Literal question
INTRODUCTION AND CONSENT
Hello. My name is _________________________. I am working with National Institute of Statistics of Rwanda. We are conducting a survey about health all over Rwanda. The information we collect will help the government to plan health services. Your household was selected for the survey. I would like to ask you some questions about your household. The questions will usually take about 15 to 20 minutes. All of the answers you give will be confidential and will not be shared with anyone other than members of the survey team. You don't have to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any question you don't want to answer, just let me know and I will go on to the next question or you can stop the interview at any time.
In case you need more information about the survey, you may contact the person listed on this card.
GIVE CARD WITH CONTACT INFORMATION.
Do you have any questions?
May I begin the interview now?
SIGNATURE OF INTERVIEWER: _________________________ DATE: _______________
RESPONDENT AGREES TO BE INTERVIEWED 1 (CONTINUE)
RESPONDENT DOES NOT AGREE TO BE INTERVIEWED 2 (END)