Women's Health Needs STUDY_SCREENER

Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)

Att G2 Initial Pilot Screener WHNS_Somali

Women's Health Needs STUDY_SCREENER

OMB: 0920-1264

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Attachment G2. Women’s Health Needs Study Questionnaire (Somali translations)



Section

Question

English Items

Qayb

Su'aal

Maadooyinka Ingiriiska

Screener Cover Page

OMB notice

Form Approved

Jaldigga Bogga Baaraha

Ogaysiiska OMB

Foomka La ansixiyay



OMB Number:



Nambarka OMB:



Expiration Date:



Taariikha Dhicitaanka:

Screener

Survey Title

Women's Health Needs Study

Baaraha

Ciwaanka Sahanka

Daraasada Baahiyaha Caafimaad Haweenka







Screener

OMB Burden Statement

Public reporting burden of this collection of information is estimated to average 1 minute per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).

Baaraha

Ogaysiiska Masuuliyada e OMB

Wargalinta dadwaynaha ee aruurinta macluumaadkaan waxaa lagu qiyaasay celcelis ahaan 1 daqiiqo jawaabtiiba, ayna kujiraan waqtiga dib u eegista lagu samaynaayo tilmaamaha, raadinta ilaha macluumaadka ee horay ujiray, aruurinta iyo ilaalinta macluumaadka loobaahanyahay, iyo dhamaystirka iyo dib umuraajacaynta aruurinta macluumaadka. Waxaa suuragal ah inaan wakaalad fulin ama maalgalin, qofkana lagama doonaayo inuu jawaab kabixiyo su'aalaha macluumaad aruurinta ilaa inay muujinayso maahee nambarka saxda ah ee an wali dhicin ee maaraynta OMB. Udir fikradaha laxariira qiyaasta cadayntaan ama waxkasta oo laxariira mawduucaan ayna kujiraan soojedinada laxariira yaraynta culayskaan una gudbi Madaxa Kalahufida Warbixinada ee CDC/ATSDR; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).







SECTION A. SCREENER


QAYBTA A. BAARAHA


A

Screener 1

Have you previously participated in the Women’s Health Needs Study (WHNS)? Yes [END SURVEY]
No

A

Baaraha 1

Horay ma uga qaybgashay Daraasada Cilmi Baarista Baahiyaha Caafimaadka ee Haweenka (WHNS)? Haa [DHAMAADKA SAHANKA]
Maya


Screener 2

Which of the following languages do you speak?


Baaraha 2

Midee ayaad kud=hadashaa luuqadaha soosocda?



Amharic
Arabic
English
Oromo
Somali
Swahili
Tigrinya
Other, please specify:



Amharic
Carabi
Ingiriis
Oromo
Soomaali
Sawaaxili
Tigrinya
Midkale, fadlan sheeg:


Screener 3

Which language would you prefer to use for this interview? [INTERVIEWER NOTE: IF YOU DO NOT SPEAK THE LANGUAGE PREFERRED, MAKE NOTE AND END INTERVIEW].


Baaraha 3

Luuqadee ayaad jeceshahay in waraysigaan aad kugasho? [OGAYSIISKA WARAYSTAHA: HADAADAN KUHADLIN LUUQADA QOFKA AAD WARAYSANAYSO UU DOORTO, QORO DALABKA OO SOOGABAGABEE WARAYSIGA].


Screener 4

In which country were you born?


Baaraha 4

Wadankee ayaad kudhalatay?



Don’t Know
Prefer not to answer



Ma aqaano
Madoonaayo inaan kajawaabo


Screener 5

Have you ever lived in any of the following countries?


Screener 5

Waligaa makunoolayd mid kamid ah wadamada soosocda?



Yes No



Haa Maya



Egypt
Ethiopia
Kenya
Somalia
*




Masar
Itoobiya
Kenya
Soomaaliya


Screener 6

In which country was your father born?


Baaraha 6

Wadankee ayuu aabahaa kudhashay?



Don’t Know
Prefer not to answer



Ma aqaano
Madoonaayo inaan kajawaabo


Screener 7

In which country was your mother born?


Baaraha 7

Wadankee ayay hooyadaa kudhalatay?



Don’t Know
Prefer not to answer



Ma aqaano
Madoonaayo inaan kajawaabo


Screener 8

Has your mother lived in any of the following countries?


Baaraha 8

Hooyadaa makunoolayd marna mid kamid ah wadamada soosocda?



Egypt
Ethiopia
Kenya
Somalia
*



Masar
Itoobiya
Kenya
Soomaaliya


Screener 9

How old are you?


Baaraha 9

Meeqa sano ayaad jirtaa?



Under 18 years
18-24
25-29
30-34
35-39
40-49
Over 49 years
Prefer not to answer



Ka yar 18 sanno
18 illaa 24
25 illaa 29
30 illaa 34
35 illaa 39
40 illaa 49
Ka badan 49 sanno
Madoonaayo inaan kajawaabo

*Other countries depending on expected population of sites

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSnead, Margaret C. (CDC/ONDIEH/NCCDPHP)
File Modified0000-00-00
File Created2021-01-14

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