Literal question
441. Where did you get the condom the last time?
PROBE TO IDENTIFY TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE) ______________
PUBLIC SECTOR
GOVT. HOSPITAL 11
GOVT. HEALTH CENTER 12
GOVERNMENT DISPENSARY 13
OTHER PUBLIC (SPECIFY) ___________ 16
PRIVATE MEDICAL SECTOR
FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC 21
FHOK/FPAK HEALTH CENTER/CLINIC 22
PRIVATE HOSPITAL/CLINIC 23
PHARMACY/CHEMIST 24
NURSING/MATERNITY HOME 25
OTHER PRIV. MEDICAL (SPECIFY) ________ 26
OTHER SOURCE
MOBILE CLINIC 31
COMMUNITY-BASED DISTRIBUTOR 41
SHOP 51
FRIEND/RELATIVE 61
OTHER (SPECIFY) ___________ 96