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