QNO

Questions and Instructions

Response

Codes

1

Is the child on Folic acid?

Yes

No

1

2

2

Is the child on Pen V?

Yes

No

1

2

3

Is the child on Hydroxyurea? When did she/he start?

Yes

No

1

2

4

Other medications? Herbal? Iron supplements?

any alternative treatment? (specify)

Yes (specify)

No

1

2

5

Any laboratory investigations required today(not part of this study)