1133. From whom have you sought help? Anyone else? RECORD ALL MENTIONED. OWN FAMILY A HUSBAND'S FAMILY B CURRENT/FORMER HUSBAND C CURRENT/FORMER BOYFRIEND D FRIEND E NEIGHBOUR F RELIGIOUS LEADER G DOCTOR/MEDICAL PERSONNEL H POLICE I LAWYER J SOCIAL SERVICE ORGANIZATION K OTHER (SPECIFY)____________X

1133. From whom have you sought help? Anyone else? RECORD ALL MENTIONED. OWN FAMILY A HUSBAND'S FAMILY B CURRENT/FORMER HUSBAND C CURRENT/FORMER BOYFRIEND D FRIEND E NEIGHBOUR F RELIGIOUS LEADER G DOCTOR/MEDICAL PERSONNEL H POLICE I LAWYER J SOCIAL SERVICE ORGANIZATION K OTHER (SPECIFY)____________X

1133. From whom have you sought help? Anyone else? RECORD ALL MENTIONED. OWN FAMILY A HUSBAND'S FAMILY B CURRENT/FORMER HUSBAND C CURRENT/FORMER BOYFRIEND D FRIEND E NEIGHBOUR F RELIGIOUS LEADER G DOCTOR/MEDICAL PERSONNEL H POLICE I LAWYER J SOCIAL SERVICE ORGANIZATION K OTHER (SPECIFY)____________X

1133. From whom have you sought help? Anyone else? RECORD ALL MENTIONED. OWN FAMILY A HUSBAND'S FAMILY B CURRENT/FORMER HUSBAND C CURRENT/FORMER BOYFRIEND D FRIEND E NEIGHBOUR F RELIGIOUS LEADER G DOCTOR/MEDICAL PERSONNEL H POLICE I LAWYER J SOCIAL SERVICE ORGANIZATION K OTHER (SPECIFY)____________X

1133. From whom have you sought help? Anyone else? RECORD ALL MENTIONED. OWN FAMILY A HUSBAND'S FAMILY B CURRENT/FORMER HUSBAND C CURRENT/FORMER BOYFRIEND D FRIEND E NEIGHBOUR F RELIGIOUS LEADER G DOCTOR/MEDICAL PERSONNEL H POLICE I LAWYER J SOCIAL SERVICE ORGANIZATION K OTHER (SPECIFY)____________X

1133. From whom have you sought help? Anyone else? RECORD ALL MENTIONED. OWN FAMILY A HUSBAND'S FAMILY B CURRENT/FORMER HUSBAND C CURRENT/FORMER BOYFRIEND D FRIEND E NEIGHBOUR F RELIGIOUS LEADER G DOCTOR/MEDICAL PERSONNEL H POLICE I LAWYER J SOCIAL SERVICE ORGANIZATION K OTHER (SPECIFY)____________X

1133. From whom have you sought help? Anyone else? RECORD ALL MENTIONED. OWN FAMILY A HUSBAND'S FAMILY B CURRENT/FORMER HUSBAND C CURRENT/FORMER BOYFRIEND D FRIEND E NEIGHBOUR F RELIGIOUS LEADER G DOCTOR/MEDICAL PERSONNEL H POLICE I LAWYER J SOCIAL SERVICE ORGANIZATION K OTHER (SPECIFY)____________X

356) ASK CONSENT FOR DBS COLLECTION FROM PARENT/ OTHER ADULT IDENTIFIED IN 307 AS RESPONSIBLE FOR NEVER MARRIED WOMEN AGE 15-17. As part of the survey we also are asking people all over the country to take an HIV test. HIV is the virus that causes AIDS. AIDS is a very serious illness. The HIV test is being done to see how big the AIDS problem is in India. For the HIV test, we need a few (more) drops of blood from a finger. The equipment used to take the blood is clean and completely safe. It has never been used before and will be thrown away after each test. No names will be attached so we will not be able to tell you the test results. No one else will be able to know (NAME OF ADOLESCENT)'s test results either. If (NAME OF ADOLESCENT) wants to know her HIV status, I can provide a list of nearby facilities offering counselling and testing for HIV. I will also give her a voucher for free services that can be used at any of these facilities. 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 OF ADOLESCENT) to take the HIV test?

360. During (this contact/all these contacts) with (PERSON MENTIONED IN 354 AND 357) in the last three months, what were the different services provided and matters talked about? Anything else? RECORD ALL MENTIONED. FAMILY PLANNING A IMMUNIZATION B ANTENATAL CARE C DELIVERY CARE D BIRTH PREPAREDNESS E COMPLICATION READINESS F POSTNATAL CARE G DISEASE PREVENTION H MEDICAL TREATMENT FOR SELF I TREATMENT FOR SICK CHILD J TREATMENT FOR OTHER PERSON K MALARIA CONTROL L SUPPLEMENTARY FOOD M GROWTH MONITORING OF CHILD N EARLY CHILDHOOD CARE O PRE-SCHOOL EDUCATION P NUTRITION/HEALTH EDUCATION R MENSTRUAL HYGIENE S OTHER (SPECIFY)______X

360. During (this contact/all these contacts) with (PERSON MENTIONED IN 354 AND 357) in the last three months, what were the different services provided and matters talked about? Anything else? RECORD ALL MENTIONED. FAMILY PLANNING A IMMUNIZATION B ANTENATAL CARE C DELIVERY CARE D BIRTH PREPAREDNESS E COMPLICATION READINESS F POSTNATAL CARE G DISEASE PREVENTION H MEDICAL TREATMENT FOR SELF I TREATMENT FOR SICK CHILD J TREATMENT FOR OTHER PERSON K MALARIA CONTROL L SUPPLEMENTARY FOOD M GROWTH MONITORING OF CHILD N EARLY CHILDHOOD CARE O PRE-SCHOOL EDUCATION P NUTRITION/HEALTH EDUCATION R MENSTRUAL HYGIENE S OTHER (SPECIFY)______X

360. During (this contact/all these contacts) with (PERSON MENTIONED IN 354 AND 357) in the last three months, what were the different services provided and matters talked about? Anything else? RECORD ALL MENTIONED. FAMILY PLANNING A IMMUNIZATION B ANTENATAL CARE C DELIVERY CARE D BIRTH PREPAREDNESS E COMPLICATION READINESS F POSTNATAL CARE G DISEASE PREVENTION H MEDICAL TREATMENT FOR SELF I TREATMENT FOR SICK CHILD J TREATMENT FOR OTHER PERSON K MALARIA CONTROL L SUPPLEMENTARY FOOD M GROWTH MONITORING OF CHILD N EARLY CHILDHOOD CARE O PRE-SCHOOL EDUCATION P NUTRITION/HEALTH EDUCATION R MENSTRUAL HYGIENE S OTHER (SPECIFY)______X

360. During (this contact/all these contacts) with (PERSON MENTIONED IN 354 AND 357) in the last three months, what were the different services provided and matters talked about? Anything else? RECORD ALL MENTIONED. FAMILY PLANNING A IMMUNIZATION B ANTENATAL CARE C DELIVERY CARE D BIRTH PREPAREDNESS E COMPLICATION READINESS F POSTNATAL CARE G DISEASE PREVENTION H MEDICAL TREATMENT FOR SELF I TREATMENT FOR SICK CHILD J TREATMENT FOR OTHER PERSON K MALARIA CONTROL L SUPPLEMENTARY FOOD M GROWTH MONITORING OF CHILD N EARLY CHILDHOOD CARE O PRE-SCHOOL EDUCATION P NUTRITION/HEALTH EDUCATION R MENSTRUAL HYGIENE S OTHER (SPECIFY)______X

360. During (this contact/all these contacts) with (PERSON MENTIONED IN 354 AND 357) in the last three months, what were the different services provided and matters talked about? Anything else? RECORD ALL MENTIONED. FAMILY PLANNING A IMMUNIZATION B ANTENATAL CARE C DELIVERY CARE D BIRTH PREPAREDNESS E COMPLICATION READINESS F POSTNATAL CARE G DISEASE PREVENTION H MEDICAL TREATMENT FOR SELF I TREATMENT FOR SICK CHILD J TREATMENT FOR OTHER PERSON K MALARIA CONTROL L SUPPLEMENTARY FOOD M GROWTH MONITORING OF CHILD N EARLY CHILDHOOD CARE O PRE-SCHOOL EDUCATION P NUTRITION/HEALTH EDUCATION R MENSTRUAL HYGIENE S OTHER (SPECIFY)______X

360. During (this contact/all these contacts) with (PERSON MENTIONED IN 354 AND 357) in the last three months, what were the different services provided and matters talked about? Anything else? RECORD ALL MENTIONED. FAMILY PLANNING A IMMUNIZATION B ANTENATAL CARE C DELIVERY CARE D BIRTH PREPAREDNESS E COMPLICATION READINESS F POSTNATAL CARE G DISEASE PREVENTION H MEDICAL TREATMENT FOR SELF I TREATMENT FOR SICK CHILD J TREATMENT FOR OTHER PERSON K MALARIA CONTROL L SUPPLEMENTARY FOOD M GROWTH MONITORING OF CHILD N EARLY CHILDHOOD CARE O PRE-SCHOOL EDUCATION P NUTRITION/HEALTH EDUCATION R MENSTRUAL HYGIENE S OTHER (SPECIFY)______X

360. During (this contact/all these contacts) with (PERSON MENTIONED IN 354 AND 357) in the last three months, what were the different services provided and matters talked about? Anything else? RECORD ALL MENTIONED. FAMILY PLANNING A IMMUNIZATION B ANTENATAL CARE C DELIVERY CARE D BIRTH PREPAREDNESS E COMPLICATION READINESS F POSTNATAL CARE G DISEASE PREVENTION H MEDICAL TREATMENT FOR SELF I TREATMENT FOR SICK CHILD J TREATMENT FOR OTHER PERSON K MALARIA CONTROL L SUPPLEMENTARY FOOD M GROWTH MONITORING OF CHILD N EARLY CHILDHOOD CARE O PRE-SCHOOL EDUCATION P NUTRITION/HEALTH EDUCATION R MENSTRUAL HYGIENE S OTHER (SPECIFY)______X