SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 years).

SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 years). Name of interviewer Date of interview Time of interview hh:mm Walking Bicycle Motorcycle Public transport Private car Others Mode of transportation Household number Number of individuals in the household 23/10/2025 16:34 SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 … https://staging.enketo.getodk.org/preview?form=https%3A//staging.xlsform.getodk.org/downloads/ea1866bc409f4cefae02934dd0b1559fg11ompgt… 1/6 Household GPS coordinates latitude (x.y °) longitude (x.y °) altitude (m) précision (m) Owner Tenant Housing status Villa Ordinary house Row house Apartment Shared courtyard Mud hut Makeshift dwelling Type of housing Full name Contact Ethnic group Male Female Sex 23/10/2025 16:34 SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 … https://staging.enketo.getodk.org/preview?form=https%3A//staging.xlsform.getodk.org/downloads/ea1866bc409f4cefae02934dd0b1559fg11ompgt… 2/6 How old are you? No formal education Less than primary school Completed primary school Completed secondary school Completed high school or equivalent University Postgraduate degree Refused What is your level of education? Government employee Private sector employee Self-employed Volunteer Student Housewife / homemaker Retired Unemployed Disabled / unable to work Refused Most recent professional activity What is your monthly income? Very good Good Poor Very poor How would you describe your general health? Yes No Have you consulted a doctor in the past 12 months? What illness was diagnosed? 23/10/2025 16:34 SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 … https://staging.enketo.getodk.org/preview?form=https%3A//staging.xlsform.getodk.org/downloads/ea1866bc409f4cefae02934dd0b1559fg11ompgt… 3/6 Yes No Do you smoke? Yes No Do you smoke daily? At what age did you start smoking daily? Yes No Do you drink alcohol daily? Daily 5–6 days per week 1–4 days per week 1–3 days per month Less than once per month Frequency of alcohol consumption (past 12 months) Average number of drinks per day when you drink Yes No Do you eat fruits? How many fruits do you consume per week? Yes No Do you eat sauces rich in vegetables? How many times per week do you eat sauces rich in vegetables? 23/10/2025 16:34 SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 … https://staging.enketo.getodk.org/preview?form=https%3A//staging.xlsform.getodk.org/downloads/ea1866bc409f4cefae02934dd0b1559fg11ompgt… 4/6 High blood pressure Shortness of breath when lying down Shortness of breath during effort Rapid breathing Frequent fatigue Swollen legs Palpitations Chest pain Which of these cardiovascular symptoms do you have? Neck and back pain Back pain Neck and shoulder pain Elbow/wrist/hand pain Knee pain Joint pain Rheumatism Which of these bone disease symptoms do you have? Migraines Dizziness Which of these neurological symptoms do you have? Depression Fear Anxiety Panic Stress Talking to oneself Which of these mental signs do you have? 23/10/2025 16:34 SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 … https://staging.enketo.getodk.org/preview?form=https%3A//staging.xlsform.getodk.org/downloads/ea1866bc409f4cefae02934dd0b1559fg11ompgt… 5/6 Upper respiratory infections Bronchitis, pneumonia Asthma Shortness of breath Wheezing Regular cough Fever Muscle aches Chest pain Headaches Frequent fatigue Which of these respiratory symptoms do you have? Intestinal pain Intestinal infections Chronic constipation Anal itching Blood in stool Which of these digestive symptoms do you have? Itching Red pimples Which of these skin disease symptoms do you have? Unexplained physical symptoms Acute urinary infections Diabetes Cancers Which of these other symptoms do you have? 23/10/2025 16:34 SURVEY ON NON-COMMUNICABLE DISEASES (NCDs). Population living near public green spaces in Abidjan (Ages 16–65 … https://staging.enketo.getodk.org/preview?form=https%3A//staging.xlsform.getodk.org/downloads/ea1866bc409f4cefae02934dd0b1559fg11ompgt… 6/6