| K_1 | Day |
| K_2 | Does the FW visit the child? |
| K_3 | Did he/she eat B12 supplement? |
| K_4 | Vomiting after supplementation? |
| K_5 | Why paste not given? |
| K_6 | Fever? |
| K_7 | Diarrhea /vomiting? |
| K_8 | Blood in stool? |
| K_9 | Cough/ Shortness of breath? |
| K_10 | Visit to health center? |
| K_11 | Antibiotic use? |
| K_12 | Group of Antibiotic? |
| K_13 | Hospitalization? |
| K_14 | Other problem |
| K_14txt | If yes, specify |
| K_15 | Breast milk |
| K_16 | # times during night |
| K_17 | # times during day |
| K_18 | Infant formula |
| K_19 | Animal,Tinned or powdered milk |
| K_20 | Tea, coffee |
| K_21 | Fruit juices |
| K_22 | Other liquids |
| K_23 | Lito, cerelac? |
| K_24 | Rice or other cereals? |
| K_25 | Dal or other lentils/pulses |
| F_26 | White potatoes, white yams, manioc, other roots? |
| K_27 | Meat/fish/ egg? |
| K_28 | Green and other vegetable |
| K_29 | Fruits like Bananas, Apples? |
| K_30 | Curd? |
| K_31 | Other foods |