CK_a |
Initial of the child |
CK_b |
Field Worker code |
CK_c |
Date of Interview (DD/MM/YY) |
CK_d |
Age of Child (in month) |
CK_1 |
When does a child's brain begin
to develop and learn ? |
CK_2 |
When do children begin to see? |
CK_3 |
When do children begin to follow
a moving person or toy, with their eyes? |
CK_4 |
When do children begin to
vocalize in response to someone talking to them? |
CK_5 |
When do children begin to smile
socially, that is smile into the face of another person? |
CK_6 |
When do children begin to say
single meaningful words? |
CK_7 |
When do children begin to play
imaginary play like feeding a doll or driving a toy car? |
CK_8 |
When do children begin to reach
for a toy in front of them? |
CK_9 |
When do children begin to grasp
tiny things like raisins, with their fingertips? |
CK_10 |
When do children begin to walk
alone with good co- ordination? |
CK_11 |
When should mothers begin to
talk to children? |
CK_12 |
When should mothers begin to
show colorful objects to children to help them practice reaching? |
CK_13 |
When should mothers begin to
teach children to count? |
CK_14 |
When should mothers begin to
teach children colors? |
CK_15 |
When should mothers start to
give children a spoon or a fork to let them eat by themselves? |
CK_16 |
When should mothers begin to
give children paper and crayons to draw and color? |
CK_17 |
When should mothers begin to let
children sit with support? |
CK_18 |
When should mothers begin to
give children clean and safe objects or toys which they can mouth? |
CK_19 |
When should mothers begin to
look at children’s books with their children? |
CK_20 |
When should mothers begin to
give children clean and safe household items to play with? |
CK_21 |
In the past 3 days, did you or
any household member over 15 years of age engage in any of the following
activities with CHILD (name): If yes, ask: who engaged in this activity
with CHILD (name)? Mother=1, Father=2, Other=3, No=4 |
CK_21_a |
Read books to or looked at picture books with CHILD (name)? |
CK_21_b |
Told stories to CHILD (name)? |
CK_21_c |
Sang songs to CHILD (name) or with (name),including lullabies? |
CK_21_d |
Took CHILD (name) outside the home, compound, yard or enclosure? |
CK_21_e |
Played with CHILD (name)? |
CK_21_f |
Named, counted, or drew things to or with CHILD (name)? |
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