes
0No
152 [when_h15_1]
Show the field ONLY if:
[h15_vomiting_1] = "1"
When
कब 		text
153 [how_many_times_h15_1]
Show the field ONLY if:
[h15_vomiting_1] = "1"
How many times
कितनी बार 		text
154 [alcohol_locally_fermented]
Show the field ONLY if:
[no_of_family_member] >= 1
Alcohol / Locally Fermented Beer (Mahua, Whisky, Rum, Beer, Other (Mahua; Whisky; Rum; any other / महुआ; व्हिस्की; रम; कोई और) descriptive
155 [who_consumes_alcohol]
Show the field ONLY if:
[no_of_family_member] >= 1
Who consumes alcohol? radio, Required
1You/ आप
2Family member/ परिवार के सदस्य
3Both / दोनों
4Not applicable
156 [do_you_consume_alcohol]
Show the field ONLY if:
[no_of_family_member] >= 1
Do you consume alcohol? yesno, Required
1Yes
0No
157 [how_do_you_consume]
Show the field ONLY if:
[do_you_consume_alcohol] = '1'
How do you consume? radio, Required
1Regular/ नियमित
2Occasional/प्रासंगिक
158 [at_what_age_did_you_start]
Show the field ONLY if:
[do_you_consume_alcohol] = '1'
At what age did you start consuming alcohol? text (number), Required
159 [frequency_of_alcohol_consu]
Show the field ONLY if:
[how_do_you_consume] = '1'
Frequency of alcohol consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
5Occasional
160 [quantity_of_alcohol_consum]
Show the field ONLY if:
[how_do_you_consume] = '1'
Quantity of alcohol consumed per day (average in ml): text (number), Required
161 [do_you_take_during_pregnan]
Show the field ONLY if:
[no_of_family_member] >= 1
Do you take during pregnancy?
क्या आप गर्भावस्था के दौरान लेते हैं?
 radio, Required
1Yes
2No
3Not Applicable
162 [frequency_per_day_during_p]
Show the field ONLY if:
[do_you_take_during_pregnan] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
163 [tobacco_pan_chewing_smokin]
Show the field ONLY if:
[no_of_family_member] >= 1
Tobacco / Pan (Chewing, Smoking, Beedi, Cigarette, Zarda, Other ( चबाना; धूम्रपान; प्रत्यक्ष तम्बाकू; बीड़ी; सिगरेट; ज़र्दा; कोई और ) descriptive
164 [who_consumes_tobacco_pan]
Show the field ONLY if:
[no_of_family_member] >= 1
Who consumes tobacco/pan? radio, Required
1You
2Family member
3Both
4Not Applicable
165 [do_you_consume_tobacco_pan]
Show the field ONLY if:
[no_of_family_member] >= 1
Do you consume tobacco/pan? yesno, Required
1Yes
0No
166 [how_do_you_consume_tobacco]
Show the field ONLY if:
[do_you_consume_tobacco_pan] = '1'
How do you consume tobacco/pan? radio, Required
1Regular
2Occasional
167 [what_form_of_tobacco_pan_d]
Show the field ONLY if:
[do_you_consume_tobacco_pan] = '1'
What form of tobacco/pan do you use? checkbox, Required
1what_form_of_tobacco_pan_d___1Chewing
2what_form_of_tobacco_pan_d___2Smoking
3what_form_of_tobacco_pan_d___3Beedi
4what_form_of_tobacco_pan_d___4Cigarette
5what_form_of_tobacco_pan_d___5Zarda
6what_form_of_tobacco_pan_d___6Other (please specify)
168 [other_specify]
Show the field ONLY if:
[what_form_of_tobacco_pan_d(6)] = '1'
Other Specify text
169 [at_what_age_did_you_tobacco]
Show the field ONLY if:
[do_you_consume_tobacco_pan] = '1'
At what age did you start consuming tobacco/pan? text (number), Required
170 [frequency_of_tobacco_pan_c]
Show the field ONLY if:
[how_do_you_consume_tobacco] = '1'
Frequency of tobacco/pan consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
171 [quantity_consumed_per_day]
Show the field ONLY if:
[how_do_you_consume_tobacco] = '1'
Quantity consumed per day (average): text, Required
172 [do_you_take_tobacco_pan_du]
Show the field ONLY if:
[no_of_family_member] >= 1
Do you take tobacco/pan during pregnancy? radio, Required
1Yes
2No
3Not Applicable
173 [frequency_per_day_tobaco_pre]
Show the field ONLY if:
[do_you_take_tobacco_pan_du] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
174 [other_drugs_charas_ganja_b]
Show the field ONLY if:
[no_of_family_member] >= 1
Other Drugs (Charas, Ganja, Bhang, Opium, LSD, Brown Sugar, Other)(चरस; गांजा; भांग; अफ़ीम; एल.एस.डी.; ब्राउन शुगर; कोई और) descriptive
175 [who_consumes_other_drugs]
Show the field ONLY if:
[no_of_family_member] >= 1
Who consumes other drugs? radio, Required
1You
2Family member
3Both
4Not Applicable
176 [do_you_consume_other_drugs]
Show the field ONLY if:
[no_of_family_member] >= 1
Do you consume other drugs? yesno, Required
1Yes
0No
177 [how_do_you_consume_other_d]
Show the field ONLY if:
[do_you_consume_other_drugs] = '1'
How do you consume other drugs? radio, Required
1Regular
2Occasional
178 [what_type_of_drug_do_you_u]
Show the field ONLY if:
[do_you_consume_other_drugs] = '1'
What type of drug do you use? checkbox, Required
1what_type_of_drug_do_you_u___1Charas
2what_type_of_drug_do_you_u___2Ganja
3what_type_of_drug_do_you_u___3Bhang
4what_type_of_drug_do_you_u___4Opium
5what_type_of_drug_do_you_u___5LSD
6what_type_of_drug_do_you_u___6Brown Sugar
7what_type_of_drug_do_you_u___7Other (please specify)
179 [specify_other_drug]
Show the field ONLY if:
[what_type_of_drug_do_you_u(7)] = '1'
Specify Other text
180 [at_what_age_did_you_star_drug]
Show the field ONLY if:
[do_you_consume_other_drugs] = '1'
At what age did you start consuming drugs? text (number), Required
181 [frequency_of_drug_consumpt]
Show the field ONLY if:
[how_do_you_consume_other_d] = '1'
Frequency of drug consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
182 [quantity_consumed_per_day_drug]
Show the field ONLY if:
[how_do_you_consume_other_d] = '1'
Quantity consumed per day (average): text (number), Required
183 [do_you_take_drugs_during_p]
Show the field ONLY if:
[no_of_family_member] >= 1
Do you take drugs during pregnancy? radio, Required
1Yes
2No
3Not Applicable
184 [frequency_per_day_during_drug]
Show the field ONLY if:
[do_you_take_drugs_during_p] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
185 [second_family_member]
Show the field ONLY if:
[no_of_family_member] >= 2
SECOND FAMILY MEMBER descriptive
186 [sex_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Sex
लिंग 		radio, Required
1Male
2Female
3Other
187 [specify_other_2]
Show the field ONLY if:
[sex_2] = '3'
Specify other text
188 [age_year_month_days_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Age
(Year/Month/Days)
आयु
(वर्ष/महीना/दिन)
Age in years
 text (number, Min: 1, Max: 99), Required
Field Annotation: @FORCE-MINMAX
189 [relationship_with_ego_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Relationship with ego
संबंध अहंकार के साथ
 text, Required
190 [present_marital_status_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Present Marital Status
उपस्थित वैवाहिक स्थिति
 radio, Required
1Single (never married)
2Married
3Widowed
4Divorced
5Separated.
191 [educational_status_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Educational Status
शैक्षणिक स्थिति
 radio, Required
11. Primary / प्राथमिक
22. Secondary / गौण
33. And above /और ऊपर
192 [occupational_status_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Occupational Status
व्यावसायिक स्थिति
 text, Required
193 [any_kind_of_illness_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Any kind of Illness?
किसी तरह का बीमारी?

 yesno, Required
1Yes
0No
194 [name_of_illness_2]
Show the field ONLY if:
[any_kind_of_illness_2] = '1'
Name of illness text, Required
195 [duration_of_illness_2]
Show the field ONLY if:
[any_kind_of_illness_2] = '1'
Duration of illness text
196 [any_treatment_given_2]
Show the field ONLY if:
[any_kind_of_illness_2] = '1'
Any treatment Given?
कोई इलाज दिया गया?
yesno, Required
1Yes
0No
197 [if_yes_what_2]
Show the field ONLY if:
[any_treatment_given_2] = '1'
If yes, what?
अगर हाँ क्या?
 text
198 [nutritional_status_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Nutritional Status descriptive
199 [dietary_habit_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Dietary Habit
आहार संबंधी आदत 		radio, Required
1Veg / शाकाहारी
2Non-Veg / गैर-शाकाहारी
200 [amount_consumed_water_l_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Amount Consumed water (L/day):
उपभोग की गई राशि पानी (एल/दिन):
 radio, Required
1Less than 0.5 L
20.5 - 1 L
31 - 2 L
42 - 3 L
5More than 3 L
201 [no_of_full_meals_2]
Show the field ONLY if:
[no_of_family_member] >= 2
No of Full Meals:
पूर्ण भोजन की संख्या:
 radio, Required
11 meal/day
22 meals/day
33 meals/day
4More than 3 meals/day

Field Annotation: @FORCE-MINMAX
202 [frequency_non_vegetaria_2]
Show the field ONLY if:
[dietary_habit_2] = '2'
Frequency of Non-Vegetarian Food:
मांसाहारी भोजन की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/month)
3Weekly (1-2 times/week)
4Frequently (3-5 times/week)
5Daily
203 [frequency_of_vegetarian_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Frequency of Vegetarian Food:
शाकाहारी भोजन की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
204 [frequency_milk_products_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Frequency of Milk Products:
दुग्ध उत्पादों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
205 [frequency_of_pulses_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Frequency of Pulses:
दालों की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
206 [frequency_of_fruits_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Frequency of Fruits:
फलों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
207 [any_other_specific_diet_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Any other specific diet
कोई अन्य विशिष्ट आहार
 text
208 [any_illness_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Any Illnessकोई बीमारी descriptive
209 [nutritional_deficiency_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Nutritional Deficiency
पोषण की कमी
 yesno, Required
1Yes
0No
210 [which_type_of_nutritional_2]
Show the field ONLY if:
[nutritional_deficiency_2] = '1'
Which type of Nutritional Deficiency text, Required
211 [age_at_nurition_def_2]
Show the field ONLY if:
[nutritional_deficiency_2] = '1'
Age (आयु) - At what age illness started? text (number)
212 [duration_nutrient_def_2]
Show the field ONLY if:
[nutritional_deficiency_2] = '1'
Duration (अवधि) - How long did it last? text
213 [physical_disability_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Physical Disability
शारीरिक अपंगता
 yesno, Required
1Yes
0No
214 [which_type_of_physical_dis_2]
Show the field ONLY if:
[physical_disability_2] = '1'
Which type of Physical Disability
 text, Required
215 [duration_how_long_physical_2]
Show the field ONLY if:
[physical_disability_2] = '1'
Duration (अवधि) - How long did it last? text
216 [emotional_impairment_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Emotional Impairment
भावनात्मक क्षति
 yesno, Required
1Yes
0No
217 [which_type_of_emotional_im_2]
Show the field ONLY if:
[emotional_impairment_2] = '1'
Which type of Emotional Impairment
 text, Required
218 [duration_how_long_emontiona_2]
Show the field ONLY if:
[emotional_impairment_2] = '1'
Duration (अवधि) - How long did it last? text
219 [major_therapeutic_irradiat_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Major Therapeutic Irradiation Exposure
प्रमुख चिकित्सीय विकिरण एक्सपोजर
 yesno, Required
1Yes
0No
220 [which_type_of_major_therap_2]
Show the field ONLY if:
[major_therapeutic_irradiat_2] = '1'
Which type of Major Therapeutic Irradiation Exposure
 text, Required
221 [duration_how_long_major_2]
Show the field ONLY if:
[major_therapeutic_irradiat_2] = '1'
Duration (अवधि) - How long did it last? text
222 [long_illness_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Long Illness
लंबी बीमारी
 yesno, Required
1Yes
0No
223 [which_type_of_long_illness_2]
Show the field ONLY if:
[long_illness_2] = '1'
Which type of Long Illness

 text, Required
224 [duration_how_long_ilness_2]
Show the field ONLY if:
[long_illness_2] = '1'
Duration (अवधि) - How long did it last? text
225 [g_have_you_ever_been_diagn_2]
Show the field ONLY if:
[no_of_family_member] >= 2
G. Have you ever been diagnosed by a doctor for any of the following conditions?जी. क्या आपको कभी किसी डॉक्टर द्वारा निम्नलिखित में से किसी भी स्थिति का निदान किया गया है? descriptive
226 [heart_failure_disease_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Heart failure/disease
हृदय विफलता/बीमारी
 yesno, Required
1Yes
0No
227 [type_heart_disesae_2]
Show the field ONLY if:
[heart_failure_disease_2] = '1'
Type
प्रकार 		text
228 [age_heart_faliour_2]
Show the field ONLY if:
[heart_failure_disease_2] = '1'
Age
आयु
 text (number)
229 [irritable_bowel_disease_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Irritable Bowel Disease
चिड़चिड़ा आंत्र रोग
 yesno, Required
1Yes
0No
230 [type_irritable_bowel_2]
Show the field ONLY if:
[irritable_bowel_disease_2] = '1'
Type
प्रकार
 text
231 [age_bowel_disease_2]
Show the field ONLY if:
[irritable_bowel_disease_2] = '1'
Age
आयु
 text (number)
232 [chronic_bronchitis_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Chronic Bronchitis
क्रोनिक ब्रोंकाइटिस
 yesno, Required
1Yes
0No
233 [type_bronchitis_2]
Show the field ONLY if:
[chronic_bronchitis_2] = '1'
Type
प्रकार
 text
234 [age_bronchitis_2]
Show the field ONLY if:
[chronic_bronchitis_2] = '1'
Age
आयु
 text (number)
235 [hernia_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Hernia
हरनिया
 yesno, Required
1Yes
0No
236 [type_hernia_2]
Show the field ONLY if:
[hernia_2] = '1'
Type
प्रकार
 text
237 [age_hernia_2]
Show the field ONLY if:
[hernia_2] = '1'
Age
आयु
 text (number)
238 [emphysema_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Emphysema
वातस्फीति
 yesno, Required
1Yes
0No
239 [type_endometriosis_2]
Show the field ONLY if:
[emphysema_2] = '1'
Type
प्रकार
 text
240 [age_endometriosis_2]
Show the field ONLY if:
[emphysema_2] = '1'
Age
आयु
 text (number)
241 [arthritis_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Arthritis
वात रोग
 yesno, Required
1Yes
0No
242 [type_arthritis_2]
Show the field ONLY if:
[arthritis_2] = '1'
Type
प्रकार 		text
243 [age_arthritis_2]
Show the field ONLY if:
[arthritis_2] = '1'
Age
आयु 		text (number)
244 [inflammatory_bowel_disease_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Inflammatory bowel disease
सूजा आंत्र रोग
 yesno, Required
1Yes
0No
245 [type_inflammatory_bowel_2]
Show the field ONLY if:
[inflammatory_bowel_disease_2] = '1'
Type
प्रकार 		text
246 [age_inflammatory_bowel_disease_2]
Show the field ONLY if:
[inflammatory_bowel_disease_2] = '1'
Age
आयु 		text, Required
247 [depression_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Depression
अवसाद
 yesno, Required
1Yes
0No
248 [type_depression_2]
Show the field ONLY if:
[depression_2] = '1'
Type
प्रकार 		text
249 [age_depression_2]
Show the field ONLY if:
[depression_2] = '1'
Age
आयु 		text (number)
250 [cancer_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Cancer
कैंसर
 yesno, Required
1Yes
0No
251 [type_cancer_2]
Show the field ONLY if:
[cancer_2] = '1'
Type
प्रकार 		text
252 [age_cancer_2]
Show the field ONLY if:
[cancer_2] = '1'
Age
आयु 		text (number)
253 [have_you_been_diagnose_2]
Show the field ONLY if:
[no_of_family_member] >= 2
G11. Have you been diagnosed with Asthma?
क्या आपको अस्थमा का निदान हुआ है?
 yesno, Required
1Yes
0No
254 [age_at_diagnosis_g12]
Show the field ONLY if:
[have_you_been_diagnose_2] = "1"
Age at diagnosis: text
255 [g12_have_you_been_diagnose_2]
Show the field ONLY if:
[no_of_family_member] >= 2
G12. Have you been diagnosed with Typhoid/Enteric Fever? yesno, Required
1Yes
0No
256 [age_at_diagnosis_g_13]
Show the field ONLY if:
[g12_have_you_been_diagnose_2] = "1"
Age at diagnosis:
 text
257 [g13_have_you_been_diagnose_2]
Show the field ONLY if:
[no_of_family_member] >= 2
G13. Have you been diagnosed with Jaundice/Hepatitis? yesno, Required
1Yes
0No
258 [age_at_diagnosis_g14]
Show the field ONLY if:
[g13_have_you_been_diagnose_2] = "1"
Age at diagnosis: text
259 [h_have_you_or_your_family_2]
Show the field ONLY if:
[no_of_family_member] >= 2
H. Have you or your family member suffered from any of the listed symptoms in last 1 year?क्या आप या आपके परिवार के सदस्य पिछले एक वर्ष में सूचीबद्ध लक्षणों में से किसी से पीड़ित हुए हैं? descriptive
260 [high_fever_2]
Show the field ONLY if:
[no_of_family_member] >= 2
High fever / तेज़ बुखार yesno, Required
1Yes
0No
261 [when_highg_fever_2]
Show the field ONLY if:
[high_fever_2] = '1'
When
कब 		text
262 [how_many_times_fever_2]
Show the field ONLY if:
[high_fever_2] = '1'
How many times
कितनी बार
 text
263 [weakness_and_fatigue_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Weakness and Fatigue
कमज़ोरी और थकान
 yesno, Required
1Yes
0No
264 [when_weakness_2]
Show the field ONLY if:
[weakness_and_fatigue_2] = "1"
When
कब 		text
265 [how_many_times_weakness_2]
Show the field ONLY if:
[weakness_and_fatigue_2] = "1"
How many times
कितनी बार 		text
266 [muscle_ache_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Muscle ache
मांसपेशियों में दर्द
 yesno, Required
1Yes
0No
267 [when_muscle_2]
Show the field ONLY if:
[muscle_ache_2] = "1"
When
कब 		text
268 [how_many_times_muscle_2]
Show the field ONLY if:
[muscle_ache_2] = "1"
How many times
कितनी बार 		text
269 [stomach_pain_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Stomach pain
पेट दर्द
 yesno, Required
1Yes
0No
270 [when_stomach_2]
Show the field ONLY if:
[stomach_pain_2] = "1"
When
कब 		text
271 [how_many_times_stomach_2]
Show the field ONLY if:
[stomach_pain_2] = "1"
How many times
कितनी बार 		text
272 [loss_of_appetite_and_weigh_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Loss of appetite and weight
भूख और वजन में कमी
 yesno, Required
1Yes
0No
273 [when_appetite_2]
Show the field ONLY if:
[loss_of_appetite_and_weigh_2] ="1"
When
कब 		text
274 [how_many_times_appetite_2]
Show the field ONLY if:
[loss_of_appetite_and_weigh_2] ="1"
How many times
कितनी बार 		text
275 [dry_cough_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Dry cough
सूखी खाँसी
 yesno, Required
1Yes
0No
276 [when_dry_cough_2]
Show the field ONLY if:
[dry_cough_2] = "1"
When
कब 		text
277 [how_many_times_dry_cough_2]
Show the field ONLY if:
[dry_cough_2] = "1"
How many times
कितनी बार 		text
278 [diarrhoea_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Diarrhoea
दस्त
 yesno, Required
1Yes
0No
279 [when_diarrhoea_2]
Show the field ONLY if:
[diarrhoea_2] = "1"
When
कब 		text
280 [how_many_times_diarrheaea_2]
Show the field ONLY if:
[diarrhoea_2] = "1"
How many times
कितनी बार 		text
281 [hair_fall_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Hair fall
बाल झड़ना
 yesno, Required
1Yes
0No
282 [when_hair_fall_2]
Show the field ONLY if:
[hair_fall_2] = '1'
When
कब 		text
283 [how_many_times_hair_fall_2]
Show the field ONLY if:
[hair_fall_2] = '1'
How many times
कितनी बार 		text
284 [itching_and_rashes_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Itching and rashes
खुजली और चकत्ते
 yesno, Required
1Yes
0No
285 [when_itching_2]
Show the field ONLY if:
[itching_and_rashes_2] = "1"
When
कब 		text
286 [how_many_times_itching_2]
Show the field ONLY if:
[itching_and_rashes_2] = "1"
How many times
कितनी बार 		text
287 [headaches_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Headaches
सिर दर्द
 yesno, Required
1Yes
0No
288 [when_headaches_2]
Show the field ONLY if:
[headaches_2] = "1"
When
कब 		text
289 [how_many_times_headaches_2]
Show the field ONLY if:
[headaches_2] = "1"
How many times
कितनी बार 		text
290 [eye_pain_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Eye pain
आँख का दर्द
 yesno, Required
1Yes
0No
291 [when_eye_pain_2]
Show the field ONLY if:
[eye_pain_2] = "1"
When
कब 		text
292 [how_many_times_eyepain_2]
Show the field ONLY if:
[eye_pain_2] = "1"
How many times
कितनी बार 		text
293 [h12_shortness_of_breath_2]
Show the field ONLY if:
[no_of_family_member] >= 4
H12. Shortness of breath/Difficulty breathing
सांस की तकलीफ/सांस लेने में कठिनाई
 yesno, Required
1Yes
0No
294 [when_h12_2]
Show the field ONLY if:
[h12_shortness_of_breath_2] = "1"
When
कब 		text
295 [how_many_times_h12_2]
Show the field ONLY if:
[h12_shortness_of_breath_2] = "1"
How many times
कितनी बार 		text
296 [h13_wheezing_or_whistling_2]
Show the field ONLY if:
[no_of_family_member] >= 4
H13. Wheezing or whistling sound while breathing
सांस लेते समय घरघराहट या सीटी की आवाज
 yesno, Required
1Yes
0No
297 [when_h13_2]
Show the field ONLY if:
[h13_wheezing_or_whistling_2] = "1"
When
कब 		text
298 [how_many_times_h13_2]
Show the field ONLY if:
[h13_wheezing_or_whistling_2] = "1"
How many times
कितनी बार 		text
299 [h14_nasal_congestion_runny_2]
Show the field ONLY if:
[no_of_family_member] >= 4
H14. Nasal congestion/Runny nose
नाक बंद/नाक बहना
 yesno, Required
1Yes
0No
300 [when_h14_2]
Show the field ONLY if:
[h14_nasal_congestion_runny_2] = "1"
When
कब 		text
301 [how_many_times_h14_2]
Show the field ONLY if:
[h14_nasal_congestion_runny_2] = "1"
How many times
कितनी बार 		text
302 [h15_vomiting_2]
Show the field ONLY if:
[no_of_family_member] >= 2
H15. Vomiting
उल्टी 		yesno, Required
1Yes
0No
303 [when_h15_2]
Show the field ONLY if:
[h15_vomiting_2] ="1"
When
कब 		text
304 [how_many_times_h15_2]
Show the field ONLY if:
[h15_vomiting_2] ="1"
How many times
कितनी बार 		text
305 [alcohol_locally_fermented_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Alcohol / Locally Fermented Beer (Mahua, Whisky, Rum, Beer, Other (Mahua; Whisky; Rum; any other / महुआ; व्हिस्की; रम; कोई और) descriptive
306 [who_consumes_alcohol_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Who consumes alcohol? radio, Required
1You/ आप
2Family member/ परिवार के सदस्य
3Both / दोनों
4Not Applicable
307 [do_you_consume_alcohol_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Do you consume alcohol? yesno, Required
1Yes
0No
308 [how_do_you_consume_2]
Show the field ONLY if:
[do_you_consume_alcohol_2] = '1'
How do you consume? radio, Required
1Regular/ नियमित
2Occasional/प्रासंगिक
309 [at_what_age_did_you_start_2]
Show the field ONLY if:
[do_you_consume_alcohol_2] = '1'
At what age did you start consuming alcohol? text (number), Required
310 [frequency_of_alcohol_consu_2]
Show the field ONLY if:
[how_do_you_consume_2] = '1'
Frequency of alcohol consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
5Occasional
311 [quantity_of_alcohol_consum_2]
Show the field ONLY if:
[how_do_you_consume_2] = '1'
Quantity of alcohol consumed per day (average in ml): text (number), Required
312 [do_you_take_during_pregnan_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Do you take during pregnancy?
क्या आप गर्भावस्था के दौरान लेते हैं?
 radio, Required
1Yes
2No
3Not Applicable
313 [frequency_per_day_during_p_2]
Show the field ONLY if:
[do_you_take_during_pregnan_2] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
314 [tobacco_pan_chewing_smokin_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Tobacco / Pan (Chewing, Smoking, Beedi, Cigarette, Zarda, Other ( चबाना; धूम्रपान; प्रत्यक्ष तम्बाकू; बीड़ी; सिगरेट; ज़र्दा; कोई और ) descriptive
315 [who_consumes_tobacco_pan_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Who consumes tobacco/pan? radio, Required
1You
2Family member
3Both
4Not applicable
316 [do_you_consume_tobacco_pan_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Do you consume tobacco/pan? yesno, Required
1Yes
0No
317 [how_do_you_consume_tobacco_2]
Show the field ONLY if:
[do_you_consume_tobacco_pan_2] = '1'
How do you consume tobacco/pan? radio, Required
1Regular
2Occasional
318 [what_form_of_tobacco_pan_d_2]
Show the field ONLY if:
[do_you_consume_tobacco_pan_2] = '1'
What form of tobacco/pan do you use? checkbox, Required
1what_form_of_tobacco_pan_d_2___1Chewing
2what_form_of_tobacco_pan_d_2___2Smoking
3what_form_of_tobacco_pan_d_2___3Beedi
4what_form_of_tobacco_pan_d_2___4Cigarette
5what_form_of_tobacco_pan_d_2___5Zarda
6what_form_of_tobacco_pan_d_2___6Other (please specify)
319 [other_specify_2]
Show the field ONLY if:
[what_form_of_tobacco_pan_d(6)] = '1'
Other Specify text
320 [at_what_age_did_you_tobacco_2]
Show the field ONLY if:
[do_you_consume_tobacco_pan_2] = '1'
At what age did you start consuming tobacco/pan? text (number), Required
321 [frequency_of_tobacco_pan_c_2]
Show the field ONLY if:
[how_do_you_consume_tobacco_2] = '1'
Frequency of tobacco/pan consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
322 [quantity_consumed_per_day_2]
Show the field ONLY if:
[how_do_you_consume_tobacco_2] = '1'
Quantity consumed per day (average): text, Required
323 [do_you_take_tobacco_pan_du_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Do you take tobacco/pan during pregnancy? radio, Required
1Yes
2No
3Not Applicable
324 [frequency_per_day_tobaco_pre_2]
Show the field ONLY if:
[do_you_take_tobacco_pan_du_2] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
325 [other_drugs_charas_ganja_b_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Other Drugs (Charas, Ganja, Bhang, Opium, LSD, Brown Sugar, Other)(चरस; गांजा; भांग; अफ़ीम; एल.एस.डी.; ब्राउन शुगर; कोई और) descriptive
326 [who_consumes_other_drugs_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Who consumes other drugs? radio, Required
1You
2Family member
3Both
4Not Applicable
327 [do_you_consume_other_drugs_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Do you consume other drugs? yesno, Required
1Yes
0No
328 [how_do_you_consume_other_d_2]
Show the field ONLY if:
[do_you_consume_other_drugs_2] = '1'
How do you consume other drugs? radio, Required
1Regular
2Occasional
329 [what_type_of_drug_do_you_u_2]
Show the field ONLY if:
[do_you_consume_other_drugs_2] = '1'
What type of drug do you use? checkbox, Required
1what_type_of_drug_do_you_u_2___1Charas
2what_type_of_drug_do_you_u_2___2Ganja
3what_type_of_drug_do_you_u_2___3Bhang
4what_type_of_drug_do_you_u_2___4Opium
5what_type_of_drug_do_you_u_2___5LSD
6what_type_of_drug_do_you_u_2___6Brown Sugar
7what_type_of_drug_do_you_u_2___7Other (please specify)
330 [specify_other_drug_2]
Show the field ONLY if:
[what_type_of_drug_do_you_u(7)] = '1'
Specify Other text
331 [at_what_age_did_you_star_drug_2]
Show the field ONLY if:
[do_you_consume_other_drugs_2] = '1'
At what age did you start consuming drugs? text (number), Required
332 [frequency_of_drug_consumpt_2]
Show the field ONLY if:
[how_do_you_consume_other_d_2] = '1'
Frequency of drug consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
333 [quantity_consumed_per_day_drug_2]
Show the field ONLY if:
[how_do_you_consume_other_d_2] = '1'
Quantity consumed per day (average): text (number), Required
334 [do_you_take_drugs_during_p_2]
Show the field ONLY if:
[no_of_family_member] >= 2
Do you take drugs during pregnancy? radio, Required
1Yes
2No
3Not Applicable
335 [frequency_per_day_during_drug_2]
Show the field ONLY if:
[do_you_take_drugs_during_p_2] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
336 [third_family_member]
Show the field ONLY if:
[no_of_family_member] >= 3
THIRD FAMILY MEMBER descriptive
337 [sex_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Sex
लिंग 		radio, Required
1Male
2Female
3Other
338 [specify_other_3]
Show the field ONLY if:
[sex_3] = '3'
Specify other text
339 [age_year_month_days_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Age
(Year/Month/Days)
आयु
(वर्ष/महीना/दिन)
Age in years
 text (number, Min: 1, Max: 99), Required
Field Annotation: @FORCE-MINMAX
340 [relationship_with_ego_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Relationship with ego
संबंध अहंकार के साथ
 text, Required
341 [present_marital_status_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Present Marital Status
उपस्थित वैवाहिक स्थिति
 radio, Required
1Single (never married)
2Married
3Widowed
4Divorced
5Separated.
342 [educational_status_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Educational Status
शैक्षणिक स्थिति
 radio, Required
11. Primary / प्राथमिक
22. Secondary / गौण
33. And above /और ऊपर
343 [occupational_status_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Occupational Status
व्यावसायिक स्थिति
 text, Required
344 [any_kind_of_illness_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Any kind of Illness?
किसी तरह का बीमारी?

 yesno, Required
1Yes
0No
345 [name_of_illness_3]
Show the field ONLY if:
[any_kind_of_illness_3] = '1'
Name of illness text, Required
346 [duration_of_illness_3]
Show the field ONLY if:
[any_kind_of_illness_3] = '1'
Duration of illness text
347 [any_treatment_given_3]
Show the field ONLY if:
[any_kind_of_illness_3] = '1'
Any treatment Given?
कोई इलाज दिया गया?
yesno, Required
1Yes
0No
348 [if_yes_what_3]
Show the field ONLY if:
[any_treatment_given_3] = '1'
If yes, what?
अगर हाँ क्या?
 text
349 [nutritional_status_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Nutritional Status descriptive
350 [dietary_habit_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Dietary Habit
आहार संबंधी आदत 		radio, Required
1Veg / शाकाहारी
2Non-Veg / गैर-शाकाहारी
351 [amount_consumed_water_l_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Amount Consumed water (L/day):
उपभोग की गई राशि पानी (एल/दिन):
 radio, Required
1Less than 0.5 L
20.5 - 1 L
31 - 2 L
42 - 3 L
5More than 3 L
352 [no_of_full_meals_3]
Show the field ONLY if:
[no_of_family_member] >= 3
No of Full Meals:
पूर्ण भोजन की संख्या:
 radio, Required
11 meal/day
22 meals/day
33 meals/day
4More than 3 meals/day

Field Annotation: @FORCE-MINMAX
353 [frequency_non_vegetaria_3]
Show the field ONLY if:
[dietary_habit_3] = '2'
Frequency of Non-Vegetarian Food:
मांसाहारी भोजन की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/month)
3Weekly (1-2 times/week)
4Frequently (3-5 times/week)
5Daily
354 [frequency_of_vegetarian_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Frequency of Vegetarian Food:
शाकाहारी भोजन की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
355 [frequency_milk_products_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Frequency of Milk Products:
दुग्ध उत्पादों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
356 [frequency_of_pulses_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Frequency of Pulses:
दालों की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
357 [frequency_of_fruits_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Frequency of Fruits:
फलों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
358 [any_other_specific_diet_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Any other specific diet
कोई अन्य विशिष्ट आहार
 text
359 [any_illness_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Any Illnessकोई बीमारी descriptive
360 [nutritional_deficiency_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Nutritional Deficiency
पोषण की कमी
 yesno, Required
1Yes
0No
361 [which_type_of_nutritional_3]
Show the field ONLY if:
[nutritional_deficiency_3] = '1'
Which type of Nutritional Deficiency text, Required
362 [age_at_nurition_def_3]
Show the field ONLY if:
[nutritional_deficiency_3] = '1'
Age (आयु) - At what age illness started? text (number)
363 [duration_nutrient_def_3]
Show the field ONLY if:
[nutritional_deficiency_3] = '1'
Duration (अवधि) - How long did it last? text
364 [physical_disability_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Physical Disability
शारीरिक अपंगता
 yesno, Required
1Yes
0No
365 [which_type_of_physical_dis_3]
Show the field ONLY if:
[physical_disability_3] = '1'
Which type of Physical Disability
 text, Required
366 [duration_how_long_physical_3]
Show the field ONLY if:
[physical_disability_3] = '1'
Duration (अवधि) - How long did it last? text
367 [emotional_impairment_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Emotional Impairment
भावनात्मक क्षति
 yesno, Required
1Yes
0No
368 [which_type_of_emotional_im_3]
Show the field ONLY if:
[emotional_impairment_3] = '1'
Which type of Emotional Impairment
 text, Required
369 [duration_how_long_emontiona_3]
Show the field ONLY if:
[emotional_impairment_3] = '1'
Duration (अवधि) - How long did it last? text
370 [major_therapeutic_irradiat_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Major Therapeutic Irradiation Exposure
प्रमुख चिकित्सीय विकिरण एक्सपोजर
 yesno, Required
1Yes
0No
371 [which_type_of_major_therap_3]
Show the field ONLY if:
[major_therapeutic_irradiat_3] = '1'
Which type of Major Therapeutic Irradiation Exposure
 text, Required
372 [duration_how_long_major_3]
Show the field ONLY if:
[major_therapeutic_irradiat_3] = '1'
Duration (अवधि) - How long did it last? text
373 [long_illness_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Long Illness
लंबी बीमारी
 yesno, Required
1Yes
0No
374 [which_type_of_long_illness_3]
Show the field ONLY if:
[long_illness_3] = '1'
Which type of Long Illness

 text, Required
375 [duration_how_long_ilness_3]
Show the field ONLY if:
[long_illness_3] = '1'
Duration (अवधि) - How long did it last? text
376 [g_have_you_ever_been_diagn_3]
Show the field ONLY if:
[no_of_family_member] >= 3
G. Have you ever been diagnosed by a doctor for any of the following conditions?जी. क्या आपको कभी किसी डॉक्टर द्वारा निम्नलिखित में से किसी भी स्थिति का निदान किया गया है? descriptive
377 [heart_failure_disease_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Heart failure/disease
हृदय विफलता/बीमारी
 yesno, Required
1Yes
0No
378 [type_heart_disesae_3]
Show the field ONLY if:
[heart_failure_disease_3] = '1'
Type
प्रकार 		text
379 [age_heart_faliour_3]
Show the field ONLY if:
[heart_failure_disease_3] = '1'
Age
आयु
 text (number)
380 [irritable_bowel_disease_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Irritable Bowel Disease
चिड़चिड़ा आंत्र रोग
 yesno, Required
1Yes
0No
381 [type_irritable_bowel_3]
Show the field ONLY if:
[irritable_bowel_disease_3] = '1'
Type
प्रकार
 text
382 [age_bowel_disease_3]
Show the field ONLY if:
[irritable_bowel_disease_3] = '1'
Age
आयु
 text (number)
383 [chronic_bronchitis_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Chronic Bronchitis
क्रोनिक ब्रोंकाइटिस
 yesno, Required
1Yes
0No
384 [type_bronchitis_3]
Show the field ONLY if:
[chronic_bronchitis_3] = '1'
Type
प्रकार
 text
385 [age_bronchitis_3]
Show the field ONLY if:
[chronic_bronchitis_3] = '1'
Age
आयु
 text (number)
386 [hernia_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Hernia
हरनिया
 yesno, Required
1Yes
0No
387 [type_hernia_3]
Show the field ONLY if:
[hernia_3] = '1'
Type
प्रकार
 text
388 [age_hernia_3]
Show the field ONLY if:
[hernia_3] = '1'
Age
आयु
 text (number)
389 [emphysema_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Emphysema
वातस्फीति
 yesno, Required
1Yes
0No
390 [type_endometriosis_3]
Show the field ONLY if:
[emphysema_3] = '1'
Type
प्रकार
 text
391 [age_endometriosis_3]
Show the field ONLY if:
[emphysema_3] = '1'
Age
आयु
 text (number)
392 [arthritis_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Arthritis
वात रोग
 yesno, Required
1Yes
0No
393 [type_arthritis_3]
Show the field ONLY if:
[arthritis_3] = '1'
Type
प्रकार 		text
394 [age_arthritis_3]
Show the field ONLY if:
[arthritis_3] = '1'
Age
आयु 		text (number)
395 [inflammatory_bowel_disease_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Inflammatory bowel disease
सूजा आंत्र रोग
 yesno, Required
1Yes
0No
396 [type_inflammatory_bowel_3]
Show the field ONLY if:
[inflammatory_bowel_disease_3] = '1'
Type
प्रकार 		text
397 [age_inflammatory_bowel_disease_3]
Show the field ONLY if:
[inflammatory_bowel_disease_3] = '1'
Age
आयु 		text, Required
398 [depression_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Depression
अवसाद
 yesno, Required
1Yes
0No
399 [type_depression_3]
Show the field ONLY if:
[depression_3] = '1'
Type
प्रकार 		text
400 [age_depression_3]
Show the field ONLY if:
[depression_3] = '1'
Age
आयु 		text (number)
401 [cancer_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Cancer
कैंसर
 yesno, Required
1Yes
0No
402 [type_cancer_3]
Show the field ONLY if:
[cancer_3] = '1'
Type
प्रकार 		text
403 [age_cancer_3]
Show the field ONLY if:
[cancer_3] = '1'
Age
आयु 		text (number)
404 [have_you_been_diagnose_3]
Show the field ONLY if:
[no_of_family_member] >= 3
G11. Have you been diagnosed with Asthma?
क्या आपको अस्थमा का निदान हुआ है?
 yesno, Required
1Yes
0No
405 [age_at_diagnosis_g15]
Show the field ONLY if:
[have_you_been_diagnose_3] = "1"
Age at diagnosis: text
406 [g12_have_you_been_diagnose_3]
Show the field ONLY if:
[no_of_family_member] >= 3
G12. Have you been diagnosed with Typhoid/Enteric Fever? yesno, Required
1Yes
0No
407 [age_at_diagnosis_g_14]
Show the field ONLY if:
[g12_have_you_been_diagnose_3] = "1"
Age at diagnosis:
 text
408 [g13_have_you_been_diagnose_3]
Show the field ONLY if:
[no_of_family_member] >= 3
G13. Have you been diagnosed with Jaundice/Hepatitis? yesno, Required
1Yes
0No
409 [age_at_diagnosis_g16]
Show the field ONLY if:
[g13_have_you_been_diagnose_3] = "1"
Age at diagnosis: text
410 [h_have_you_or_your_family_3]
Show the field ONLY if:
[no_of_family_member] >= 3
H. Have you or your family member suffered from any of the listed symptoms in last 1 year?क्या आप या आपके परिवार के सदस्य पिछले एक वर्ष में सूचीबद्ध लक्षणों में से किसी से पीड़ित हुए हैं? descriptive
411 [high_fever_3]
Show the field ONLY if:
[no_of_family_member] >= 3
High fever / तेज़ बुखार yesno, Required
1Yes
0No
412 [when_highg_fever_3]
Show the field ONLY if:
[high_fever_3] = "1"
When
कब 		text
413 [how_many_times_fever_3]
Show the field ONLY if:
[high_fever_3] = "1"
How many times
कितनी बार
 text
414 [weakness_and_fatigue_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Weakness and Fatigue
कमज़ोरी और थकान
 yesno, Required
1Yes
0No
415 [when_weakness_3]
Show the field ONLY if:
[weakness_and_fatigue_3] = "1"
When
कब 		text
416 [how_many_times_weakness_3]
Show the field ONLY if:
[weakness_and_fatigue_3] = "1"
How many times
कितनी बार 		text
417 [muscle_ache_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Muscle ache
मांसपेशियों में दर्द
 yesno, Required
1Yes
0No
418 [when_muscle_3]
Show the field ONLY if:
[muscle_ache_3] = "1"
When
कब 		text
419 [how_many_times_muscle_3]
Show the field ONLY if:
[muscle_ache_3] = "1"
How many times
कितनी बार 		text
420 [stomach_pain_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Stomach pain
पेट दर्द
 yesno, Required
1Yes
0No
421 [when_stomach_3]
Show the field ONLY if:
[stomach_pain_3] = "1"
When
कब 		text
422 [how_many_times_stomach_3]
Show the field ONLY if:
[stomach_pain_3] = "1"
How many times
कितनी बार 		text
423 [loss_of_appetite_and_weigh_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Loss of appetite and weight
भूख और वजन में कमी
 yesno, Required
1Yes
0No
424 [when_appetite_3]
Show the field ONLY if:
[loss_of_appetite_and_weigh_3] ="1"
When
कब 		text
425 [how_many_times_appetite_3]
Show the field ONLY if:
[loss_of_appetite_and_weigh_3] ="1"
How many times
कितनी बार 		text
426 [dry_cough_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Dry cough
सूखी खाँसी
 yesno, Required
1Yes
0No
427 [when_dry_cough_3]
Show the field ONLY if:
[dry_cough_3] = "1"
When
कब 		text
428 [how_many_times_dry_cough_3]
Show the field ONLY if:
[dry_cough_3] = "1"
How many times
कितनी बार 		text
429 [diarrhoea_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Diarrhoea
दस्त
 yesno, Required
1Yes
0No
430 [when_diarrhoea_3]
Show the field ONLY if:
[diarrhoea_3] = "1"
When
कब 		text
431 [how_many_times_diarrheaea_3]
Show the field ONLY if:
[diarrhoea_3] = "1"
How many times
कितनी बार 		text
432 [hair_fall_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Hair fall
बाल झड़ना
 yesno, Required
1Yes
0No
433 [when_hair_fall_3]
Show the field ONLY if:
[hair_fall_3] = '1'
When
कब 		text
434 [how_many_times_hair_fall_3]
Show the field ONLY if:
[hair_fall_3] = '1'
How many times
कितनी बार 		text
435 [itching_and_rashes_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Itching and rashes
खुजली और चकत्ते
 yesno, Required
1Yes
0No
436 [when_itching_3]
Show the field ONLY if:
[itching_and_rashes_3] = "1"
When
कब 		text
437 [how_many_times_itching_3]
Show the field ONLY if:
[itching_and_rashes_3] = "1"
How many times
कितनी बार 		text
438 [headaches_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Headaches
सिर दर्द
 yesno, Required
1Yes
0No
439 [when_headaches_3]
Show the field ONLY if:
[headaches_3] = "1"
When
कब 		text
440 [how_many_times_headaches_3]
Show the field ONLY if:
[headaches_3] = "1"
How many times
कितनी बार 		text
441 [eye_pain_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Eye pain
आँख का दर्द
 yesno, Required
1Yes
0No
442 [when_eye_pain_3]
Show the field ONLY if:
[eye_pain_3] = "1"
When
कब 		text
443 [how_many_times_eyepain_3]
Show the field ONLY if:
[eye_pain_3] = "1"
How many times
कितनी बार 		text
444 [h12_shortness_of_breath_3]
Show the field ONLY if:
[no_of_family_member] >= 3
H12. Shortness of breath/Difficulty breathing
सांस की तकलीफ/सांस लेने में कठिनाई
 yesno, Required
1Yes
0No
445 [when_h12_3]
Show the field ONLY if:
[h12_shortness_of_breath_3] ="1"
When
कब 		text
446 [how_many_times_h12_3]
Show the field ONLY if:
[h12_shortness_of_breath_3] ="1"
How many times
कितनी बार 		text
447 [h13_wheezing_or_whistling_3]
Show the field ONLY if:
[no_of_family_member] >= 3
H13. Wheezing or whistling sound while breathing
सांस लेते समय घरघराहट या सीटी की आवाज
 yesno, Required
1Yes
0No
448 [when_h13_3]
Show the field ONLY if:
[h13_wheezing_or_whistling_3] = "1"
When
कब 		text
449 [how_many_times_h13_3]
Show the field ONLY if:
[h13_wheezing_or_whistling_3] = "1"
How many times
कितनी बार 		text
450 [h14_nasal_congestion_runny_3]
Show the field ONLY if:
[no_of_family_member] >= 3
H14. Nasal congestion/Runny nose
नाक बंद/नाक बहना
 yesno, Required
1Yes
0No
451 [when_h14_3]
Show the field ONLY if:
[h14_nasal_congestion_runny_3] = "1"
When
कब 		text
452 [how_many_times_h14_3]
Show the field ONLY if:
[h14_nasal_congestion_runny_3] = "1"
How many times
कितनी बार 		text
453 [h15_vomiting_3]
Show the field ONLY if:
[no_of_family_member] >= 3
H15. Vomiting
उल्टी 		yesno, Required
1Yes
0No
454 [when_h15_3]
Show the field ONLY if:
[h15_vomiting_3] = "1"
When
कब 		text
455 [how_many_times_h15_3]
Show the field ONLY if:
[h15_vomiting_3] = "1"
How many times
कितनी बार 		text
456 [alcohol_locally_fermented_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Alcohol / Locally Fermented Beer (Mahua, Whisky, Rum, Beer, Other (Mahua; Whisky; Rum; any other / महुआ; व्हिस्की; रम; कोई और) descriptive
457 [who_consumes_alcohol_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Who consumes alcohol? radio, Required
1You/ आप
2Family member/ परिवार के सदस्य
3Both / दोनों
4Not Applicable
458 [do_you_consume_alcohol_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Do you consume alcohol? yesno, Required
1Yes
0No
459 [how_do_you_consume_3]
Show the field ONLY if:
[do_you_consume_alcohol_3] = '1'
How do you consume? radio, Required
1Regular/ नियमित
2Occasional/प्रासंगिक
460 [at_what_age_did_you_start_3]
Show the field ONLY if:
[do_you_consume_alcohol_3] = '1'
At what age did you start consuming alcohol? text (number), Required
461 [frequency_of_alcohol_consu_3]
Show the field ONLY if:
[how_do_you_consume_3] = '1'
Frequency of alcohol consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
5Occasional
462 [quantity_of_alcohol_consum_3]
Show the field ONLY if:
[how_do_you_consume_3] = '1'
Quantity of alcohol consumed per day (average in ml): text (number), Required
463 [do_you_take_during_pregnan_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Do you take during pregnancy?
क्या आप गर्भावस्था के दौरान लेते हैं?
 radio, Required
1Yes
2No
3Not Applicable
464 [frequency_per_day_during_p_3]
Show the field ONLY if:
[do_you_take_during_pregnan_3] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
465 [tobacco_pan_chewing_smokin_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Tobacco / Pan (Chewing, Smoking, Beedi, Cigarette, Zarda, Other ( चबाना; धूम्रपान; प्रत्यक्ष तम्बाकू; बीड़ी; सिगरेट; ज़र्दा; कोई और ) descriptive
466 [who_consumes_tobacco_pan_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Who consumes tobacco/pan? radio, Required
1You
2Family member
3Both
4Not Applicable
467 [do_you_consume_tobacco_pan_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Do you consume tobacco/pan? yesno, Required
1Yes
0No
468 [how_do_you_consume_tobacco_3]
Show the field ONLY if:
[do_you_consume_tobacco_pan_3] = '1'
How do you consume tobacco/pan? radio, Required
1Regular
2Occasional
469 [what_form_of_tobacco_pan_d_3]
Show the field ONLY if:
[do_you_consume_tobacco_pan_3] = '1'
What form of tobacco/pan do you use? checkbox, Required
1what_form_of_tobacco_pan_d_3___1Chewing
2what_form_of_tobacco_pan_d_3___2Smoking
3what_form_of_tobacco_pan_d_3___3Beedi
4what_form_of_tobacco_pan_d_3___4Cigarette
5what_form_of_tobacco_pan_d_3___5Zarda
6what_form_of_tobacco_pan_d_3___6Other (please specify)
470 [other_specify_3]
Show the field ONLY if:
[what_form_of_tobacco_pan_d_3(6)] = '1'
Other Specify text
471 [at_what_age_did_you_tobacco_3]
Show the field ONLY if:
[do_you_consume_tobacco_pan_3] = '1'
At what age did you start consuming tobacco/pan? text (number), Required
472 [frequency_of_tobacco_pan_c_3]
Show the field ONLY if:
[how_do_you_consume_tobacco_3] = '1'
Frequency of tobacco/pan consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
473 [quantity_consumed_per_day_3]
Show the field ONLY if:
[how_do_you_consume_tobacco_3] = '1'
Quantity consumed per day (average): text, Required
474 [do_you_take_tobacco_pan_du_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Do you take tobacco/pan during pregnancy? radio, Required
1Yes
2No
3Not Applicable
475 [frequency_per_day_tobaco_pre_3]
Show the field ONLY if:
[do_you_take_tobacco_pan_du_3] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
476 [other_drugs_charas_ganja_b_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Other Drugs (Charas, Ganja, Bhang, Opium, LSD, Brown Sugar, Other)(चरस; गांजा; भांग; अफ़ीम; एल.एस.डी.; ब्राउन शुगर; कोई और) descriptive
477 [who_consumes_other_drugs_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Who consumes other drugs? radio, Required
1You
2Family member
3Both
4Not Applicable
478 [do_you_consume_other_drugs_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Do you consume other drugs? yesno, Required
1Yes
0No
479 [how_do_you_consume_other_d_3]
Show the field ONLY if:
[do_you_consume_other_drugs_3] = '1'
How do you consume other drugs? radio, Required
1Regular
2Occasional
480 [what_type_of_drug_do_you_u_3]
Show the field ONLY if:
[do_you_consume_other_drugs_3] = '1'
What type of drug do you use? checkbox, Required
1what_type_of_drug_do_you_u_3___1Charas
2what_type_of_drug_do_you_u_3___2Ganja
3what_type_of_drug_do_you_u_3___3Bhang
4what_type_of_drug_do_you_u_3___4Opium
5what_type_of_drug_do_you_u_3___5LSD
6what_type_of_drug_do_you_u_3___6Brown Sugar
7what_type_of_drug_do_you_u_3___7Other (please specify)
481 [specify_other_drug_3]
Show the field ONLY if:
[what_type_of_drug_do_you_u_3(7)] = '1'
Specify Other text
482 [at_what_age_did_you_star_drug_3]
Show the field ONLY if:
[do_you_consume_other_drugs_3] = '1'
At what age did you start consuming drugs? text (number), Required
483 [frequency_of_drug_consumpt_3]
Show the field ONLY if:
[how_do_you_consume_other_d_3] = '1'
Frequency of drug consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
484 [quantity_consumed_per_day_drug_3]
Show the field ONLY if:
[how_do_you_consume_other_d_3] = '1'
Quantity consumed per day (average): text (number), Required
485 [do_you_take_drugs_during_p_3]
Show the field ONLY if:
[no_of_family_member] >= 3
Do you take drugs during pregnancy? radio, Required
1Yes
2No
3Not Applicable
486 [frequency_per_day_during_drug_3]
Show the field ONLY if:
[do_you_take_drugs_during_p_3] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
487 [fourth_family_member]
Show the field ONLY if:
[no_of_family_member] >= 4
FOURTH FAMILY MEMBER descriptive
488 [sex_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Sex
लिंग 		radio, Required
1Male
2Female
3Other
489 [specify_other_4]
Show the field ONLY if:
[sex_4] = '3'
Specify other text
490 [age_year_month_days_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Age
(Year/Month/Days)
आयु
(वर्ष/महीना/दिन)
Age in years
 text (number, Min: 1, Max: 99), Required
Field Annotation: @FORCE-MINMAX
491 [relationship_with_ego_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Relationship with ego
संबंध अहंकार के साथ
 text, Required
492 [present_marital_status_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Present Marital Status
उपस्थित वैवाहिक स्थिति
 radio, Required
1Single (never married)
2Married
3Widowed
4Divorced
5Separated.
493 [educational_status_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Educational Status
शैक्षणिक स्थिति
 radio, Required
11. Primary / प्राथमिक
22. Secondary / गौण
33. And above /और ऊपर
494 [occupational_status_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Occupational Status
व्यावसायिक स्थिति
 text, Required
495 [any_kind_of_illness_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Any kind of Illness?
किसी तरह का बीमारी?

 yesno, Required
1Yes
0No
496 [name_of_illness_4]
Show the field ONLY if:
[any_kind_of_illness_4] = '1'
Name of illness text, Required
497 [duration_of_illness_4]
Show the field ONLY if:
[any_kind_of_illness_4] = '1'
Duration of illness text
498 [any_treatment_given_4]
Show the field ONLY if:
[any_kind_of_illness_4] = '1'
Any treatment Given?
कोई इलाज दिया गया?
yesno, Required
1Yes
0No
499 [if_yes_what_4]
Show the field ONLY if:
[any_treatment_given_4] = '1'
If yes, what?
अगर हाँ क्या?
 text
500 [nutritional_status_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Nutritional Status descriptive
501 [dietary_habit_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Dietary Habit
आहार संबंधी आदत 		radio, Required
1Veg / शाकाहारी
2Non-Veg / गैर-शाकाहारी
502 [amount_consumed_water_l_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Amount Consumed water (L/day):
उपभोग की गई राशि पानी (एल/दिन):
 radio, Required
1Less than 0.5 L
20.5 - 1 L
31 - 2 L
42 - 3 L
5More than 3 L
503 [no_of_full_meals_4]
Show the field ONLY if:
[no_of_family_member] >= 4
No of Full Meals:
पूर्ण भोजन की संख्या:
 radio, Required
11 meal/day
22 meals/day
33 meals/day
4More than 3 meals/day

Field Annotation: @FORCE-MINMAX
504 [frequency_non_vegetaria_4]
Show the field ONLY if:
[dietary_habit_4] = '2'
Frequency of Non-Vegetarian Food:
मांसाहारी भोजन की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/month)
3Weekly (1-2 times/week)
4Frequently (3-5 times/week)
5Daily
505 [frequency_of_vegetarian_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Frequency of Vegetarian Food:
शाकाहारी भोजन की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
506 [frequency_milk_products_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Frequency of Milk Products:
दुग्ध उत्पादों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
507 [frequency_of_pulses_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Frequency of Pulses:
दालों की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
508 [frequency_of_fruits_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Frequency of Fruits:
फलों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
509 [any_other_specific_diet_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Any other specific diet
कोई अन्य विशिष्ट आहार
 text
510 [any_illness_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Any Illnessकोई बीमारी descriptive
511 [nutritional_deficiency_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Nutritional Deficiency
पोषण की कमी
 yesno, Required
1Yes
0No
512 [which_type_of_nutritional_4]
Show the field ONLY if:
[nutritional_deficiency_4] = '1'
Which type of Nutritional Deficiency text, Required
513 [age_at_nurition_def_4]
Show the field ONLY if:
[nutritional_deficiency_4] = '1'
Age (आयु) - At what age illness started? text (number)
514 [duration_nutrient_def_4]
Show the field ONLY if:
[nutritional_deficiency_4] = '1'
Duration (अवधि) - How long did it last? text
515 [physical_disability_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Physical Disability
शारीरिक अपंगता
 yesno, Required
1Yes
0No
516 [which_type_of_physical_dis_4]
Show the field ONLY if:
[physical_disability_4] = '1'
Which type of Physical Disability
 text, Required
517 [duration_how_long_physical_4]
Show the field ONLY if:
[physical_disability_4] = '1'
Duration (अवधि) - How long did it last? text
518 [emotional_impairment_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Emotional Impairment
भावनात्मक क्षति
 yesno, Required
1Yes
0No
519 [which_type_of_emotional_im_4]
Show the field ONLY if:
[emotional_impairment_4] = '1'
Which type of Emotional Impairment
 text, Required
520 [duration_how_long_emontiona_4]
Show the field ONLY if:
[emotional_impairment_4] = '1'
Duration (अवधि) - How long did it last? text
521 [major_therapeutic_irradiat_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Major Therapeutic Irradiation Exposure
प्रमुख चिकित्सीय विकिरण एक्सपोजर
 yesno, Required
1Yes
0No
522 [which_type_of_major_therap_4]
Show the field ONLY if:
[major_therapeutic_irradiat_4] = '1'
Which type of Major Therapeutic Irradiation Exposure
 text, Required
523 [duration_how_long_major_4]
Show the field ONLY if:
[major_therapeutic_irradiat_4] = '1'
Duration (अवधि) - How long did it last? text
524 [long_illness_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Long Illness
लंबी बीमारी
 yesno, Required
1Yes
0No
525 [which_type_of_long_illness_4]
Show the field ONLY if:
[long_illness_4] = '1'
Which type of Long Illness

 text, Required
526 [duration_how_long_ilness_4]
Show the field ONLY if:
[long_illness_4] = '1'
Duration (अवधि) - How long did it last? text
527 [g_have_you_ever_been_diagn_4]
Show the field ONLY if:
[no_of_family_member] >= 4
G. Have you ever been diagnosed by a doctor for any of the following conditions?जी. क्या आपको कभी किसी डॉक्टर द्वारा निम्नलिखित में से किसी भी स्थिति का निदान किया गया है? descriptive
528 [heart_failure_disease_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Heart failure/disease
हृदय विफलता/बीमारी
 yesno, Required
1Yes
0No
529 [type_heart_disesae_4]
Show the field ONLY if:
[heart_failure_disease_4] = '1'
Type
प्रकार 		text
530 [age_heart_faliour_4]
Show the field ONLY if:
[heart_failure_disease_4] = '1'
Age
आयु
 text (number)
531 [irritable_bowel_disease_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Irritable Bowel Disease
चिड़चिड़ा आंत्र रोग
 yesno, Required
1Yes
0No
532 [type_irritable_bowel_4]
Show the field ONLY if:
[irritable_bowel_disease_4] = '1'
Type
प्रकार
 text
533 [age_bowel_disease_4]
Show the field ONLY if:
[irritable_bowel_disease_4] = '1'
Age
आयु
 text (number)
534 [chronic_bronchitis_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Chronic Bronchitis
क्रोनिक ब्रोंकाइटिस
 yesno, Required
1Yes
0No
535 [type_bronchitis_4]
Show the field ONLY if:
[chronic_bronchitis_4] = '1'
Type
प्रकार
 text
536 [age_bronchitis_4]
Show the field ONLY if:
[chronic_bronchitis_4] = '1'
Age
आयु
 text (number)
537 [hernia_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Hernia
हरनिया
 yesno, Required
1Yes
0No
538 [type_hernia_4]
Show the field ONLY if:
[hernia_4] = '1'
Type
प्रकार
 text
539 [age_hernia_4]
Show the field ONLY if:
[hernia_4] = '1'
Age
आयु
 text (number)
540 [emphysema_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Emphysema
वातस्फीति
 yesno, Required
1Yes
0No
541 [type_endometriosis_4]
Show the field ONLY if:
[emphysema_4] = '1'
Type
प्रकार
 text
542 [age_endometriosis_4]
Show the field ONLY if:
[emphysema_4] = '1'
Age
आयु
 text (number)
543 [arthritis_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Arthritis
वात रोग
 yesno, Required
1Yes
0No
544 [type_arthritis_4]
Show the field ONLY if:
[arthritis_4] = '1'
Type
प्रकार 		text
545 [age_arthritis_4]
Show the field ONLY if:
[arthritis_4] = '1'
Age
आयु 		text (number)
546 [inflammatory_bowel_disease_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Inflammatory bowel disease
सूजा आंत्र रोग
 yesno, Required
1Yes
0No
547 [type_inflammatory_bowel_4]
Show the field ONLY if:
[inflammatory_bowel_disease_4] = '1'
Type
प्रकार 		text
548 [age_inflammatory_bowel_disease_4]
Show the field ONLY if:
[inflammatory_bowel_disease_4] = '1'
Age
आयु 		text, Required
549 [depression_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Depression
अवसाद
 yesno, Required
1Yes
0No
550 [type_depression_4]
Show the field ONLY if:
[depression_4] = '1'
Type
प्रकार 		text
551 [age_depression_4]
Show the field ONLY if:
[depression_4] = '1'
Age
आयु 		text (number)
552 [cancer_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Cancer
कैंसर
 yesno, Required
1Yes
0No
553 [type_cancer_4]
Show the field ONLY if:
[cancer_4] = '1'
Type
प्रकार 		text
554 [age_cancer_4]
Show the field ONLY if:
[cancer_4] = '1'
Age
आयु 		text (number)
555 [have_you_been_diagnose_4]
Show the field ONLY if:
[no_of_family_member] >= 4
G11. Have you been diagnosed with Asthma?
क्या आपको अस्थमा का निदान हुआ है?
 yesno, Required
1Yes
0No
556 [age_at_diagnosis_g17]
Show the field ONLY if:
[have_you_been_diagnose_4] = "1"
Age at diagnosis: text
557 [g12_have_you_been_diagnose_4]
Show the field ONLY if:
[no_of_family_member] >= 4
G12. Have you been diagnosed with Typhoid/Enteric Fever? yesno, Required
1Yes
0No
558 [age_at_diagnosis_g_15]
Show the field ONLY if:
[g12_have_you_been_diagnose_4] = "1"
Age at diagnosis:
 text
559 [g13_have_you_been_diagnose_4]
Show the field ONLY if:
[no_of_family_member] >= 4
G13. Have you been diagnosed with Jaundice/Hepatitis? yesno, Required
1Yes
0No
560 [age_at_diagnosis_g18]
Show the field ONLY if:
[g13_have_you_been_diagnose_4] = "1"
Age at diagnosis: text
561 [h_have_you_or_your_family_4]
Show the field ONLY if:
[no_of_family_member] >= 4
H. Have you or your family member suffered from any of the listed symptoms in last 1 year?क्या आप या आपके परिवार के सदस्य पिछले एक वर्ष में सूचीबद्ध लक्षणों में से किसी से पीड़ित हुए हैं? descriptive
562 [high_fever_4]
Show the field ONLY if:
[no_of_family_member] >= 4
High fever / तेज़ बुखार yesno, Required
1Yes
0No
563 [when_highg_fever_4]
Show the field ONLY if:
[high_fever_4] = '1'
When
कब 		text
564 [how_many_times_fever_4]
Show the field ONLY if:
[high_fever_4] = '1'
How many times
कितनी बार
 text
565 [weakness_and_fatigue_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Weakness and Fatigue
कमज़ोरी और थकान
 yesno, Required
1Yes
0No
566 [when_weakness_4]
Show the field ONLY if:
[weakness_and_fatigue_4] = "1"
When
कब 		text
567 [how_many_times_weakness_4]
Show the field ONLY if:
[weakness_and_fatigue_4] = "1"
How many times
कितनी बार 		text
568 [muscle_ache_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Muscle ache
मांसपेशियों में दर्द
 yesno, Required
1Yes
0No
569 [when_muscle_4]
Show the field ONLY if:
[muscle_ache_4] = "1"
When
कब 		text
570 [how_many_times_muscle_4]
Show the field ONLY if:
[muscle_ache_4] = "1"
How many times
कितनी बार 		text
571 [stomach_pain_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Stomach pain
पेट दर्द
 yesno, Required
1Yes
0No
572 [when_stomach_4]
Show the field ONLY if:
[stomach_pain_4] = "1"
When
कब 		text
573 [how_many_times_stomach_4]
Show the field ONLY if:
[stomach_pain_4] = "1"
How many times
कितनी बार 		text
574 [loss_of_appetite_and_weigh_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Loss of appetite and weight
भूख और वजन में कमी
 yesno, Required
1Yes
0No
575 [when_appetite_4]
Show the field ONLY if:
[loss_of_appetite_and_weigh_4] ="1"
When
कब 		text
576 [how_many_times_appetite_4]
Show the field ONLY if:
[loss_of_appetite_and_weigh_4] ="1"
How many times
कितनी बार 		text
577 [dry_cough_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Dry cough
सूखी खाँसी
 yesno, Required
1Yes
0No
578 [when_dry_cough_4]
Show the field ONLY if:
[dry_cough_4] = "1"
When
कब 		text
579 [how_many_times_dry_cough_4]
Show the field ONLY if:
[dry_cough_4] = "1"
How many times
कितनी बार 		text
580 [diarrhoea_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Diarrhoea
दस्त
 yesno, Required
1Yes
0No
581 [when_diarrhoea_4]
Show the field ONLY if:
[diarrhoea_4] = "1"
When
कब 		text
582 [how_many_times_diarrheaea_4]
Show the field ONLY if:
[diarrhoea_4] = "1"
How many times
कितनी बार 		text
583 [hair_fall_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Hair fall
बाल झड़ना
 yesno, Required
1Yes
0No
584 [when_hair_fall_4]
Show the field ONLY if:
[hair_fall_4] = '1'
When
कब 		text
585 [how_many_times_hair_fall_4]
Show the field ONLY if:
[hair_fall_4] = '1'
How many times
कितनी बार 		text
586 [itching_and_rashes_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Itching and rashes
खुजली और चकत्ते
 yesno, Required
1Yes
0No
587 [when_itching_4]
Show the field ONLY if:
[itching_and_rashes_4] = "1"
When
कब 		text
588 [how_many_times_itching_4]
Show the field ONLY if:
[itching_and_rashes_4] = "1"
How many times
कितनी बार 		text
589 [headaches_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Headaches
सिर दर्द
 yesno, Required
1Yes
0No
590 [when_headaches_4]
Show the field ONLY if:
[headaches_4] = "1"
When
कब 		text
591 [how_many_times_headaches_4]
Show the field ONLY if:
[headaches_4] = "1"
How many times
कितनी बार 		text
592 [eye_pain_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Eye pain
आँख का दर्द
 yesno, Required
1Yes
0No
593 [when_eye_pain_4]
Show the field ONLY if:
[eye_pain_4] = "1"
When
कब 		text
594 [how_many_times_eyepain_4]
Show the field ONLY if:
[eye_pain_4] = "1"
How many times
कितनी बार 		text
595 [h12_shortness_of_breath_4]
Show the field ONLY if:
[no_of_family_member] >= 4
H12. Shortness of breath/Difficulty breathing
सांस की तकलीफ/सांस लेने में कठिनाई
 yesno, Required
1Yes
0No
596 [when_h12_4]
Show the field ONLY if:
[h12_shortness_of_breath_4] = "1"
When
कब 		text
597 [how_many_times_h12_4]
Show the field ONLY if:
[h12_shortness_of_breath_4] = "1"
How many times
कितनी बार 		text
598 [h13_wheezing_or_whistling_4]
Show the field ONLY if:
[no_of_family_member] >= 4
H13. Wheezing or whistling sound while breathing
सांस लेते समय घरघराहट या सीटी की आवाज
 yesno, Required
1Yes
0No
599 [when_h13_4]
Show the field ONLY if:
[h13_wheezing_or_whistling_4] = "1"
When
कब 		text
600 [how_many_times_h13_4]
Show the field ONLY if:
[h13_wheezing_or_whistling_4] = "1"
How many times
कितनी बार 		text
601 [h14_nasal_congestion_runny_4]
Show the field ONLY if:
[no_of_family_member] >= 4
H14. Nasal congestion/Runny nose
नाक बंद/नाक बहना
 yesno, Required
1Yes
0No
602 [when_h14_4]
Show the field ONLY if:
[h14_nasal_congestion_runny_4] = "1"
When
कब 		text
603 [how_many_times_h14_4]
Show the field ONLY if:
[h14_nasal_congestion_runny_4] = "1"
How many times
कितनी बार 		text
604 [h15_vomiting_4]
Show the field ONLY if:
[no_of_family_member] >= 4
H15. Vomiting
उल्टी 		yesno, Required
1Yes
0No
605 [when_h15_4]
Show the field ONLY if:
[h15_vomiting_4] = "1"
When
कब 		text
606 [how_many_times_h15_4]
Show the field ONLY if:
[h15_vomiting_4] = "1"
How many times
कितनी बार 		text
607 [alcohol_locally_fermented_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Alcohol / Locally Fermented Beer (Mahua, Whisky, Rum, Beer, Other (Mahua; Whisky; Rum; any other / महुआ; व्हिस्की; रम; कोई और) descriptive
608 [who_consumes_alcohol_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Who consumes alcohol? radio, Required
1You/ आप
2Family member/ परिवार के सदस्य
3Both / दोनों
4Not Applicable
609 [do_you_consume_alcohol_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Do you consume alcohol? yesno, Required
1Yes
0No
610 [how_do_you_consume_4]
Show the field ONLY if:
[do_you_consume_alcohol_4] = '1'
How do you consume? radio, Required
1Regular/ नियमित
2Occasional/प्रासंगिक
611 [at_what_age_did_you_start_4]
Show the field ONLY if:
[do_you_consume_alcohol_4] = '1'
At what age did you start consuming alcohol? text (number), Required
612 [frequency_of_alcohol_consu_4]
Show the field ONLY if:
[how_do_you_consume_4] = '1'
Frequency of alcohol consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
5Occasional
613 [quantity_of_alcohol_consum_4]
Show the field ONLY if:
[how_do_you_consume_4] = '1'
Quantity of alcohol consumed per day (average in ml): text (number), Required
614 [do_you_take_during_pregnan_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Do you take during pregnancy?
क्या आप गर्भावस्था के दौरान लेते हैं?
 radio, Required
1Yes
2No
3Not Applicable
615 [frequency_per_day_during_p_4]
Show the field ONLY if:
[do_you_take_during_pregnan_4] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
616 [tobacco_pan_chewing_smokin_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Tobacco / Pan (Chewing, Smoking, Beedi, Cigarette, Zarda, Other ( चबाना; धूम्रपान; प्रत्यक्ष तम्बाकू; बीड़ी; सिगरेट; ज़र्दा; कोई और ) descriptive
617 [who_consumes_tobacco_pan_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Who consumes tobacco/pan? radio, Required
1You
2Family member
3Both
4Not applicable
618 [do_you_consume_tobacco_pan_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Do you consume tobacco/pan? yesno, Required
1Yes
0No
619 [how_do_you_consume_tobacco_4]
Show the field ONLY if:
[do_you_consume_tobacco_pan_4] = '1'
How do you consume tobacco/pan? radio, Required
1Regular
2Occasional
620 [what_form_of_tobacco_pan_d_4]
Show the field ONLY if:
[do_you_consume_tobacco_pan_4] = '1'
What form of tobacco/pan do you use? checkbox, Required
1what_form_of_tobacco_pan_d_4___1Chewing
2what_form_of_tobacco_pan_d_4___2Smoking
3what_form_of_tobacco_pan_d_4___3Beedi
4what_form_of_tobacco_pan_d_4___4Cigarette
5what_form_of_tobacco_pan_d_4___5Zarda
6what_form_of_tobacco_pan_d_4___6Other (please specify)
621 [other_specify_4]
Show the field ONLY if:
[what_form_of_tobacco_pan_d_4(6)] = '1'
Other Specify text
622 [at_what_age_did_you_tobacco_4]
Show the field ONLY if:
[do_you_consume_tobacco_pan_4] = '1'
At what age did you start consuming tobacco/pan? text (number), Required
623 [frequency_of_tobacco_pan_c_4]
Show the field ONLY if:
[how_do_you_consume_tobacco_4] = '1'
Frequency of tobacco/pan consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
624 [quantity_consumed_per_day_4]
Show the field ONLY if:
[how_do_you_consume_tobacco_4] = '1'
Quantity consumed per day (average): text, Required
625 [do_you_take_tobacco_pan_du_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Do you take tobacco/pan during pregnancy? radio, Required
1Yes
2No
3Not Applicable
626 [frequency_per_day_tobaco_pre_4]
Show the field ONLY if:
[do_you_take_tobacco_pan_du_4] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
627 [other_drugs_charas_ganja_b_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Other Drugs (Charas, Ganja, Bhang, Opium, LSD, Brown Sugar, Other)(चरस; गांजा; भांग; अफ़ीम; एल.एस.डी.; ब्राउन शुगर; कोई और) descriptive
628 [who_consumes_other_drugs_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Who consumes other drugs? radio, Required
1You
2Family member
3Both
4Not Applicable
629 [do_you_consume_other_drugs_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Do you consume other drugs? yesno, Required
1Yes
0No
630 [how_do_you_consume_other_d_4]
Show the field ONLY if:
[do_you_consume_other_drugs_4] = '1'
How do you consume other drugs? radio, Required
1Regular
2Occasional
631 [what_type_of_drug_do_you_u_4]
Show the field ONLY if:
[do_you_consume_other_drugs_4] = '1'
What type of drug do you use? checkbox, Required
1what_type_of_drug_do_you_u_4___1Charas
2what_type_of_drug_do_you_u_4___2Ganja
3what_type_of_drug_do_you_u_4___3Bhang
4what_type_of_drug_do_you_u_4___4Opium
5what_type_of_drug_do_you_u_4___5LSD
6what_type_of_drug_do_you_u_4___6Brown Sugar
7what_type_of_drug_do_you_u_4___7Other (please specify)
632 [specify_other_drug_4]
Show the field ONLY if:
[what_type_of_drug_do_you_u_4(7)] = '1'
Specify Other text
633 [at_what_age_did_you_star_drug_4]
Show the field ONLY if:
[do_you_consume_other_drugs_4] = '1'
At what age did you start consuming drugs? text (number), Required
634 [frequency_of_drug_consumpt_4]
Show the field ONLY if:
[how_do_you_consume_other_d_4] = '1'
Frequency of drug consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
635 [quantity_consumed_per_day_drug_4]
Show the field ONLY if:
[how_do_you_consume_other_d_4] = '1'
Quantity consumed per day (average): text (number), Required
636 [do_you_take_drugs_during_p_4]
Show the field ONLY if:
[no_of_family_member] >= 4
Do you take drugs during pregnancy? radio, Required
1Yes
2No
3Not Applicable
637 [frequency_per_day_during_drug_4]
Show the field ONLY if:
[do_you_take_drugs_during_p_4] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
638 [fifth_family_member]
Show the field ONLY if:
[no_of_family_member] >= 5
FIFTH FAMILY MEMBER descriptive
639 [sex_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Sex
लिंग 		radio, Required
1Male
2Female
3Other
640 [specify_other_5]
Show the field ONLY if:
[sex_5] = '3'
Specify other text
641 [age_year_month_days_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Age
(Year/Month/Days)
आयु
(वर्ष/महीना/दिन)
Age in years
 text (number, Min: 1, Max: 99), Required
Field Annotation: @FORCE-MINMAX
642 [relationship_with_ego_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Relationship with ego
संबंध अहंकार के साथ
 text, Required
643 [present_marital_status_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Present Marital Status
उपस्थित वैवाहिक स्थिति
 radio, Required
1Single (never married)
2Married
3Widowed
4Divorced
5Separated.
644 [educational_status_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Educational Status
शैक्षणिक स्थिति
 radio, Required
11. Primary / प्राथमिक
22. Secondary / गौण
33. And above /और ऊपर
645 [occupational_status_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Occupational Status
व्यावसायिक स्थिति
 text, Required
646 [any_kind_of_illness_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Any kind of Illness?
किसी तरह का बीमारी?

 yesno, Required
1Yes
0No
647 [name_of_illness_5]
Show the field ONLY if:
[any_kind_of_illness_5] = '1'
Name of illness text, Required
648 [duration_of_illness_5]
Show the field ONLY if:
[any_kind_of_illness_5] = '1'
Duration of illness text
649 [any_treatment_given_5]
Show the field ONLY if:
[any_kind_of_illness_5] = '1'
Any treatment Given?
कोई इलाज दिया गया?
yesno, Required
1Yes
0No
650 [if_yes_what_5]
Show the field ONLY if:
[any_treatment_given_5] = '1'
If yes, what?
अगर हाँ क्या?
 text
651 [nutritional_status_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Nutritional Status descriptive
652 [dietary_habit_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Dietary Habit
आहार संबंधी आदत 		radio, Required
1Veg / शाकाहारी
2Non-Veg / गैर-शाकाहारी
653 [amount_consumed_water_l_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Amount Consumed water (L/day):
उपभोग की गई राशि पानी (एल/दिन):
 radio, Required
1Less than 0.5 L
20.5 - 1 L
31 - 2 L
42 - 3 L
5More than 3 L
654 [no_of_full_meals_5]
Show the field ONLY if:
[no_of_family_member] >= 5
No of Full Meals:
पूर्ण भोजन की संख्या:
 radio, Required
11 meal/day
22 meals/day
33 meals/day
4More than 3 meals/day

Field Annotation: @FORCE-MINMAX
655 [frequency_non_vegetaria_5]
Show the field ONLY if:
[dietary_habit_5] = '2'
Frequency of Non-Vegetarian Food:
मांसाहारी भोजन की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/month)
3Weekly (1-2 times/week)
4Frequently (3-5 times/week)
5Daily
656 [frequency_of_vegetarian_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Frequency of Vegetarian Food:
शाकाहारी भोजन की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
657 [frequency_milk_products_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Frequency of Milk Products:
दुग्ध उत्पादों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
658 [frequency_of_pulses_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Frequency of Pulses:
दालों की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
659 [frequency_of_fruits_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Frequency of Fruits:
फलों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
660 [any_other_specific_diet_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Any other specific diet
कोई अन्य विशिष्ट आहार
 text
661 [any_illness_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Any Illnessकोई बीमारी descriptive
662 [nutritional_deficiency_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Nutritional Deficiency
पोषण की कमी
 yesno, Required
1Yes
0No
663 [which_type_of_nutritional_5]
Show the field ONLY if:
[nutritional_deficiency_5] = '1'
Which type of Nutritional Deficiency text, Required
664 [age_at_nurition_def_5]
Show the field ONLY if:
[nutritional_deficiency_5] = '1'
Age (आयु) - At what age illness started? text (number)
665 [duration_nutrient_def_5]
Show the field ONLY if:
[nutritional_deficiency_5] = '1'
Duration (अवधि) - How long did it last? text
666 [physical_disability_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Physical Disability
शारीरिक अपंगता
 yesno, Required
1Yes
0No
667 [which_type_of_physical_dis_5]
Show the field ONLY if:
[physical_disability_5] = '1'
Which type of Physical Disability
 text, Required
668 [duration_how_long_physical_5]
Show the field ONLY if:
[physical_disability_5] = '1'
Duration (अवधि) - How long did it last? text
669 [emotional_impairment_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Emotional Impairment
भावनात्मक क्षति
 yesno, Required
1Yes
0No
670 [which_type_of_emotional_im_5]
Show the field ONLY if:
[emotional_impairment_5] = '1'
Which type of Emotional Impairment
 text, Required
671 [duration_how_long_emontiona_5]
Show the field ONLY if:
[emotional_impairment_5] = '1'
Duration (अवधि) - How long did it last? text
672 [major_therapeutic_irradiat_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Major Therapeutic Irradiation Exposure
प्रमुख चिकित्सीय विकिरण एक्सपोजर
 yesno, Required
1Yes
0No
673 [which_type_of_major_therap_5]
Show the field ONLY if:
[major_therapeutic_irradiat_5] = '1'
Which type of Major Therapeutic Irradiation Exposure
 text, Required
674 [duration_how_long_major_5]
Show the field ONLY if:
[major_therapeutic_irradiat_5] = '1'
Duration (अवधि) - How long did it last? text
675 [long_illness_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Long Illness
लंबी बीमारी
 yesno, Required
1Yes
0No
676 [which_type_of_long_illness_5]
Show the field ONLY if:
[long_illness_5] = '1'
Which type of Long Illness

 text, Required
677 [duration_how_long_ilness_5]
Show the field ONLY if:
[long_illness_5] = '1'
Duration (अवधि) - How long did it last? text
678 [g_have_you_ever_been_diagn_5]
Show the field ONLY if:
[no_of_family_member] >= 5
G. Have you ever been diagnosed by a doctor for any of the following conditions?जी. क्या आपको कभी किसी डॉक्टर द्वारा निम्नलिखित में से किसी भी स्थिति का निदान किया गया है? descriptive
679 [heart_failure_disease_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Heart failure/disease
हृदय विफलता/बीमारी
 yesno, Required
1Yes
0No
680 [type_heart_disesae_5]
Show the field ONLY if:
[heart_failure_disease_5] = '1'
Type
प्रकार 		text
681 [age_heart_faliour_5]
Show the field ONLY if:
[heart_failure_disease_5] = '1'
Age
आयु
 text (number)
682 [irritable_bowel_disease_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Irritable Bowel Disease
चिड़चिड़ा आंत्र रोग
 yesno, Required
1Yes
0No
683 [type_irritable_bowel_5]
Show the field ONLY if:
[irritable_bowel_disease_5] = '1'
Type
प्रकार
 text
684 [age_bowel_disease_5]
Show the field ONLY if:
[irritable_bowel_disease_5] = '1'
Age
आयु
 text (number)
685 [chronic_bronchitis_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Chronic Bronchitis
क्रोनिक ब्रोंकाइटिस
 yesno, Required
1Yes
0No
686 [type_bronchitis_5]
Show the field ONLY if:
[chronic_bronchitis_5] = '1'
Type
प्रकार
 text
687 [age_bronchitis_5]
Show the field ONLY if:
[chronic_bronchitis_5] = '1'
Age
आयु
 text (number)
688 [hernia_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Hernia
हरनिया
 yesno, Required
1Yes
0No
689 [type_hernia_5]
Show the field ONLY if:
[hernia_5] = '1'
Type
प्रकार
 text
690 [age_hernia_5]
Show the field ONLY if:
[hernia_5] = '1'
Age
आयु
 text (number)
691 [emphysema_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Emphysema
वातस्फीति
 yesno, Required
1Yes
0No
692 [type_endometriosis_5]
Show the field ONLY if:
[emphysema_5] = '1'
Type
प्रकार
 text
693 [age_endometriosis_5]
Show the field ONLY if:
[emphysema_5] = '1'
Age
आयु
 text (number)
694 [arthritis_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Arthritis
वात रोग
 yesno, Required
1Yes
0No
695 [type_arthritis_5]
Show the field ONLY if:
[arthritis_5] = '1'
Type
प्रकार 		text
696 [age_arthritis_5]
Show the field ONLY if:
[arthritis_5] = '1'
Age
आयु 		text (number)
697 [inflammatory_bowel_disease_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Inflammatory bowel disease
सूजा आंत्र रोग
 yesno, Required
1Yes
0No
698 [type_inflammatory_bowel_5]
Show the field ONLY if:
[inflammatory_bowel_disease_5] = '1'
Type
प्रकार 		text
699 [depression_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Depression
अवसाद
 yesno, Required
1Yes
0No
700 [type_depression_5]
Show the field ONLY if:
[depression_5] = '1'
Type
प्रकार 		text
701 [age_depression_5]
Show the field ONLY if:
[depression_5] = '1'
Age
आयु 		text (number)
702 [cancer_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Cancer
कैंसर
 yesno, Required
1Yes
0No
703 [type_cancer_5]
Show the field ONLY if:
[cancer_5] = '1'
Type
प्रकार 		text
704 [age_cancer_5]
Show the field ONLY if:
[cancer_5] = '1'
Age
आयु 		text (number)
705 [have_you_been_diagnose_5]
Show the field ONLY if:
[no_of_family_member] >= 5
G11. Have you been diagnosed with Asthma?
क्या आपको अस्थमा का निदान हुआ है?
 yesno, Required
1Yes
0No
706 [age_at_diagnosis_g19]
Show the field ONLY if:
[have_you_been_diagnose_5] = "1"
Age at diagnosis: text
707 [g12_have_you_been_diagnose_5]
Show the field ONLY if:
[no_of_family_member] >= 5
G12. Have you been diagnosed with Typhoid/Enteric Fever? yesno, Required
1Yes
0No
708 [age_at_diagnosis_g_16]
Show the field ONLY if:
[g12_have_you_been_diagnose_5] = "1"
Age at diagnosis:
 text
709 [g13_have_you_been_diagnose_5]
Show the field ONLY if:
[no_of_family_member] >= 5
G13. Have you been diagnosed with Jaundice/Hepatitis? yesno, Required
1Yes
0No
710 [age_at_diagnosis_g20]
Show the field ONLY if:
[g13_have_you_been_diagnose_5] = "1"
Age at diagnosis: text
711 [h_have_you_or_your_family_5]
Show the field ONLY if:
[no_of_family_member] >= 5
H. Have you or your family member suffered from any of the listed symptoms in last 1 year?क्या आप या आपके परिवार के सदस्य पिछले एक वर्ष में सूचीबद्ध लक्षणों में से किसी से पीड़ित हुए हैं? descriptive
712 [high_fever_5]
Show the field ONLY if:
[no_of_family_member] >= 5
High fever / तेज़ बुखार yesno, Required
1Yes
0No
713 [when_highg_fever_5]
Show the field ONLY if:
[high_fever_5] = '1'
When
कब 		text
714 [how_many_times_fever_5]
Show the field ONLY if:
[high_fever_5] = '1'
How many times
कितनी बार
 text
715 [weakness_and_fatigue_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Weakness and Fatigue
कमज़ोरी और थकान
 yesno, Required
1Yes
0No
716 [when_weakness_5]
Show the field ONLY if:
[weakness_and_fatigue_5] = "1"
When
कब 		text
717 [how_many_times_weakness_5]
Show the field ONLY if:
[weakness_and_fatigue_5] = "1"
How many times
कितनी बार 		text
718 [muscle_ache_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Muscle ache
मांसपेशियों में दर्द
 yesno, Required
1Yes
0No
719 [when_muscle_5]
Show the field ONLY if:
[muscle_ache_5] = "1"
When
कब 		text
720 [how_many_times_muscle_5]
Show the field ONLY if:
[muscle_ache_5] = "1"
How many times
कितनी बार 		text
721 [stomach_pain_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Stomach pain
पेट दर्द
 yesno, Required
1Yes
0No
722 [when_stomach_5]
Show the field ONLY if:
[stomach_pain_5] = "1"
When
कब 		text
723 [how_many_times_stomach_5]
Show the field ONLY if:
[stomach_pain_5] = "1"
How many times
कितनी बार 		text
724 [loss_of_appetite_and_weigh_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Loss of appetite and weight
भूख और वजन में कमी
 yesno, Required
1Yes
0No
725 [when_appetite_5]
Show the field ONLY if:
[loss_of_appetite_and_weigh_5] ="1"
When
कब 		text
726 [how_many_times_appetite_5]
Show the field ONLY if:
[loss_of_appetite_and_weigh_5] ="1"
How many times
कितनी बार 		text
727 [dry_cough_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Dry cough
सूखी खाँसी
 yesno, Required
1Yes
0No
728 [when_dry_cough_5]
Show the field ONLY if:
[dry_cough_5] = "1"
When
कब 		text
729 [how_many_times_dry_cough_5]
Show the field ONLY if:
[dry_cough_5] = "1"
How many times
कितनी बार 		text
730 [diarrhoea_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Diarrhoea
दस्त
 yesno, Required
1Yes
0No
731 [when_diarrhoea_5]
Show the field ONLY if:
[diarrhoea_5] = "1"
When
कब 		text
732 [how_many_times_diarrheaea_5]
Show the field ONLY if:
[diarrhoea_5] = "1"
How many times
कितनी बार 		text
733 [hair_fall_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Hair fall
बाल झड़ना
 yesno, Required
1Yes
0No
734 [when_hair_fall_5]
Show the field ONLY if:
[hair_fall_5] = '1'
When
कब 		text
735 [how_many_times_hair_fall_5]
Show the field ONLY if:
[hair_fall_5] = '1'
How many times
कितनी बार 		text
736 [itching_and_rashes_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Itching and rashes
खुजली और चकत्ते
 yesno, Required
1Yes
0No
737 [how_many_times_itching_5]
Show the field ONLY if:
[itching_and_rashes_5] = "1"
How many times
कितनी बार 		text
738 [when_itching_5]
Show the field ONLY if:
[itching_and_rashes_5] = "1"
When
कब 		text
739 [headaches_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Headaches
सिर दर्द
 yesno, Required
1Yes
0No
740 [when_headaches_5]
Show the field ONLY if:
[headaches_5] = "1"
When
कब 		text
741 [how_many_times_headaches_5]
Show the field ONLY if:
[headaches_5] = "1"
How many times
कितनी बार 		text
742 [eye_pain_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Eye pain
आँख का दर्द
 yesno, Required
1Yes
0No
743 [when_eye_pain_5]
Show the field ONLY if:
[eye_pain_5] = "1"
When
कब 		text
744 [how_many_times_eyepain_5]
Show the field ONLY if:
[eye_pain_5] = "1"
How many times
कितनी बार 		text
745 [h12_shortness_of_breath_5]
Show the field ONLY if:
[no_of_family_member] >= 5
H12. Shortness of breath/Difficulty breathing
सांस की तकलीफ/सांस लेने में कठिनाई
 yesno, Required
1Yes
0No
746 [when_h12_5]
Show the field ONLY if:
[h12_shortness_of_breath_5] = "1"
When
कब 		text
747 [how_many_times_h12_5]
Show the field ONLY if:
[h12_shortness_of_breath_5] = "1"
How many times
कितनी बार 		text
748 [h13_wheezing_or_whistling_5] H13. Wheezing or whistling sound while breathing
सांस लेते समय घरघराहट या सीटी की आवाज
 yesno, Required
1Yes
0No
749 [when_h13_5]
Show the field ONLY if:
[h13_wheezing_or_whistling_5] = "1"
When
कब 		text
750 [how_many_times_h13_5]
Show the field ONLY if:
[h13_wheezing_or_whistling_5] = "1"
How many times
कितनी बार 		text
751 [h14_nasal_congestion_runny_5]
Show the field ONLY if:
[no_of_family_member] >= 5
H14. Nasal congestion/Runny nose
नाक बंद/नाक बहना
 yesno, Required
1Yes
0No
752 [when_h14_5]
Show the field ONLY if:
[h14_nasal_congestion_runny_5] = "1"
When
कब 		text
753 [how_many_times_h14_5]
Show the field ONLY if:
[h14_nasal_congestion_runny_5] = "1"
How many times
कितनी बार 		text
754 [h15_vomiting_5]
Show the field ONLY if:
[no_of_family_member] >= 5
H15. Vomiting
उल्टी 		yesno, Required
1Yes
0No
755 [when_h15_5]
Show the field ONLY if:
[h15_vomiting_5] = "1"
When
कब 		text
756 [how_many_times_h15_5]
Show the field ONLY if:
[h15_vomiting_5] = "1"
How many times
कितनी बार 		text
757 [alcohol_locally_fermented_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Alcohol / Locally Fermented Beer (Mahua, Whisky, Rum, Beer, Other (Mahua; Whisky; Rum; any other / महुआ; व्हिस्की; रम; कोई और) descriptive
758 [who_consumes_alcohol_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Who consumes alcohol? radio, Required
1You/ आप
2Family member/ परिवार के सदस्य
3Both / दोनों
4Not Applicable
759 [do_you_consume_alcohol_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Do you consume alcohol? yesno, Required
1Yes
0No
760 [how_do_you_consume_5]
Show the field ONLY if:
[do_you_consume_alcohol_5] = '1'
How do you consume? radio, Required
1Regular/ नियमित
2Occasional/प्रासंगिक
761 [at_what_age_did_you_start_5]
Show the field ONLY if:
[do_you_consume_alcohol_5] = '1'
At what age did you start consuming alcohol? text (number), Required
762 [frequency_of_alcohol_consu_5]
Show the field ONLY if:
[how_do_you_consume_5] = '1'
Frequency of alcohol consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
5Occasional
763 [quantity_of_alcohol_consum_5]
Show the field ONLY if:
[how_do_you_consume_5] = '1'
Quantity of alcohol consumed per day (average in ml): text (number), Required
764 [do_you_take_during_pregnan_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Do you take during pregnancy?
क्या आप गर्भावस्था के दौरान लेते हैं?
 radio, Required
1Yes
2No
3Not Applicable
765 [frequency_per_day_during_p_5]
Show the field ONLY if:
[do_you_take_during_pregnan_5] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
766 [tobacco_pan_chewing_smokin_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Tobacco / Pan (Chewing, Smoking, Beedi, Cigarette, Zarda, Other ( चबाना; धूम्रपान; प्रत्यक्ष तम्बाकू; बीड़ी; सिगरेट; ज़र्दा; कोई और ) descriptive
767 [who_consumes_tobacco_pan_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Who consumes tobacco/pan? radio, Required
1You
2Family member
3Both
4Not Applicable
768 [do_you_consume_tobacco_pan_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Do you consume tobacco/pan? yesno, Required
1Yes
0No
769 [how_do_you_consume_tobacco_5]
Show the field ONLY if:
[do_you_consume_tobacco_pan_5] = '1'
How do you consume tobacco/pan? radio, Required
1Regular
2Occasional
770 [what_form_of_tobacco_pan_d_5]
Show the field ONLY if:
[do_you_consume_tobacco_pan_5] = '1'
What form of tobacco/pan do you use? checkbox, Required
1what_form_of_tobacco_pan_d_5___1Chewing
2what_form_of_tobacco_pan_d_5___2Smoking
3what_form_of_tobacco_pan_d_5___3Beedi
4what_form_of_tobacco_pan_d_5___4Cigarette
5what_form_of_tobacco_pan_d_5___5Zarda
6what_form_of_tobacco_pan_d_5___6Other (please specify)
771 [other_specify_5]
Show the field ONLY if:
[what_form_of_tobacco_pan_d_5(6)] = '1'
Other Specify text
772 [at_what_age_did_you_tobacco_5]
Show the field ONLY if:
[do_you_consume_tobacco_pan_5] = '1'
At what age did you start consuming tobacco/pan? text (number), Required
773 [frequency_of_tobacco_pan_c_5]
Show the field ONLY if:
[how_do_you_consume_tobacco_5] = '1'
Frequency of tobacco/pan consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
774 [quantity_consumed_per_day_5]
Show the field ONLY if:
[how_do_you_consume_tobacco_5] = '1'
Quantity consumed per day (average): text, Required
775 [do_you_take_tobacco_pan_du_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Do you take tobacco/pan during pregnancy? radio, Required
1Yes
2No
3Not Applicable
776 [frequency_per_day_tobaco_pre_5]
Show the field ONLY if:
[do_you_take_tobacco_pan_du_5] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
777 [other_drugs_charas_ganja_b_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Other Drugs (Charas, Ganja, Bhang, Opium, LSD, Brown Sugar, Other)(चरस; गांजा; भांग; अफ़ीम; एल.एस.डी.; ब्राउन शुगर; कोई और) descriptive
778 [who_consumes_other_drugs_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Who consumes other drugs? radio, Required
1You
2Family member
3Both
4Not Applicable
779 [do_you_consume_other_drugs_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Do you consume other drugs? yesno, Required
1Yes
0No
780 [how_do_you_consume_other_d_5]
Show the field ONLY if:
[do_you_consume_other_drugs_5] = '1'
How do you consume other drugs? radio, Required
1Regular
2Occasional
781 [what_type_of_drug_do_you_u_5]
Show the field ONLY if:
[do_you_consume_other_drugs_5] = '1'
What type of drug do you use? checkbox, Required
1what_type_of_drug_do_you_u_5___1Charas
2what_type_of_drug_do_you_u_5___2Ganja
3what_type_of_drug_do_you_u_5___3Bhang
4what_type_of_drug_do_you_u_5___4Opium
5what_type_of_drug_do_you_u_5___5LSD
6what_type_of_drug_do_you_u_5___6Brown Sugar
7what_type_of_drug_do_you_u_5___7Other (please specify)
782 [specify_other_drug_5]
Show the field ONLY if:
[what_type_of_drug_do_you_u_5(7)] = '1'
Specify Other text
783 [at_what_age_did_you_star_drug_5]
Show the field ONLY if:
[do_you_consume_other_drugs_5] = '1'
At what age did you start consuming drugs? text (number), Required
784 [frequency_of_drug_consumpt_5]
Show the field ONLY if:
[how_do_you_consume_other_d_5] = '1'
Frequency of drug consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
785 [quantity_consumed_per_day_drug_5]
Show the field ONLY if:
[how_do_you_consume_other_d_5] = '1'
Quantity consumed per day (average): text (number), Required
786 [do_you_take_drugs_during_p_5]
Show the field ONLY if:
[no_of_family_member] >= 5
Do you take drugs during pregnancy? radio, Required
1Yes
2No
3Not Applicable
787 [frequency_per_day_during_drug_5]
Show the field ONLY if:
[do_you_take_drugs_during_p_5] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
788 [sixth_family_member]
Show the field ONLY if:
[no_of_family_member] >= 6
SIXTH FAMILY MEMBER descriptive
789 [sex_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Sex
लिंग 		radio, Required
1Male
2Female
3Other
790 [specify_other_6]
Show the field ONLY if:
[sex_6] = '3'
Specify other text
791 [age_year_month_days_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Age
(Year/Month/Days)
आयु
(वर्ष/महीना/दिन)
Age in years
 text (number, Min: 1, Max: 99), Required
Field Annotation: @FORCE-MINMAX
792 [relationship_with_ego_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Relationship with ego
संबंध अहंकार के साथ
 text, Required
793 [present_marital_status_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Present Marital Status
उपस्थित वैवाहिक स्थिति
 radio, Required
1Single (never married)
2Married
3Widowed
4Divorced
5Separated.
794 [educational_status_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Educational Status
शैक्षणिक स्थिति
 radio, Required
11. Primary / प्राथमिक
22. Secondary / गौण
33. And above /और ऊपर
795 [occupational_status_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Occupational Status
व्यावसायिक स्थिति
 text, Required
796 [any_kind_of_illness_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Any kind of Illness?
किसी तरह का बीमारी?

 yesno, Required
1Yes
0No
797 [name_of_illness_6]
Show the field ONLY if:
[any_kind_of_illness_6] = '1'
Name of illness text, Required
798 [duration_of_illness_6]
Show the field ONLY if:
[any_kind_of_illness_6] = '1'
Duration of illness text
799 [any_treatment_given_6]
Show the field ONLY if:
[any_kind_of_illness_6] = '1'
Any treatment Given?
कोई इलाज दिया गया?
yesno, Required
1Yes
0No
800 [if_yes_what_6]
Show the field ONLY if:
[any_treatment_given_6] = '1'
If yes, what?
अगर हाँ क्या?
 text
801 [nutritional_status_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Nutritional Status descriptive
802 [dietary_habit_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Dietary Habit
आहार संबंधी आदत 		radio, Required
1Veg / शाकाहारी
2Non-Veg / गैर-शाकाहारी
803 [amount_consumed_water_l_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Amount Consumed water (L/day):
उपभोग की गई राशि पानी (एल/दिन):
 radio, Required
1Less than 0.5 L
20.5 - 1 L
31 - 2 L
42 - 3 L
5More than 3 L
804 [no_of_full_meals_6]
Show the field ONLY if:
[no_of_family_member] >= 6
No of Full Meals:
पूर्ण भोजन की संख्या:
 radio, Required
11 meal/day
22 meals/day
33 meals/day
4More than 3 meals/day

Field Annotation: @FORCE-MINMAX
805 [frequency_non_vegetaria_6]
Show the field ONLY if:
[dietary_habit_6] = '2'
Frequency of Non-Vegetarian Food:
मांसाहारी भोजन की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/month)
3Weekly (1-2 times/week)
4Frequently (3-5 times/week)
5Daily
806 [frequency_of_vegetarian_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Frequency of Vegetarian Food:
शाकाहारी भोजन की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
807 [frequency_milk_products_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Frequency of Milk Products:
दुग्ध उत्पादों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
808 [frequency_of_pulses_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Frequency of Pulses:
दालों की आवृत्ति:
 radio, Required
1Never
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
809 [frequency_of_fruits_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Frequency of Fruits:
फलों की आवृत्ति:
 radio, Required
1Rarely (less than 1 time/week)
2Occasionally (1-2 times/week)
3Frequently (3-5 times/week)
4Daily
810 [any_other_specific_diet_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Any other specific diet
कोई अन्य विशिष्ट आहार
 text
811 [any_illness_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Any Illnessकोई बीमारी descriptive
812 [nutritional_deficiency_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Nutritional Deficiency
पोषण की कमी
 yesno, Required
1Yes
0No
813 [which_type_of_nutritional_6]
Show the field ONLY if:
[nutritional_deficiency_6] = '1'
Which type of Nutritional Deficiency text, Required
814 [age_at_nurition_def_6]
Show the field ONLY if:
[nutritional_deficiency_6] = '1'
Age (आयु) - At what age illness started? text (number)
815 [duration_nutrient_def_6]
Show the field ONLY if:
[nutritional_deficiency_6] = '1'
Duration (अवधि) - How long did it last? text
816 [physical_disability_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Physical Disability
शारीरिक अपंगता
 yesno, Required
1Yes
0No
817 [which_type_of_physical_dis_6]
Show the field ONLY if:
[physical_disability_6] = '1'
Which type of Physical Disability
 text, Required
818 [duration_how_long_physical_6]
Show the field ONLY if:
[physical_disability_6] = '1'
Duration (अवधि) - How long did it last? text
819 [emotional_impairment_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Emotional Impairment
भावनात्मक क्षति
 yesno, Required
1Yes
0No
820 [which_type_of_emotional_im_6]
Show the field ONLY if:
[emotional_impairment_6] = '1'
Which type of Emotional Impairment
 text, Required
821 [duration_how_long_emontiona_6]
Show the field ONLY if:
[emotional_impairment_6] = '1'
Duration (अवधि) - How long did it last? text
822 [major_therapeutic_irradiat_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Major Therapeutic Irradiation Exposure
प्रमुख चिकित्सीय विकिरण एक्सपोजर
 yesno, Required
1Yes
0No
823 [which_type_of_major_therap_6]
Show the field ONLY if:
[major_therapeutic_irradiat_6] = '1'
Which type of Major Therapeutic Irradiation Exposure
 text, Required
824 [duration_how_long_major_6]
Show the field ONLY if:
[major_therapeutic_irradiat_6] = '1'
Duration (अवधि) - How long did it last? text
825 [long_illness_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Long Illness
लंबी बीमारी
 yesno, Required
1Yes
0No
826 [which_type_of_long_illness_6]
Show the field ONLY if:
[long_illness_6] = '1'
Which type of Long Illness

 text, Required
827 [duration_how_long_ilness_6]
Show the field ONLY if:
[long_illness_6] = '1'
Duration (अवधि) - How long did it last? text
828 [g_have_you_ever_been_diagn_6]
Show the field ONLY if:
[no_of_family_member] >= 6
G. Have you ever been diagnosed by a doctor for any of the following conditions?जी. क्या आपको कभी किसी डॉक्टर द्वारा निम्नलिखित में से किसी भी स्थिति का निदान किया गया है? descriptive
829 [heart_failure_disease_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Heart failure/disease
हृदय विफलता/बीमारी
 yesno, Required
1Yes
0No
830 [type_heart_disesae_6]
Show the field ONLY if:
[heart_failure_disease_6] = '1'
Type
प्रकार 		text
831 [age_heart_faliour_6]
Show the field ONLY if:
[heart_failure_disease_6] = '1'
Age
आयु
 text (number)
832 [irritable_bowel_disease_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Irritable Bowel Disease
चिड़चिड़ा आंत्र रोग
 yesno, Required
1Yes
0No
833 [type_irritable_bowel_6]
Show the field ONLY if:
[irritable_bowel_disease_6] = '1'
Type
प्रकार
 text
834 [age_bowel_disease_6]
Show the field ONLY if:
[irritable_bowel_disease_6] = '1'
Age
आयु
 text (number)
835 [chronic_bronchitis_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Chronic Bronchitis
क्रोनिक ब्रोंकाइटिस
 yesno, Required
1Yes
0No
836 [type_bronchitis_6]
Show the field ONLY if:
[chronic_bronchitis_6] = '1'
Type
प्रकार
 text
837 [age_bronchitis_6]
Show the field ONLY if:
[chronic_bronchitis_6] = '1'
Age
आयु
 text (number)
838 [hernia_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Hernia
हरनिया
 yesno, Required
1Yes
0No
839 [type_hernia_6]
Show the field ONLY if:
[hernia_6] = '1'
Type
प्रकार
 text
840 [age_hernia_6]
Show the field ONLY if:
[hernia_6] = '1'
Age
आयु
 text (number)
841 [emphysema_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Emphysema
वातस्फीति
 yesno, Required
1Yes
0No
842 [type_endometriosis_6]
Show the field ONLY if:
[emphysema_6] = '1'
Type
प्रकार
 text
843 [age_endometriosis_6]
Show the field ONLY if:
[emphysema_6] = '1'
Age
आयु
 text (number)
844 [arthritis_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Arthritis
वात रोग
 yesno, Required
1Yes
0No
845 [type_arthritis_6]
Show the field ONLY if:
[arthritis_6] = '1'
Type
प्रकार 		text
846 [age_arthritis_6]
Show the field ONLY if:
[arthritis_6] = '1'
Age
आयु 		text (number)
847 [inflammatory_bowel_disease_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Inflammatory bowel disease
सूजा आंत्र रोग
 yesno, Required
1Yes
0No
848 [type_inflammatory_bowel_6]
Show the field ONLY if:
[inflammatory_bowel_disease_6] = '1'
Type
प्रकार 		text
849 [age_imflamatry_bowel_6]
Show the field ONLY if:
[inflammatory_bowel_disease_6] = '1'
Age
आयु 		text (number)
850 [depression_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Depression
अवसाद
 yesno, Required
1Yes
0No
851 [type_depression_6]
Show the field ONLY if:
[depression_6] = '1'
Type
प्रकार 		text
852 [age_depression_6]
Show the field ONLY if:
[depression_6] = '1'
Age
आयु 		text (number)
853 [cancer_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Cancer
कैंसर
 yesno, Required
1Yes
0No
854 [type_cancer_6]
Show the field ONLY if:
[cancer_6] = '1'
Type
प्रकार 		text
855 [age_cancer_6]
Show the field ONLY if:
[cancer_6] = '1'
Age
आयु 		text (number)
856 [have_you_been_diagnose_6]
Show the field ONLY if:
[no_of_family_member] >= 6
G11. Have you been diagnosed with Asthma?
क्या आपको अस्थमा का निदान हुआ है?
 yesno, Required
1Yes
0No
857 [age_at_diagnosis_g21]
Show the field ONLY if:
[have_you_been_diagnose_6] = "1"
Age at diagnosis: text
858 [g12_have_you_been_diagnose_6]
Show the field ONLY if:
[no_of_family_member] >= 6
G12. Have you been diagnosed with Typhoid/Enteric Fever? yesno, Required
1Yes
0No
859 [age_at_diagnosis_g_17]
Show the field ONLY if:
[g12_have_you_been_diagnose_6] = "1"
Age at diagnosis:
 text
860 [g13_have_you_been_diagnose_6]
Show the field ONLY if:
[no_of_family_member] >= 6
G13. Have you been diagnosed with Jaundice/Hepatitis? yesno, Required
1Yes
0No
861 [age_at_diagnosis_g22]
Show the field ONLY if:
[g13_have_you_been_diagnose_6] = "1"
Age at diagnosis: text
862 [h_have_you_or_your_family_6]
Show the field ONLY if:
[no_of_family_member] >= 6
H. Have you or your family member suffered from any of the listed symptoms in last 1 year?क्या आप या आपके परिवार के सदस्य पिछले एक वर्ष में सूचीबद्ध लक्षणों में से किसी से पीड़ित हुए हैं? descriptive
863 [high_fever_6]
Show the field ONLY if:
[no_of_family_member] >= 6
High fever / तेज़ बुखार yesno, Required
1Yes
0No
864 [when_highg_fever_6]
Show the field ONLY if:
[high_fever_6] = '1'
When
कब 		text
865 [how_many_times_fever_6]
Show the field ONLY if:
[high_fever_6] = '1'
How many times
कितनी बार
 text
866 [weakness_and_fatigue_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Weakness and Fatigue
कमज़ोरी और थकान
 yesno, Required
1Yes
0No
867 [when_weakness_6]
Show the field ONLY if:
[weakness_and_fatigue_6] = "1"
When
कब 		text
868 [how_many_times_weakness_6]
Show the field ONLY if:
[weakness_and_fatigue_6] = "1"
How many times
कितनी बार 		text
869 [muscle_ache_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Muscle ache
मांसपेशियों में दर्द
 yesno, Required
1Yes
0No
870 [when_muscle_6]
Show the field ONLY if:
[muscle_ache_6] = "1"
When
कब 		text
871 [how_many_times_muscle_6]
Show the field ONLY if:
[muscle_ache_6] = "1"
How many times
कितनी बार 		text
872 [stomach_pain_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Stomach pain
पेट दर्द
 yesno, Required
1Yes
0No
873 [when_stomach_6]
Show the field ONLY if:
[stomach_pain_6] = "1"
When
कब 		text
874 [how_many_times_stomach_6]
Show the field ONLY if:
[stomach_pain_6] = "1"
How many times
कितनी बार 		text
875 [loss_of_appetite_and_weigh_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Loss of appetite and weight
भूख और वजन में कमी
 yesno, Required
1Yes
0No
876 [when_appetite_6]
Show the field ONLY if:
[loss_of_appetite_and_weigh_6] ="1"
When
कब 		text
877 [how_many_times_appetite_6]
Show the field ONLY if:
[loss_of_appetite_and_weigh_6] ="1"
How many times
कितनी बार 		text
878 [dry_cough_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Dry cough
सूखी खाँसी
 yesno, Required
1Yes
0No
879 [when_dry_cough_6]
Show the field ONLY if:
[dry_cough_6] = "1"
When
कब 		text
880 [how_many_times_dry_cough_6]
Show the field ONLY if:
[dry_cough_6] = "1"
How many times
कितनी बार 		text
881 [diarrhoea_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Diarrhoea
दस्त
 yesno, Required
1Yes
0No
882 [when_diarrhoea_6]
Show the field ONLY if:
[diarrhoea_6] = "1"
When
कब 		text
883 [how_many_times_diarrheaea_6]
Show the field ONLY if:
[diarrhoea_6] = "1"
How many times
कितनी बार 		text
884 [hair_fall_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Hair fall
बाल झड़ना
 yesno, Required
1Yes
0No
885 [when_hair_fall_6]
Show the field ONLY if:
[hair_fall_6] = '1'
When
कब 		text
886 [how_many_times_hair_fall_6]
Show the field ONLY if:
[hair_fall_6] = '1'
How many times
कितनी बार 		text
887 [itching_and_rashes_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Itching and rashes
खुजली और चकत्ते
 yesno, Required
1Yes
0No
888 [when_itching_6]
Show the field ONLY if:
[itching_and_rashes_6] = "1"
When
कब 		text
889 [how_many_times_itching_6]
Show the field ONLY if:
[itching_and_rashes_6] = "1"
How many times
कितनी बार 		text
890 [headaches_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Headaches
सिर दर्द
 yesno, Required
1Yes
0No
891 [when_headaches_6]
Show the field ONLY if:
[headaches_6] = "1"
When
कब 		text
892 [how_many_times_headaches_6]
Show the field ONLY if:
[headaches_6] = "1"
How many times
कितनी बार 		text
893 [eye_pain_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Eye pain
आँख का दर्द
 yesno, Required
1Yes
0No
894 [when_eye_pain_6]
Show the field ONLY if:
[eye_pain_6] = "1"
When
कब 		text
895 [how_many_times_eyepain_6]
Show the field ONLY if:
[eye_pain_6] = "1"
How many times
कितनी बार 		text
896 [h12_shortness_of_breath_6]
Show the field ONLY if:
[no_of_family_member] >= 6
H12. Shortness of breath/Difficulty breathing
सांस की तकलीफ/सांस लेने में कठिनाई
 yesno, Required
1Yes
0No
897 [when_h12_6]
Show the field ONLY if:
[h12_shortness_of_breath_6] = "1"
When
कब 		text
898 [how_many_times_h12_6]
Show the field ONLY if:
[h12_shortness_of_breath_6] = "1"
How many times
कितनी बार 		text
899 [h13_wheezing_or_whistling_6]
Show the field ONLY if:
[no_of_family_member] >= 6
H13. Wheezing or whistling sound while breathing
सांस लेते समय घरघराहट या सीटी की आवाज
 yesno, Required
1Yes
0No
900 [when_h13_6]
Show the field ONLY if:
[h13_wheezing_or_whistling_6] = "1"
When
कब 		text
901 [how_many_times_h13_6]
Show the field ONLY if:
[h13_wheezing_or_whistling_6] = "1"
How many times
कितनी बार 		text
902 [h14_nasal_congestion_runny_6]
Show the field ONLY if:
[no_of_family_member] >= 6
H14. Nasal congestion/Runny nose
नाक बंद/नाक बहना
 yesno, Required
1Yes
0No
903 [when_h14_6]
Show the field ONLY if:
[h14_nasal_congestion_runny_6] = "1"
When
कब 		text
904 [how_many_times_h14_6]
Show the field ONLY if:
[h14_nasal_congestion_runny_6] = "1"
How many times
कितनी बार 		text
905 [h15_vomiting_6]
Show the field ONLY if:
[no_of_family_member] >= 6
H15. Vomiting
उल्टी 		yesno, Required
1Yes
0No
906 [when_h15_6]
Show the field ONLY if:
[h15_vomiting_6] = "1"
When
कब 		text
907 [how_many_times_h15_6]
Show the field ONLY if:
[h15_vomiting_6] = "1"
How many times
कितनी बार 		text
908 [alcohol_locally_fermented_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Alcohol / Locally Fermented Beer (Mahua, Whisky, Rum, Beer, Other (Mahua; Whisky; Rum; any other / महुआ; व्हिस्की; रम; कोई और) descriptive
909 [who_consumes_alcohol_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Who consumes alcohol? radio, Required
1You/ आप
2Family member/ परिवार के सदस्य
3Both / दोनों
4Not Applicable
910 [do_you_consume_alcohol_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Do you consume alcohol? yesno, Required
1Yes
0No
911 [how_do_you_consume_6]
Show the field ONLY if:
[do_you_consume_alcohol_6] = '1'
How do you consume? radio, Required
1Regular/ नियमित
2Occasional/प्रासंगिक
912 [at_what_age_did_you_start_6]
Show the field ONLY if:
[do_you_consume_alcohol_6] = '1'
At what age did you start consuming alcohol? text (number), Required
913 [frequency_of_alcohol_consu_6]
Show the field ONLY if:
[how_do_you_consume_6] = '1'
Frequency of alcohol consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
5Occasional
914 [quantity_of_alcohol_consum_6]
Show the field ONLY if:
[how_do_you_consume_6] = '1'
Quantity of alcohol consumed per day (average in ml): text (number), Required
915 [do_you_take_during_pregnan_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Do you take during pregnancy?
क्या आप गर्भावस्था के दौरान लेते हैं?
 radio, Required
1Yes
2No
3Not Applicable
916 [frequency_per_day_during_p_6]
Show the field ONLY if:
[do_you_take_during_pregnan_6] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
917 [tobacco_pan_chewing_smokin_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Tobacco / Pan (Chewing, Smoking, Beedi, Cigarette, Zarda, Other ( चबाना; धूम्रपान; प्रत्यक्ष तम्बाकू; बीड़ी; सिगरेट; ज़र्दा; कोई और ) descriptive
918 [who_consumes_tobacco_pan_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Who consumes tobacco/pan? radio, Required
1You
2Family member
3Both
4Not Applicable
919 [do_you_consume_tobacco_pan_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Do you consume tobacco/pan? yesno, Required
1Yes
0No
920 [how_do_you_consume_tobacco_6]
Show the field ONLY if:
[do_you_consume_tobacco_pan_6] = '1'
How do you consume tobacco/pan? radio, Required
1Regular
2Occasional
921 [what_form_of_tobacco_pan_d_6]
Show the field ONLY if:
[do_you_consume_tobacco_pan_6] = '1'
What form of tobacco/pan do you use? checkbox, Required
1what_form_of_tobacco_pan_d_6___1Chewing
2what_form_of_tobacco_pan_d_6___2Smoking
3what_form_of_tobacco_pan_d_6___3Beedi
4what_form_of_tobacco_pan_d_6___4Cigarette
5what_form_of_tobacco_pan_d_6___5Zarda
6what_form_of_tobacco_pan_d_6___6Other (please specify)
922 [other_specify_6]
Show the field ONLY if:
[what_form_of_tobacco_pan_d_6(6)] = '1'
Other Specify text
923 [at_what_age_did_you_tobacco_6]
Show the field ONLY if:
[do_you_consume_tobacco_pan_6] = '1'
At what age did you start consuming tobacco/pan? text (number), Required
924 [frequency_of_tobacco_pan_c_6]
Show the field ONLY if:
[how_do_you_consume_tobacco_6] = '1'
Frequency of tobacco/pan consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
925 [quantity_consumed_per_day_6]
Show the field ONLY if:
[how_do_you_consume_tobacco_6] = '1'
Quantity consumed per day (average): text, Required
926 [do_you_take_tobacco_pan_du_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Do you take tobacco/pan during pregnancy? radio, Required
1Yes
2No
3Not Applicable
927 [frequency_per_day_tobaco_pre_6]
Show the field ONLY if:
[do_you_take_tobacco_pan_du_6] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
928 [other_drugs_charas_ganja_b_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Other Drugs (Charas, Ganja, Bhang, Opium, LSD, Brown Sugar, Other)(चरस; गांजा; भांग; अफ़ीम; एल.एस.डी.; ब्राउन शुगर; कोई और) descriptive
929 [who_consumes_other_drugs_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Who consumes other drugs? radio, Required
1You
2Family member
3Both
4Not Applicable
930 [do_you_consume_other_drugs_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Do you consume other drugs? yesno, Required
1Yes
0No
931 [how_do_you_consume_other_d_6]
Show the field ONLY if:
[do_you_consume_other_drugs_6] = '1'
How do you consume other drugs? radio, Required
1Regular
2Occasional
932 [what_type_of_drug_do_you_u_6]
Show the field ONLY if:
[do_you_consume_other_drugs_6] = '1'
What type of drug do you use? checkbox, Required
1what_type_of_drug_do_you_u_6___1Charas
2what_type_of_drug_do_you_u_6___2Ganja
3what_type_of_drug_do_you_u_6___3Bhang
4what_type_of_drug_do_you_u_6___4Opium
5what_type_of_drug_do_you_u_6___5LSD
6what_type_of_drug_do_you_u_6___6Brown Sugar
7what_type_of_drug_do_you_u_6___7Other (please specify)
933 [specify_other_drug_6]
Show the field ONLY if:
[what_type_of_drug_do_you_u_6(7)] = '1'
Specify Other text
934 [at_what_age_did_you_star_drug_6]
Show the field ONLY if:
[do_you_consume_other_drugs_6] = '1'
At what age did you start consuming drugs? text (number), Required
935 [frequency_of_drug_consumpt_6]
Show the field ONLY if:
[how_do_you_consume_other_d_6] = '1'
Frequency of drug consumption per day: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
936 [quantity_consumed_per_day_drug_6]
Show the field ONLY if:
[how_do_you_consume_other_d_6] = '1'
Quantity consumed per day (average): text (number), Required
937 [do_you_take_drugs_during_p_6]
Show the field ONLY if:
[no_of_family_member] >= 6
Do you take drugs during pregnancy? radio, Required
1Yes
2No
3Not Applicable
938 [frequency_per_day_during_drug_6]
Show the field ONLY if:
[do_you_take_drugs_during_p_6] = '1'
Frequency per day during pregnancy: radio, Required
11 time/day
22-3 times/day
34-5 times/day
4More than 5 times/day
939 [section_i_environmental_ex] SECTION I: ENVIRONMENTAL EXPOSURE & PLANT PROXIMITY descriptive
940 [i1_how_far_is_your_house_f] I1. How far is your house from the Tehkhand Waste-to-Energy plant?
घर से तेहखंद कचरा से ऊर्जा संयंत्र की दूरी कितनी है?
 radio, Required
1Less than 500 meters
2500 meters to 1 km
31 to 2 km
42 to 3 km
53 to 4 km
64 to 5 km
7More than 5 km
8Don't know
941 [i2_how_long_have_you_been] I2. How long have you been living at this address?
आप इस पते पर कितने समय से रह रहे हैं?
Years: _____ Months: _____
 text (number), Required
942 [a15_previous_place_of_resi]
Show the field ONLY if:
[i2_how_long_have_you_been] <= 5
A15. Previous place of residence (if moved to this address in last 5 years):
पिछला निवास स्थान (यदि पिछले 5 वर्षों में यहां आए हैं):
_____________ District: _____________ State: _____________ Village/Town:
 text
943 [i3_have_you_noticed_any_ch] I3. Have you noticed any changes in air quality in your area?
क्या आपने अपने क्षेत्र में वायु गुणवत्ता में कोई परिवर्तन देखा है?
 radio, Required
1Yes
2No
3Not Sure
944 [when_did_you_first_notice]
Show the field ONLY if:
[i3_have_you_noticed_any_ch] = '1'
when did you first notice? _______________
यदि हां, तो आपने पहली बार कब देखा?
 text
945 [i4_type_of_changes_noticed] I4. Type of changes noticed in air quality (select all that apply): checkbox, Required
1i4_type_of_changes_noticed___1Smoke/Haze (धुआं/कोहरा)
2i4_type_of_changes_noticed___2Unusual odor (असामान्य गंध)
3i4_type_of_changes_noticed___3Dust (धूल)
4i4_type_of_changes_noticed___4Ash/Particulates (राख/कण)
5i4_type_of_changes_noticed___5None (कोई नहीं)
946 [i5_have_you_or_your_family] I5. Have you or your family members noticed any changes in health since the Waste-to-Energy plant started or expanded operations?/ or since you have started living here?
क्या प्लांट शुरू होने या विस्तार के बाद आपने या आपके परिवार ने स्वास्थ्य में कोई बदलाव देखा है?
 radio, Required
1Yes
2No
3Don't know
4Not aware of plant operations
947 [what_changes]
Show the field ONLY if:
[i5_have_you_or_your_family] = '1'
what changes? text
948 [i6_direction_of_your_house] I6. Direction of your house from the Waste-to-Energy plant: radio, Required
1North (उत्तर)
2South (दक्षिण)
3East (पूर्व)
4West (पश्चिम)
5Northeast (उत्तर-पूर्व)
6Northwest (उत्तर-पश्चिम)
7Southeast (दक्षिण-पूर्व)
8Southwest (दक्षिण-पश्चिम)
9Don't know (पता नहीं)
949 [section_j_sanitation_hygie] SECTION J: SANITATION & HYGIENE descriptive
950 [j1_type_of_toilet_facility] J1. Type of toilet facility used by household: radio, Required
1Flush toilet (own)
2Flush toilet (shared)
3Pit latrine
4Community toilet
5Open defecation
951 [j2_how_is_household_garbag] J2. How is household garbage disposed? radio, Required
1Municipal collection
2Open dumping
3Burning
4Burying
5Other
952 [specify_other_garbej]
Show the field ONLY if:
[j2_how_is_household_garbag] = '5'
Specify other text
953 [j3_frequency_of_garbage_co] J3. Frequency of garbage collection: radio, Required
1Daily
2Alternate days
3Weekly
4Fortnightly
5No collection
954 [section_k_healthcare_acces] SECTION K: HEALTHCARE ACCESS descriptive
955 [k1_distance_to_nearest_hea] K1. Distance to nearest health facility:
निकटतम स्वास्थ्य सुविधा की दूरी:
KM
 text (number), Required
956 [k2_type_of_health_facility] K2. Type of health facility usually visited:
 radio, Required
1Government hospital
2PHC/CHC
3Private clinic
4Pharmacy
5Traditional healer
6No regular facility
957 [form_1_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
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