| S/N | VARIABLE | POSSIBLE RESPONSES | RESPONSE | |
| 01 | Age (in years) | Any two digit number |
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| 02 | Gravid formula |
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| 03 | Marital status | Single = 1, Married = 2, cohabiting = 3, Divorced = 4, Widow = 5 |
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| 04 | Level of education | No formal education = 1, Primary education = 2 Secondary education = 3, University education = 4 |
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| 05 | Occupation |
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