Submission Time

start

end

today

Date

Interviewer

A1. Age

A2. Gender

A3. Highest level of education completed

A4. Primary occupation

A5. Monthly household income (KES)

A6. Distance to nearest health facility (km)

A7. Number of people in household

B1. When you or your family members fall ill, where do you usually seek treatment first?

B3. How often do you visit a healthcare facility in a year?

C1. Have you heard of antibiotics before?

C4. In your opinion, antibiotics are effective against:

C5. Do you think antibiotics can lose their effectiveness if not used properly?

D1. Have you or anyone in your household used antibiotics in the past 12 months?

D2a. How many times have you or household members used antibiotics in the past 1 month?