| PART C: AVAILABILITY OF CAREGIVER/ |
| This section seeks to find out who you are currently living with and the nature of relationship with the current care giver 21. Whom are you currently living with? Mother ☐ Father Relative ☐ Children’s Home ☐ Guardian (not relative) ☐ 22. Do you currently live with any of your brothers or sisters? YES ☐ NO ☐ 23. If not living with your other siblings. How often do you see your sisters/brothers? Never ☐ Rarely (yearly) ☐ Few times (monthly) ☐ Frequently(daily/weekly) ☐ 24. If you are living with a family member/relative, what is the relationship between you and your caregiver? Aunty/Uncle ☐ Grandparent ☐ Older Sibling ☐ 25. If living with a Guardian who is not a relative, who are they? Neighbor ☐ Teacher ☐ Pastor ☐ Friend to parent ☐ 26. If living in a children’s home, who took you there Relative ☐ Teacher/School ☐ Relative ☐ Pastor ☐ Guardian (not relative) ☐ |
| PART D: CULTURE AND DEATH |
| This section seeks to understand some of the cultural practices surrounding death and how they affected you 27. Did anybody tell you that your parent had died? YES ☐ NO ☐ 28. If YES in 27 above, who informed you about the death of your mother/father Surviving Parent ☐ Siblings ☐ Other relative ☐ Teacher ☐ Pastor ☐ 29. If NO in 27 above, how did you know about the death? I was there when he/she died ☐ I saw/heard people crying over the death ☐ 30. Did you attend the burial of your parent? YES ☐ NO ☐ 31. Did anyone tell/ask you to view the body in the coffin? YES ☐ NO ☐ 32. Did you view the body in the coffin? YES ☐ NO ☐ 33. During the preparation for burial, which of the following activities bothered you most (Tick at least TWO) Screams/Wails and Cries ☐ Many people in your home cooking and eating ☐ The night dancing/music ☐ Having the body in the house all night on the day before the burial ☐ Viewing the body ☐ 34. After the burial which of the following activities bothered you most (Tick as appropriate) The night dancing/music ☐ Empty compound in the next days ☐ Relatives coming to share out your parents belongings ☐ |
| PART E: PSYCHOSOCIAL SUPPORT |
| This section seeks to find out if you received any emotional support at the time of death, burial and after burial of your parent 35. Did anyone talk/comfort you on how you were feeling about the death of your parent? YES ☐ NO ☐ 36. Did you receive any counseling/talk about meaning of death? YES ☐ NO ☐ 37. If YES in 36 above, from whom did you receive this talk? Relative ☐ Pastor☐ Teacher 38. Did you receive any guidance and counseling in school when you returned back to school after the burial? YES ☐ NO ☐ 39. When you feel sad in school do you have someone you can talk to? YES ☐ NO ☐ |
| PART F: THOUGHTS/BELIEFS |