13	How long do you have to wait at the health facilities before you see a health care provider?	1) 0 - 1 hour 2) 1 - 2 hours 3) 2 - 3 hours 4) 3 - 4 hours 5) I have never attended Other specify ------------------------	01 02 03 04 05	[ ]
14	Do you get the ASRH services of your choice when you go to health facilities?	1) Yes 2) No 3) I have never attended If no, do you think why? -------------	01 02 03	[ ]
15	Do you think the health provider of SRHS for adolescent explains the information clearly?	1) Yes 2) No 3) I don’t know	01 02 03	[ ]
16	Do you think the health care providers set aside sufficient time for client-provider interaction?	1) Yes 2) No 3) I don’t know	01 02 03	[ ]
17	Do the health care providers demonstrate respect when interacting with adolescents?	1) Yes 2) No 3) I don’t know	01 02 03	[ ]
18	Are peer educators/counselors available in the health facilities during the provision of ASRHS?	1) Yes 2) No 3) I have never attended If no what do you feel about that? ------------------------	01 02 03	[ ]
19	Are there any factors which hinder you to utilize ASRH services?	1) Yes 2) No If Yes what are those factors?	01 02	[ ]
20	Is there anything you think could be done to improve services?	1) Yes 2) No 3) I don’t know If yes what do you think should be done?	01 02 03	[ ]