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Demographic information on participants
of focus group discussion
Parents

Place: __________________________________________________________________
Date: __________________________________________________________________


1. Gender:    0 Male      0 Female

2. Age: _____________ years old

3. Education (choose appropriate):
0  School (up to 8th grade)
0  High School (up to 10th grade)
0  College (2 years after high school)
0  University/Institute (4-5 years after high school)
0  Postgraduate

4. Occupation: _________________________

5. Number of children: __________________

6. Gender and age of children: ______________________________________________
 


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