Socio demographic form
[DOC File]European Journal for Biomedical Informatics: Instructions ...
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Socio – Demographic & Clinical characteristics n % Sex Male 131 63.0 Female 77 37.0 Age Mean (±SD) 70,7(±10,4) 75 88 42.3 Marital status Married 123 59.4 Single 15 7.2 Divorced/ Separated 23 11.1 Widow/er 42 20.3 Living together 4 1.9 Education level Illiterate 26 12.5 Primary 100 48.1 Secondary 59 28.4 University ...
[DOCX File]Home – PrEPWatch
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Socio-demographic Update VISIT CODE: Screening ID: Site Study Screening Number. Participant ID: Site Study Couple I/P ... If participant has moved house, please update the participant locator form. Item 2. If a television is owned by the household, mark “yes.” ...
[DOC File]A Comprehensive Analysis of the Impacts of Socio ...
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All of these ATE attributes were merged with the activity time-use and individual/household demographic data to form a comprehensive database suitable for modeling residential choice and time-investment decisions. 3.3 Sample Description. The final estimation sample consists of 2793 individuals residing in Alameda County in the San Francisco Bay ...
[DOC File]DEMOGRAPHIC AND HEALTH SURVEY
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The Household Questionnaire includes a cover sheet to identify the household and a form on which all members of the household and visitors are listed. This form is used to record some information about each household member, such as name, sex, age, education, and survival of parents for children under age 18. ... • Socio-demographic ...
[DOC File]SOCIAL IMPACT ASSESSMENT
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Social Impact Assessment (short form for Socio-economic Impact Assessment) helps in understanding such impacts. 8 Social Impact Assessment alerts the planners as to the likely benefits and costs of a proposed project, which may be social and/or economic. ... demographic details (family size, sex ratio, literacy/education levels, population by ...
[DOC File]Demographic Information Sheet - Pepperdine University
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Demographic Information Form. Instructions: Please provide a response for each of the following questions: 1. What is your age? _____ 2. What is you sex? Female ( Male (3. What is your marital status? Single ( Married ( Separated ( Divorced Widowed (4. What is your annual income (or combined annual income if you have a spouse)? ...
[DOCX File]DEMOGRAPHIC AND HEALTH SURVEY
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Demographic and Health Survey. Interviewer’s Manual. ICF . Rockville, Maryland. Feb. 201. 9. The DHS Program is a five-year project to assist institutions in collecting and analyzing data needed to plan, monitor, and evaluate population, health, and nutrition programs.
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