Table A1 Socio-demographic questionnaire
| Sex | □ Male □ Female | |
| Age | ____ years | |
| Education |
□ No schooling completed □ Some primary schooling □ Completed primary school □ Some secondary schooling □ Completed secondary school □ Diploma, advanced diploma, associate degree or equivalent □ Bachelor’s degree □ Master’s degree □ Doctoral degree □ Other (please specify): _____________ | |
| Living status |
□ Live alone □ Live with family □ Other (please specify): _____________ | |
| Perceived health status |
1 – Very strongly disagree 2 – Strongly disagree 3 – Disagree 4 – Neutral 5 – Agree 6 – Strongly agree 7 – Very strongly agree | |
| You feel very healthy and great about yourself. | 1 2 3 4 5 6 7 | |
| Your health is excellent. | 1 2 3 4 5 6 7 | |
| Types and duration of diagnosed chronic illnesses | □ Diabetes |
Duration since diagnosis: ____ years ____ months |
| □ Hypertension |
Duration since diagnosis: ____ years ____ months | |