APPENDIX A: RESEARCH QUESTIONNAIRE

Dear respondents, we are graduating students of Health Science,at Salaam University. This is a
questionnaire prepared for data collection concerning factors contributing gastroenteritis among
under-five children. The purpose of this questionnaire is for academic reason. Your information will
be kept confidentially. Therefore, we kindly request you to answer these questions to the best of your
knowledge.
Instruction
 Do not write your name on this questionnaire
 The research is for academic purpose not money
 Your information will be private
Please circle your answer to the provided answers to the best of your knowledge.
SECTION ONE: BACKGROUND AND SOCIODEMOGRAPHIC CHARACTERISTICS
Number Question Answer
1 What is your age? A. 15-25
B. 25-35
C. 35 above

2 What is your marital status? A. Single

B. Married
C. Divorced
D. widowed

3 What is your education level? A. Primary level

B. Secondary level
C. University level
D. Non formal education

4 What is your occupation? A. Employee

B. Unemployed
C. Student
D. Housewife

5 Have you any children? A. Yes

B. No

6 Have you ever seen your child with diarrheoa, A. Yes

stomach pain, etc. B. No

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SECTION TWO: BILOGICAL FACTORS OF GASTROENTRITIS
Number Question Answer
7 Bacteria can cause gastroenteritis in children A. Agree
B. Disagree
C. Not sure

8 Which of the following bacteria is the most cause of A. Salmonella

gastroenteritis in children? B. Campylobacter
C. Vibroshigella
D. All of them

9 Bacterial gastroenteritis in children accounts for A. 70% of the cases

B. 10-20% of the cases
C. <10% of the cases

10 Viruses cause gastroenteritis in children A. Agree

B. Disagree
C. Strongly agree
D. Strongly disagree

11 Which of the following virus is the most cause of A. Rotrovirus

gastroenteritis in children? B. Norovirus
C. Enteroviruses
D. All of them

12 Viral gastroenteritis in children accounts for A. 70% of the cases

B. 10-20% of the cases
C. <10% of the cases

13 Parasites can cause gastroenteritis A. Agree

B. Disagree

14 Parasite gastroenteritis in children accounts for A. 70% of the cases

B. 10-20% of the
cases or less tthan.

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SECTION THREE: ENVIRONMENTAL FACTORS

Number Question Answer

15 Chemicals can contribute gastroenteritis A. Agree

B. Disagree

C. Strongly agree

D. Strongly disagree

16 Children are more vulnerable to the ingestion of A. Agree

chemicals B. Disagree

17 Food poisoning can contribute gastroenteritis in A. Agree

children B. Disagree

C. Strongly agree

D. Strongly disagree

18 Food poisoning occurs because of the bad using of A. Restaurants

B. Markets

C. Home kitchen

D. All of them

19 A food when it gets waste or poison by a bacteria A. Get smell

will B. Color will change

C. Food will be bitter

D. Its color and taste

changes

20 Family environment can contribute gastroenteritis A. Agree

B. Disagree

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 C. Not sure

21 Children must be kept clean environment to prevent A. Agree

environmental toxins B. Disagree

SECTION FOUR: MOTHER FACTORS

Number Question Answer

22 Mother’s knowledge can contribute prevention of A. Agree

gastroenteritis B. Disagree

C. Strongly agree

D. Strongly disagree

23 Poor sanitation and hygiene is the most cause of A. Agree

gastroenteritis B. Disagree

24 Improper feeding can contribute gastroenteritis A. Agree

B. Disagree

C. Strongly agree

D. Strongly disagree

25 Gastroenteritis in children can be prevented by A. Agree

promoting water, sanitation and hygiene B. Disagree

C. Strongly disagree

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