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2014
May
T
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Name
*
Age
Between 15 Years- 20 Years
Between 20 Years- 30 Years
Between 30 Years- 49 Years
*
Which one of the following best describes your current relationship status?
Single
Married
Widowed
Divorced
Separated
*
Which one of the following best describes your annual household income?
Below Ethiopian Birr 10,000
Ethiopian Birrr 10,000 - Ethiopian Birr 26,000
Above Ethiopian Birr 26,000
*
What is the highest level of education you have completed/will complete?
Primary Schooling
Secondary Schooling
Graduation
Post Graduation
*
How many people including you, are supported by this income?
*
Did you and your partner ever use contraceptives?
Yes
No
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