QUESTIONNAIRE –Medical Camp Feedback

idProject codeAgent codeRespondent nameMarital statusOther marital statusRespondent NICQualificationOther DetailRespondent AddressRespondents Contact NoPastor NameAgeNo of Family MembersTotal Joint Family MemberTotal Immediate Family MemberReligion of RespondentOccupationChurch Name & AddressHousehold IncomeArea of Residence Needs SchoolCWE IncomeHow are Health Facilities in your AreaEarning Member of FamilySource of your Drinking WaterOther DetailAny Loan PayableInstallment on LoanHousing Status IncomeTotal Family MembersInfant up to 2 Year AgeChildren 3 to21Middle Age 22 to 59Elders 60Female Earning Members of FamilySanitation Condition in your AreaAge at MarriageHusband AgeWife AgeHow Long Have you Been Living HereTransport OwnedPlease NameName Diseases Common in your AreaHow are Health Facilities in your AreaWhen did you attend medical campdetailWas medical camp facility ampleWhat was the best thing you like about the medical campDid you visit the medical camp 2 times last yearDid you receive medical aid from anyone elseWhat was the thing you least liked about medical campDid you need the medical camp when you got itWhat was missing in medical campHow many month medical camp support lasted youWhy did you come to medical campWas medicine Enough for your familyWho came to medical camp from your family? Including married sons familyDetailDid your married Sister or any member from her family visited campHow many families in your visited medical campDid your married daughter or any member from her family visited campWhat this medical camp meant for youHow many families in your area were unable to attend med campHow many members of your family live under one roofHow many married couples live under one roofOf all married couples how many visited medical campIs any member in your family sickIf yes whoTheir diseaseWas medical camp place correctWhat place should we conduct medical campHow did you help them? Who did not visit campDo you know a sick person in Sindh who did not visit campWhat did you do to help themWhy do Sindhi’s need medical campsWould you need aid medical camp again this yearIf yes WhyDisease common in your area of residence please enlistWhich disease you or your family member treated for, define symptomsAre you or your family member cured or disease re surfaced, discuss symptomsWhat are challenges you are facing currentlyCan you earn enough to meet your family medical needsWhat is your biggest worry currentlyHow is your financial condition in current timesIn Sindh with rising cases of persecution , are you worried? Or they are away from youWhat is your mental stress currentlyIs any member of your family unemployedIf Yes, How manySince whenAny member of your family is addictedAny member of your family is addictedDo you need medical support in your area of residenceIf yes whyWhich areas are medical camp most neededList themWhy in these areasDo you think medical camp has an impact on health of peopleIf Yes HowPrayer RequestAny thing you want to share with us
8Another new entry1234Suleman todayMarried35201-0864500-3MatricLahore, Pakistan0322-4982144Johnson30Joint Family, Immediate Family1010testingtestingUnited Chruch Gulberg30Yes30Yes30Tap Water100000100000Owned: ????104 Year1 or 4456030Bad243030SulemanYestestingSohailSulemanMonth?????testingSulemanSulemanYesSulemanSulemanSulemanSohailSulemanSohailYesList themtestingYestestingtestingtestingtestingSulemanSohailSulemanYestestingtestingSohailtestingtestingtestingtestingSulemanYestestingSohailtestingSohailtestingtestingtestingtestingtestingSulemanYestestingtestingtestingtestingYestestingDetailasasas aaaa bbbbtestingYestestingtestingsuleman test
7New entry1234SulemanMarried35201-0864500-3FSCLahore, Pakistan0322-4982144Johnson30Joint Family10suleman testtestingUnited Chruch Gulberg30Yes30Yes30Tap Water100000100000Owned: ????104 Year1 or 4456030Bad243030SulemanYessuleman testSulemanSulemanMonth?????testingSulemanSulemanYesSulemanSulemantestingSohailSulemanSohailYesList themtestingYestestingtestingtestingsuleman testSulemansuleman testSulemanYestestingtestingSohailtestingtestingtestingtestingtestingYestestingSohailtestingSohailtestingtestingtestingtestingtestingSulemanYestestingtestingtestingtestingYestestingDetailasdasdasd aaaaaaaaYestestingtestingsuleman test