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Demographic Questionnaire for Research

The document is a self-administered questionnaire designed to collect demographic data from respondents regarding their age, education level, marital status, occupation, monthly income, family type, number of children, age at first childbirth, and awareness of cervical cancer. Each question provides multiple-choice options for respondents to select from. The questionnaire aims to gather relevant information about individuals and their families.

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iamobydullahali
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14 views1 page

Demographic Questionnaire for Research

The document is a self-administered questionnaire designed to collect demographic data from respondents regarding their age, education level, marital status, occupation, monthly income, family type, number of children, age at first childbirth, and awareness of cervical cancer. Each question provides multiple-choice options for respondents to select from. The questionnaire aims to gather relevant information about individuals and their families.

Uploaded by

iamobydullahali
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Section A – Demographic Data

Self-administered questionnaire on selected demographic variables


Instruction: This questionnaire contains information related to you and your family. Kindly read
each question carefully and put a tick mark (√) against the most appropriate response.
1. Age
(a) 18–25 (b) 26–35 (c) 36–45 (d) Above 45
2. Education Level
(a) Illiterate (b) Primary (c) Secondary (d) Higher Secondary and above
3. Marital Status
(a) Married (b) Unmarried (c) Widow (d) Separated
4. Occupation
(a) Housewife (b) Daily Wage Earner (c) Government Job (d) Other
5. Monthly Income (approx.)
(a) Below ₹5,000 (b) ₹5,000–10,000 (c) ₹10,000–15,000 (d) Above ₹15,000
6. Type of Family
(a) Nuclear (b) Joint (c) Extended
7. Number of Children
(a) 1–2 (b) 3 or more (c) None
8. Age at First Childbirth (if applicable)
(a) Below 20 (b) 20–25 (c) 26–30 (d) Above 30
9. Have you heard about cervical cancer before?
(a) Yes (b) No

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