| P_1 | Child enroll number |
| P _2 | Researcher code |
| P _3 | Date (according to English calendar- DDMMYY) |
| P_4_a | Age |
| P_4_b | Sex (1=Male, 2=Female) |
| P _5 | Is there any problem to feed the paste? |
| 1=Yes, 2=No | |
| P _6 | If yes, what is the main problem? |
| 1=Difficult to feed any food, 2= difficult to feed only paste, 3= Frequent illness, 4= No time to feed, 5= other, 9=NA | |
| P_6txt | If other, specify |
| P_7 | Usually, how did you give the paste? |
| 1= direct only paste, 2= with water, 3=with breast feeding, 4=with liquid or food, 5= other | |
| P_7txt | If other, specify |
| P_8 | Usually, how frequently you give the paste? 1= once a day, 2= twice a day, 3= three or more times a day. |
| P _9 | Does the child finished whole packet of the paste most of the time? 1= yes, 2 = only 3/4 paste, 3=only1/2 paste, 4= only ¼ paste |
| P _10 | How often child did not take the paste? |
| 1=once a week (4 days a month), 2=two to three days a month, 3=once a month, 4= less than once a months, 5=frequently( > 4 days a month), 6= never | |
| P _10txt | If frequently did not take, Specify reason |
| P _11 | What is your impression of the paste on growth and development of your child? 1= Very good, 2= Good, 3= satisfactory, 4= bad |
| P _12 | Weight (in kg) |
| P _13 | Length (in cm) |
| P _14 | Head Circumference (cm) |
| P _15 | Length for age in z score:1= <-1, 2=<-2, 3=< -3, 4= >-1 |
| P _16 | Weight for length z score:1= <-1, 2=<-2, 3=< -3, 4= >-1 |
| P_17 | Hemoglobin (g/dL) |