| Variables in Actiwatch Form (Acti) | ||||
| Question# | Question | Field name | Response nature | Response options |
| 1 | Participant ID | PID | ### | |
| 2 | Actiwatch number | Actiwatch no | ##### | |
| 3 | Time of actiwatch placement | Time | ##:## | |
| 4 | Child PID | A | 9### | |
| 5 | Initial of the participant | B | XX | |
| 6 | Field worker code | C | ## | |
| 7 | Age of Child | D | ## | age in months |
| 8 | Date when actiwatch was placed (dd/mmm /yy) | act_1 | dd/mmm/yy | |
| 9 | Did the child sleep well during the last 24 hours? | act_2 | # | 1=Yes, 2=No |
| 10 | What time did he/she sleep today night? | act_3 | ##:## | hh:mm |
| 11 | How many times he/she wakes up after sleeping at today's night? | act_4 | ## | |
| 12 | What time he/she wake up today in the morning? | act_5 | ##:## | hh:mm |
| 13 | Did he/she sleep at day time in the last 24 hours? | act_6 | # | 1=Yes, 2=No |
| 14 | If yes how long child sleep (Hours and Minutes)? | act_7 | ##:## | hh:mm |
| 15 | Site of Actiwatch (1= left arm,2=right arm, 3=left wrist , 4=right wrist, 5=left foot, 6=right foot ) | act_8 | # | 1= left arm,2=right arm, 3=left wrist , 4=right wrist, 5=left foot, 6=right foot |
| 16 | Any problem while keeping actiwatch device? (1=Yes, 2=No) | act_9 | # | 1=Yes, 2=No |
| 17 | If yes, specify. | act_9txt | TXT | Text if act_9=1, NA if 2 |
| 18 | Did the actiwatch removed in the last 24 hour? (1=Yes, 2=No) | act_10 | # | 1=Yes, 2=No |
| 19 | If yes, specify reason. | act_10txt | TXT | Text if act_10=1, NA if 2 |