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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?...