Literal question
830) Where is that?
Any other place?
RECORD ALL PLACES MENTIONED.
IF SOURCE IS HOSPITAL, HEALTH CENTER OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
(NAME OF PLACE) __________
PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/OUTPOST B
ANONYMOUS VOLUNTEER SCREENING CENTER C
FAMILY PLANNING CLINIC D
MOBILE VOLUNTEER SCREENING CENTER E
TRAVELING TREATMENT CENTER F
OTHER PUBLIC (SPECIFY) _____ G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/POLYCLINIC H
MOBILE VOLUNTEER SCREENING CENTER I
TRAVELING TREATMENT CENTER J
YOUTH SUPERVISING CENTER K
OTHER PRIVATE MEDICAL (SPECIFY) _____ L
OTHER (SPECIFY) _____ X