Literal question
211. READ CONSENT STATEMNET TO PARENT/OTHER ADULT RESPONSIBLE FOR CHILD CIRCLE CODE AND SIGN.
GRANTED (SIGN) ____ 1
REFUSED 2 (GO TO 213)
CONSENT STATEMENT FOR ANEMIA FOR CHILDREN
As part of this survey, we are asking people all over the country to take an anemia test. Anemia is a serious health problem that usually results from poor nutrition, infection, or chronic disease. This survey will assist the government to develop programs to prevent and treat anemia.
We request that all children born in 2057 or later aged at least 6 months participate in the anemia testing part of this survey and give a few drops of blood from a finger. The equipment used in taking the blood is clean and completely safe. It has never been used before and will be thrown away after each test.
The blood will be tested for anemia immediately, and the result told to you right away. The result will be kept confidential.
Do you have any questions?
You can say yes to the test, or you can say no. It is up to you to decide.
Will you allow (NAME(S) OF CHILD(REN) to participate in the anemia test?