S. No.

Questions

Category

Remark

101

Age in years

_______

102

Religion

1. Orthodox

2. Muslim

3. Protestant

4. Catholic

5. Other (specify)

103

Ethnicity

1. Kefa

2. Gurage

3. Oromo

4. Amhara

5. Other specify ____

104

Marital status

1. Married

2. Never married

3. Divorced

4. Widowed

5. Unmarried couples

105

Educational status

1. Illiterate

2. Read and write

3. Grade1-6

4. Grade 7-12

5. College/university

106

Occupation

1. House wife

2. Farmer

3. Civil servant

4. Student

5. Merchant

6. No job

Others (specify) ____

107

Place of residence

1. Urban

2. Rural

108

Gravidity

109

Average monthly income