No.	Research Item	Tick/circle one digit that represents the correct response
1.	Age bracket (in completed years)	1	2	3	4
1.	Age bracket (in completed years)	18 - 22	23 - 27	28 - 32	33 - 37
2.	Parity	1	2	3
2.	Parity	Nulliparous	Primiparous	Multiparous
3.	Ethnicity	Indicate here: ________________________
4.	Formal educational level reached	1	2	3	4
4.	Formal educational level reached	None-Primary	Secondary	College	University
5.	Pre-pregnancy BMI	1	2	3	4
5.	Pre-pregnancy BMI	Underweight	Normal	Overweight	Obese
6.	Trimester at the first ANC visit	1	2	3
6.	Trimester at the first ANC visit	First	second	Third
7.	Weight (in Kgs) at first ANC visit	Indicate here: ________________________