{"slug": "ehis-2014-en-full-questionnaire", "title": "Questionnaire in English", "pdfUrl": "https://dhir.gov.mt/wp-content/uploads/2024/04/EHIS_2014_EN_FULL_QUESTIONNAIRE.pdf", "sourcePage": "https://dhir.gov.mt/en/surveys/european-health-interview-survey-2014-2015-ehis/", "group": "Survey", "topic": "European Health Interview Survey 2014 2015 Ehis", "tables": [{"caption": "Table 1: Interviewer Code: \u00a6\u00a6\u00a6", "header": ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], "rows": [["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"]]}, {"caption": "Table 2: CS.4 by What is your citizenship?", "header": ["CS.4", "What is your citizenship?", ""], "rows": [["CS.4", "National (Maltese citizenship)", "O"], ["CS.4", "National of other EU Member State", "O"], ["CS.4", "National of non EU countries", "O"], ["INTERVIEWER:", "IF RESPONDENT LIVES IN AN INSTITUTION GO TO QUESTION", "CS.8 7 PAGE"]]}, {"caption": "Table 3: Age group by Number of persons in the household", "header": ["Age group", "Number of persons in the household"], "rows": [["Number of persons aged 4 or younger", "", "___", "___", "persons0 1 2 3 4 5 6 7 8 90 1 2 3 4 5 6 7 8 9"], ["Number of persons aged 5 to 13", "", "___", "___", "persons0 1 2 3 4 5 6 7 8 90 1 2 3 4 5 6 7 8 9"]]}, {"caption": "Table 3: Age group by Number of persons in the household (cont. 2)", "header": ["Age group", "Number of persons in the household"], "rows": [["Number of persons aged 14 to 15", "", "___", "___", "persons0 1 2 3 4 5 6 7 8 90 1 2 3 4 5 6 7 8 9"], ["Number of persons aged 16 to 24", "", "___", "___", "persons0 1 2 3 4 5 6 7 8 90 1 2 3 4 5 6 7 8 9"], ["Number of persons aged 25 to 64", "", "___", "___", "persons0 1 2 3 4 5 6 7 8 90 1 2 3 4 5 6 7 8 9"], ["Number of persons aged 65 and over", "", "___", "___", "persons0 1 2 3 4 5 6 7 8 90 1 2 3 4 5 6 7 8 9"]]}, {"caption": "Table 5: Any other type of household", "header": ["INTERVIEWER: THE NEXT QUESTIONS CONCERN ONLY THE SELECTED INDIVIDUAL", "", ""], "rows": [["CS.8", "What is your legal marital status?", ""], ["", "CODE ONLY ONE CATEGORY Single, that is, never married or in a registered partnership", "O"], ["", "Married or in a registered partnership", "O"], ["", "Widowed or in registered partnership that ended with death of partner (not remarried or in a new", ""], ["", "registered partnership)", "O"], ["", "Divorced and not remarried (including legally separated and dissolved registered partnership)", "O"], ["INTERVIEWER: / ( CS5=1) IF RESPONDENT LIVES ON HIS HER OWN OR LIVES IN AN INSTITUTION GO", "", ""], ["", "CS.10 TO QUESTION", ""]]}, {"caption": "Table 5: Any other type of household (cont. 2)", "header": ["CS.9", "May I just check, are you living with someone in this household as a couple?", ""], "rows": [["CS.9", "Yes, living with husband/wife/partner", "O"], ["CS.9", "No", "O"]]}, {"caption": "Table 7: CS.10 What is the highest level of education you have achieved?", "header": ["INTERVIEWER: 2 HAND RESPONDENT SHOWCARD", ""], "rows": [["No formal education", "O O"], ["Schools for persons with special needs", ""], ["Primary Secondary (general)", "O"], ["Secondary with vocational training e.g. trade school", "O O"], ["Foundation and introductory courses at MCAST lasting 1 year or less", "O"], ["Post secondary (general e.g. Junior College)", "O"], ["Post secondary vocational completed before 2000 (excluding ITS)", "O"], ["Post secondary vocational courses of 2 years or less offered by MCAST, ITS or any", "O"], ["similar private institution Post secondary vocational course of more than 2 years offered by MCAST, ITS or", "O"], ["any similar private institution/MCAST National Diploma University level diploma/certificate or MCAST Higher National Diploma", "O"], ["Bachelor degree or equivalent (University of Malta, MCAST or other tertiary level institutions)", "O"], ["Postgraduate diploma/certificate", "O"], ["Masters degree", "O"], ["PhD", "O"], ["", "O"], ["Other, please specify____________ EN", ""]]}, {"caption": "Table 8: CS.11 How would you define your current labour status?", "header": ["Working for pay or profit (including unpaid work for a family business or holding,", "", ""], "rows": [["Working for pay or profit (including unpaid work for a family business or holding,", "", ""], ["Working for pay or profit (including unpaid work for a family business or holding,", "", ""], ["including an apprenticeship or paid traineeship,", "O", ""], ["including currently not at work due to", "", ""], ["maternity, parental, sick leave or holidays)", "", ""], ["Unemployed", "O", "\u00e0 GO TO HS.1"], ["Pupil, student, further training, unpaid work experience", "O", "\u00e0 GO TO HS.1"], ["In retirement or early retirement or has given up business", "O", "\u00e0 GO TO HS.1"], ["Permanently disabled", "O", "\u00e0 GO TO HS.1"], ["Giving a community service as ordered by court", "O", "\u00e0 GO TO HS.1"], ["Fulfilling domestic tasks", "O", "\u00e0 GO TO HS.1"], ["Other. Please specify: ___________________________", "O", "\u00e0 GO TO HS.1"]]}, {"caption": "Table 9: HS.1 How is your health in general?", "header": ["Very good O", "", "", "", "", "", ""], "rows": [["Good", "", "", "", "O", "", ""], ["Fair O", "", "", "", "", "", ""], ["Bad O", "", "", "", "", "", ""], ["Very bad", "", "", "", "O", "", ""]]}, {"caption": "Table 10: CD.1 Do you haveor have you ever hadany of the followingdiseases orconditions?", "header": ["", "CD.1 Do you haveor have you ever hadany of the followingdiseases orconditions?", "", "CD.2 Was thisdisease/conditiondiagnosed by amedical doctor?", "", "CD.3 Have youhad thisdisease/conditionin the past 12months?", "", ""], "rows": [["", "Yes", "No", "Yes", "No", "Yes", "No", ""], ["Asthma(allergic asthma included)", "O        O", "", "O       O", "", "O       OO       OOO", "", ""], ["Chronic bronchitis, chronicobstructive pulmonary disease,emphysema", "O", "O", "O", "O", "O       OO       OOO", "", ""], ["Myocardial infarction(heart attack)", "O        O", "", "O", "O", "O       OO       OOO", "", ""], ["Coronary heart disease (anginapectoris)", "O        O", "", "O", "", "O       OO       OOO", "", ""], ["Coronary heart disease (anginapectoris)", "O        O", "", "O", "O", "O       OO       OOO", "", ""], ["Coronary heart disease (anginapectoris)", "O        O", "", "O", "O", "O       OO       OOO", "", ""], ["Coronary heart disease (anginapectoris)", "O        O", "", "O", "", "", "", ""], ["High blood pressure(hypertension)", "O        O", "", "O", "O", "", "OO", ""], ["High blood pressure(hypertension)", "O        O", "", "", "", "", "OO", ""], ["Elevated blood cholesterol", "O        O       O", "", "", "", "", "OO", ""], ["Elevated blood cholesterol", "O        O       O", "", "", "O", "", "OO", ""], ["Elevated blood cholesterol", "O        O       O", "", "", "O", "", "OO", ""], ["Elevated blood cholesterol", "O        O       O", "", "", "", "", "OO", ""], ["Stroke (cerebral haemorrhage,cerebral thrombosis)", "O        O       O", "", "", "", "O       O", "", ""], ["Osteoarthritis (arthrosis, jointdegeneration)", "O        O       O", "", "", "O", "O       O", "", ""], ["Osteoarthritis (arthrosis, jointdegeneration)", "O        O       O", "", "", "", "O       O", "", ""]]}, {"caption": "Table 10: CD.1 Do you haveor have you ever hadany of the followingdiseases orconditions? (cont. 2)", "header": ["", "CD.1 Do you have or have you ever had any of the following diseases or conditions?", "", "CD.2 Was this disease/condition diagnosed by a medical doctor?", "", "CD.3 Have you had this disease/condition in the past 12 months?", ""], "rows": [["", "Yes", "No", "Yes", "No", "Yes", "No"], ["Low back disorder or other chronic back defect", "O", "O", "O", "O", "O", "O"], ["Neck disorder or other chronic neck defect", "O", "O", "O", "O", "O", "O"], ["Diabetes", "O", "O", "O", "O", "O", "O"], ["Allergy, such as rhinitis,  eye inflammation, dermatitis, food allergy or other (allergic asthma excluded)", "O", "O", "O", "O", "O", "O"], ["Stomach ulcer (gastric or duodenal ulcer)", "O", "O", "O", "O", "O", "O"], ["Cirrhosis of the liver", "O", "O", "O", "O", "O", "O"], ["Cancer (malignant tumour, also including leukaemia and lymphoma)", "O", "O", "O", "O", "O", "O"], ["Urinary incontinence, problems in controlling the bladder", "O", "O", "O", "O", "O", "O"], ["Kidney problems", "O", "O", "O", "O", "O", "O"], ["Chronic anxiety", "O", "O", "O", "O", "O", "O"], ["Chronic depression", "O", "O", "O", "O", "O", "O"], ["Permanent injury or defect caused by an accident", "O", "O", "O", "O", "O", "O"], ["Cataract", "O", "O", "O", "O", "O", "O"], ["Anorexia / Bulimia Nervosa", "O", "O", "O", "O", "O", "O"], ["Osteoporosis", "O", "O", "O", "O", "O", "O"]]}, {"caption": "Table 12: DH.4 During the past 12 months have you experienced any of the following?", "header": ["", "Yes", "No"], "rows": [["Bleeding gums", "O", "O"], ["Broken tooth", "O", "O"], ["Toothache", "O", "O"], ["Sensitive teeth", "O", "O"], ["Mouth ulcers", "O", "O"], ["Bad breath (halitosis)", "O", "O"]]}, {"caption": "Table 13: DH.6 Over the past 12 months did you use any of the following products to look", "header": ["", "Yes", "No"], "rows": [["Toothbrush (non-electric)", "O", "O"], ["Toothbrush (battery operated/electric)", "O", "O"], ["Toothpaste", "O", "O"], ["Dental floss", "O", "O"], ["Interdental brushes", "O", "O"], ["Mouth wash", "O", "O"]]}, {"caption": "Table 14: No difficulty", "header": ["No difficulty", "O", "", ""], "rows": [["Some difficulty", "O", "", ""], ["A lot of difficulty", "O", "", ""], ["Cannot do at all", "O", "\u00e0 GP TO PL.6", ""]]}, {"caption": "Table 15: No difficulty", "header": ["No difficulty", "O"], "rows": [["Some difficulty", "O"], ["A lot of difficulty", "O"], ["Cannot do at all", "O"]]}, {"caption": "Table 16: PC.1 Do you usually have difficulty feeding yourself without help?", "header": ["No difficulty", "O", "\u00e0 GO TO PC.4"], "rows": [["Yes, some difficulty", "O", ""], ["Yes, a lot of difficulty", "O", ""], ["I can't achieve it by myself", "O", ""]]}, {"caption": "Table 17: No O \u00e0 GO TO HA.1", "header": ["PC.15", "", "", "Do you feel you need more help?", "", "", "", ""], "rows": [["Yes", "", "", "O", "", "", "", ""], ["No", "", "", "O", "", "", "", ""]]}, {"caption": "Table 18: HA.4 Do you usually have difficulty using the telephone without help?", "header": ["No difficulty", "O   \u00e0 GO TO HA.7"], "rows": [["Yes, some difficulty", "O"], ["Yes, a lot of difficulty", "O"], ["I can't achieve it by myself", "O"], ["Not applicable (never tried it or do not need to do it)", "O"]]}, {"caption": "Table 19: No O \u00e0 GO TO PN.1", "header": ["HA.21", "", "Do you feel you need more help?", "", "", ""], "rows": [["Yes", "", "O", "", "", ""], ["No", "", "O", "", "", ""]]}, {"caption": "Table 20: PN.1 Overall how much physical pain have you had during the past 4 weeks?", "header": ["None O", "", "", "", "", ""], "rows": [["Very mild O", "", "", "", "", ""], ["Mild O", "", "", "", "", ""], ["Moderate O", "", "", "", "", ""], ["Severe O", "", "", "", "", ""], ["Very severe", "", "", "", "", "O"]]}, {"caption": "Table 21: MH.1 During the past 2 weeks did you\u2026", "header": ["", "Not at all", "Severaldays", "More thanhalf the days", "Nearly everyday"], "rows": [["Have little interest orpleasure in doing things?", "O", "O", "O", "O"], ["Felt down, depressed orhopeless?", "O", "O", "O", "O"], ["Have trouble falling orstaying asleep, or sleepingtoo much?", "O", "O", "O", "O"], ["Feel tired or have littleenergy?", "O", "O", "O", "O"], ["Have a poor appetite oroverate?", "O", "O", "O", "O"], ["Feel bad about yourself orfeel like a failure?", "O", "O", "O", "O"], ["Have trouble concentratingon things, such as readingthe newspaper or watchingtelevision?", "O", "O", "O", "O"], ["Move or speak so slowly orbe so restless that otherpeople could notice?", "O", "O", "O", "O"]]}, {"caption": "Table 22: HC.1 During the past 12 months, that is since (date one year ago), have you been", "header": ["Yes", "", "O", "", "", "", "", ""], "rows": [["No", "", "O", "", "\u2192GO TO HC.4", "", "", ""]]}, {"caption": "Table 23: HC.17During the past 12 months, that is since (date one year ago), have you", "header": ["", "Yes", "No"], "rows": [["Physiotherapist / Kinesitherapist", "O", "O"], ["Dietician/Nutritionist", "O", "O"], ["Speech therapist", "O", "O"], ["Occupational therapist", "O", "O"], ["Psychologist or psychotherapist", "O", "O"], ["Podiatrist/podologist", "O", "O"], ["Acupuncturist", "O", "O"], ["Any other alternative medicine practitioner", "O", "O"]]}, {"caption": "Table 24: Private by Public", "header": ["", "Private", "Public"], "rows": [["", "Yes     No", "Yes     No"], ["Home care service provided by a nurse", "O       O", "O       O"], ["Home help by a carer (non-nursing services)", "O       O", "O       O"], ["\"Meals on wheels\"", "O       O", "O       O"], ["Handyman service", "O       O", "O       O"], ["Telecare", "O       O", "O       O"]]}, {"caption": "Table 25: Interviewer: Hand Showcard 4 And Code For Each Item A To P", "header": ["", "Yes", "No"], "rows": [["A. Asthma", "O", "O"], ["B. Chronic bronchitis, chronic obstructive pulmonary disease,emphysema", "O", "O"], ["C. High blood pressure", "O", "O"], ["D. Lowering the blood cholesterol level", "O         O", ""], ["E. Pain relief", "O", "O"], ["F.Heart disease", "O         OO         O", ""], ["G. Diabetes", "O         OO         O", ""], ["H. Allergic symptoms (eczema, rhinitis, hay fever)", "O         O", ""], ["I. Heart burn", "O         O", ""], ["J. Cancer treatment", "O         O", ""], ["K. Depression", "O         O", ""], ["L. Tension or anxiety", "O         O", ""], ["M. Osteoporosis", "O         O", ""], ["N. Sleeping tablets", "O         O", ""], ["O. Antibiotics (such as penicillin)", "O         OO         O", ""], ["P. Hypothyroidism", "O         OO         O", ""]]}, {"caption": "Table 26: Interviewer: Hand Showcard 5 And Code For Each Item A To G", "header": ["", "Yes", "No"], "rows": [["A. Pain relief", "O", "O"], ["B. Cold, flu or sore throat", "O", "O"], ["C. Allergic symptoms (eczema, rhinitis, hay fever)", "O", "O"], ["D. Heart burn", "O", "O"], ["E. Bone/joint care supplements", "O", "O"], ["F. Omega-3/fish oils", "O", "OO"], ["G. Any other vitamins, minerals or tonics", "O", "OO"]]}, {"caption": "Table 27: PA.1 When was the last time you were vaccinated against influenza?", "header": ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], "rows": [["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"], ["0", "1", "2", "3", "4", "5", "6", "7", "8", "9"]]}, {"caption": "Table 28: Interviewer: Hand Showcard 6", "header": ["", "", "", "", "", "", ""], "rows": [["Private Hospitals (including emergency departments)", "O", "O", "O", "O", "O", "O"], ["Government Hospitals (including emergency departments)", "O", "O", "O", "O", "O", "O"], ["Private Dentists, orthodontists and other dental care specialists", "O", "O", "O", "O", "O", "O"], ["Government Dentists, orthodontists and other dental care specialists", "O", "O", "O", "O", "O", "O"], ["Private Medical or surgical specialists", "O", "O", "O", "O", "O", "O"], ["Government Medical or surgical specialists", "O", "O", "O", "O", "O", "O"], ["Private Family doctors or GPs", "O", "O", "O", "O", "O", "O"], ["Government Family doctors or GPs", "O", "O", "O", "O", "O", "O"], ["Home care services", "O", "O", "O", "O", "O", "O"], ["EN", "", "", "", "", "", "EN"]]}, {"caption": "Table 29: Yes by No need for thistype of care inpast 12 months", "header": ["", "Yes", "No", "No need for thistype of care inpast 12 months"], "rows": [["Medical examination or treatment", "O         O                  OO         O                  OO         O                  OO         O                  O", "", ""], ["Dental examination or treatment", "O         O                  OO         O                  OO         O                  OO         O                  O", "", ""], ["Prescribed medicines", "O         O                  OO         O                  OO         O                  OO         O                  O", "", ""], ["Mental health care (e.g. psychologist orpsychiatrist)", "O         O                  OO         O                  OO         O                  OO         O                  O", "", ""]]}, {"caption": "Table 30: No O \u2192Go To Bmi.1", "header": ["SA.3", "Self", "O", ""], "rows": [["SA.3", "Employer", "O", ""], ["SA.3", "Both", "O", ""], ["SA.3", "Don\u2019t know", "O", ""], ["SA.4 What does it cover? (Please answer ALL the questions)", "", "", ""], ["", "", "Yes", "No"], ["", "a) Consultations / out-patient only", "O", "O"], ["", "b) Hospital treatment, local", "O", "O"], ["", "c) Hospital treatment, abroad", "O", "O"]]}, {"caption": "Table 31: FV.3 by How often do you eat vegetables or salad (excluding packaged juices and potatoes)?", "header": ["FV.3", "How often do you eat vegetables or salad (excluding packaged juices and potatoes)?", "", ""], "rows": [["FV.3", "Once or more a day", "O", ""], ["FV.3", "4 to 6 times a week", "O", "\u00e0 GO TO NU.1"], ["FV.3", "1 to 3 times a week", "O", "\u00e0 GO TO NU.1"], ["FV.3", "Less than once a week", "O", "\u00e0 GO TO NU.1"], ["", "Never", "O", "\u00e0 GO TO NU.1"]]}, {"caption": "Table 32: NU.5 How often do you drink regular soft drinks?", "header": ["Daily", "O", ""], "rows": [["4 to 6 times a week", "O", "\u00e0 GO TO NU.7"], ["1 to 3 times a week", "O", "\u00e0 GO TO NU.7"], ["Less than once a week", "O", "\u00e0 GO TO NU.7"], ["Never", "O", "\u00e0 GO TO NU.7"]]}, {"caption": "Table 33: Never by 1 \u2013 2 days, 3 \u2013 5 days, 6 \u2013 7 days", "header": ["", "Never", "1 \u2013 2 days", "3 \u2013 5 days", "6 \u2013 7 days"], "rows": [["Chicken/rabbit", "O", "O                   O", "", "O"], ["Fish", "O", "O", "O", "O"], ["Meat", "O", "O", "O", "O"], ["Meat products", "O", "O", "O", "O"], ["Sweet pastries(including biscuits,cakes, fancy cakes,gateaux etc.)", "O", "O", "O", "O"], ["Sweets", "O", "O", "O", "O"]]}, {"caption": "Table 34: Severelyexposed by Somewhatexposed, Notexposed, Don\u2019 tknow", "header": ["", "Severelyexposed", "Somewhatexposed", "Notexposed", "Don\u2019 tknow", ""], "rows": [["Noise (as road traffic, train traffic,airplane traffic, factories,neighbours,  animals,restaurant/bars/disco)", "O                 O                 O             OO                 O             OO                 O             O", "", "", "", ""], ["Air pollution (fine dust, grime, dust,fume)", "O                 O                 O             OO                 O             OO                 O             O", "", "", "", ""], ["Bad smells (industrial, agricultural,sewer, waste)", "O                 O                 O             OO                 O             OO                 O             O", "", "", "", ""]]}, {"caption": "Table 35: SS.3 How easy is it to get practical help from neighbours if you should need it?", "header": ["Very easy O", "", "", "", "", ""], "rows": [["Easy O", "", "", "", "", ""], ["Possible O", "", "", "", "", ""], ["Difficult O", "", "", "", "", ""], ["Very difficult", "", "", "", "O", ""]]}, {"caption": "Table 36: Selected Individual", "header": ["Selected Individual", "", "", "", "O"], "rows": [["Interviewer", "", "", "", "O"], ["Other", "", "", "", "O"]]}, {"caption": "Table 1: Daily Smokers Only", "header": ["SK.2 What kind of tobacco product do you mostly consume? Choose the ONE product you smoke most often.", ""], "rows": [["Cigarettes (manufactured and/or hand rolled)", "O"], ["Cigars", "O\u2192GO TO SK.5 PAGE 45"], ["Pipe tobacco", "O\u2192GO TO SK.5 PAGE 45"], ["Other", "O\u2192GO TO SK.5 PAGE 45"], ["SK.3 On average, how many cigarettes do you smoke each day?", ""], ["Cigarettes (manufactured and/or hand rolled)", ""], ["$\\textcircled{0}$ $\\textcircled{1}$ $\\textcircled{2}$ $\\textcircled{3}$ $\\textcircled{4}$ $\\textcircled{5}$ $\\textcircled{6}$ $\\textcircled{7}$ $\\textcircled{8}$ $\\textcircled{9}$", "GO TO SK.5 PAGE 45"], ["$\\textcircled{0}$ $\\textcircled{1}$ $\\textcircled{2}$ $\\textcircled{3}$ $\\textcircled{4}$ $\\textcircled{5}$ $\\textcircled{6}$ $\\textcircled{7}$ $\\textcircled{8}$ $\\textcircled{9}$", ""]]}, {"caption": "Table 2: Occasional Smokers Only", "header": ["", "product you smoke most often.", "SK.2 What kind of tobacco product do you mostly consume?  Choose the ONE", "", "", ""], "rows": [["", "", "Cigarettes (manufactured and/or hand rolled)", "", "O", ""], ["Cigars", "", "", "", "O", ""], ["Pipe tobacco", "", "", "", "O", ""], ["Other", "", "", "", "O", ""], ["SK.4 Have you ever smoked (cigarettes, cigars, pipes) daily, or almost daily, for at", "", "", "", "", ""], ["least one year?", "", "", "", "", ""], ["Yes", "O", "\u00e0 GO TO SK.5 PAGE 45", "", "", ""], ["No", "O", "\u00e0 GO TO SK.5 PAGE 45", "", "", ""]]}, {"caption": "Table 39: Fill in ONE circle for each line", "header": ["", "", "Yes within the past month", "Yes within the past year (but not within the past month)", "Yes previously (but not within the past year)", "No I have never tried the substance"], "rows": [["a", "Tranquilisers/ Sedatives with a doctor\u2019s prescription", "O", "O", "O", "O"], ["", "Sedatives without a doctor\u2019s prescription", "O", "O", "O", "O"], ["c", "Cannabis (hashish/ marijuana)", "O", "O", "O", "O"], ["d", "Ecstasy", "O", "O", "O", "O"], ["e", "Cocaine", "O", "O", "O", "O"], ["f", "Heroin", "O", "O", "O", "O"]]}, {"caption": "Table 40: Under10years by 35 yrsand over, Never", "header": ["", "", "Under10years", "10-14yrs", "15-19yrs", "20-24yrs", "25-29yrs", "30-34yrs", "35 yrsand over", "Never", "", "", "", "", "", ""], "rows": [["a", "Tranquilisers/Sedativeswitha doctor\u2019sprescription", "O       O       O                                    O         O", "", "", "", "", "", "", "", "", "", "", "", "", ""], ["a", "Tranquilisers/Sedativeswitha doctor\u2019sprescription", "O       O       O                                    O         O", "", "", "", "", "", "", "", "", "", "", "", "", ""], ["a", "Tranquilisers/Sedativeswitha doctor\u2019sprescription", "O       O       O                                    O         O", "", "", "", "", "", "", "", "", "", "", "", "", ""], ["b", "Tranquilisers/Sedativeswithouta doctor\u2019sprescription", "O", "O", "", "", "", "", "", "", "", "", "", "", "", ""], ["b", "Tranquilisers/Sedativeswithouta doctor\u2019sprescription", "O", "O", "O", "O", "O", "O", "O", "O", "", "", "", "", "", ""], ["b", "Tranquilisers/Sedativeswithouta doctor\u2019sprescription", "", "", "", "", "O", "", "O", "O", "", "", "", "", "", ""], ["c", "Cannabis(hashish/marijuana)", "O       O", "", "O", "O", "O", "", "O", "O", "", "", "", "", "", ""], ["c", "Cannabis(hashish/marijuana)", "O       O", "", "O", "O", "O", "O", "O", "O", "", "", "", "", "", ""], ["d", "Ecstasy", "O       O", "", "O", "O", "O", "O         O", "", "O", "", "", "", "", "", ""], ["e", "Cocaine", "O       O", "", "O", "O", "O", "O         O         O", "", "", "", "", "", "", "", ""], ["f", "Heroin", "O       O       O", "", "", "O       O", "", "O         O         O", "", "", "", "", "", "", "", ""]]}, {"caption": "Table 41: Please fill in ALL the circles that apply", "header": ["", "", "Yes", "No"], "rows": [["Natural family planning [e.g. temperature & safe period]", "", "O", "O"], ["Withdrawal", "", "O", "O"], ["Contraceptive pill", "", "O", "O"], ["Cap/ diaphragm", "", "O", "O"], ["Coil", "", "O", "O"], ["Intra Uterine System [e.g. Mirena]", "", "O", "O"], ["Condom", "", "O", "O"], ["Other", "", "O", "O"]]}, {"caption": "Table 42: Women Only By Men Only", "header": ["WOMEN ONLY", "", "", "MEN ONLY", "", ""], "rows": [["a)", "Do you", "frequently suffer from pain or discomfort during sexual intercourse?", "b) Do you frequently have problems getting and maintaining an erection?", "", ""], ["a)", "Yes", "O", "", "Yes", "O"], ["a)", "No", "O", "", "No", "O"]]}]}