Submitted by: Submitted by kiplimocaro
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Pages: 2
Category: Business and Industry
Date Submitted: 03/23/2011 05:02 AM
APPENDIX 1
QUESTIONAIRE TO CLIENT
Dear recipient,
I am a student at CITC-Moi program Kapsabet and currently pursuing a diploma course in food science and nutrition. I am undertaking a research project on effect of nutrition to pregnant Mothers in Kenya .A case study of Nandi central District. Any information provided is confidential and purely meant for academic purposes.
The finding of the research shall benefit all stakeholders (please tick where necessary)
Sample Questionnaires
SECTION A: PERSONAL INFORMATION
• Which of the following bellow best describes your sex?
Male female
• What is your age
18-24 24-32 33-40 41 and over
• Which of this best describes your marital status
Single married widow divorced
• What is your current level of education and training attained
High school certificate college certificate diploma bachelor’s degree masters degree any other specify_______________________
• What is your main source of income
Farmer Employed self employed others if other specify___________
SECTION B:
1. Is this your first pregnancy?
Yes
No
b) If either, how did you discover you were pregnant and how far long were you?____________________________________________________________
____________________________________________________________
____________________________________________________________
________________________________
2. Was this pregnancy planned?
Yes
No
b) If you planned did you have a hard time becoming pregnant? Explain_____________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________
3. What was your initial reaction to being pregnant?...