Nutritional Knowledge Assessment Test for Adolescent Girls

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A. Demographic and Socio-Economic Profile

1. Name / नाम *

2. Email / ईमेल

3. WhatsApp number / फ़ोन नंबर

4. Age / उम्र *

10-11

12-13

14-15

16-17

18-19

5. Educational Qualification / सैशित योग्यता *

In school

Out of school

6. School is

Government

Private

Clear selection

7. Type of family *

Nuclear Family

Joint Family

8. Education of father. *

lliterate

Primary school

High school

Intermediate

Graduate

Post Graduate

9. Education of mother. *

lliterate

Primary school

High school

Intermediate

Graduate

Post Graduate

10. Number of siblings *

11. Annual family income in Rs

Below Poverty Line-Rs. 1000/- to 33,000/Annum

Above Urban Poverty Line- Rs. 33,001/- to 55,000/-Annum

Middle Class -Rs. 55,001/- to 88,800/-Annum

Upper Middle Class - Rs. 88,801/ -to 1,50,000/-Annum

High Class- Above Rs. 1,50,000/ -Annum

Clear selection

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