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FEDCO SURVEY
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Sensitization Questionnaire
1. Code (ID) of Field Agent
2. Name of Field Agent
3. Region of Farmer
AHAFO
ASHANTI
BONO EAST
BRONG AHAFO
CENTRAL
EASTERN
GREATER ACCRA
NORTH EAST
NORTHERN
OTI
SAVANNAH
UPPER EAST
UPPER WEST
WESTERN
WESTERN NORTH
VOLTA
4. District & Society
option 1
option 2
option 3
5. District & Society ID
6. Date of the Awareness Session
7. Hour of Start
8. Hour of end
9. Type of Awareness Session
Community level
Household level
10. Tools used
Box of images
Sensitization
Brochure
Didactic films
11. What topics did the sensitization session address
Selection1
Selection2
12. Training topic: dangerious work
option1
option2
13. Training topic: light work
option1
option2
List the people who have been sensitized. To add a person, select 'Add a group'. When you are done, select 'Do not add'
14. Sensitized people
15.Type of person
Man
Woman
Boy
Girl
16.Farmer ID
17.Number assigned to child
18.Sex of Child
Male
Female
19.Child ID
20.Add another trainee?
Yes
No
21.Strength
Good engagement and motivation
Attentive Participants
22. Weeknesses
Interruptions related to poor weather
Weak engagement
Difficulty related to translation and understanding concepts
Issues of visibilty
23. Recommendations
24.Is a second awareness raising session neccessary?
Yes
No
25.Training Venue
27.Number of Men
28.Number of Women
29.Number of Children - boys
30.Number of Children - Girls
31.Total number of people trained/sensitized