Health Needs Assessment of the Marshall Islands - Page 2 f — BEGIN INTERVIEW ON THIS PAGE ERKRRKKKEKEKERRKEEKEREERERKEKRRERKEERREKEEREERRRERER EERE EREERERREREREERERERRERRRERRRERRERREEE ASK ALL QUESTIONS OPEN-ENDED UNLESS OTHERWISE SPECIFIED 1. How long have you lived on this island? f ] [ ] [ ] 2. Less than one year 1-3 years More than 3 years READ CATEGORIES Do you spend any time of the year on another island/or islands? [ ] Yes [ ] 3. No If yes, how long were you there? Island ( How long? Island - Island 4. How long? How long? About how many people live in your household? Children Women Men 5. How would you consider your present health? { ] { ] { ] Excellent Average Poor READ CATEGORIES

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