Filetype Excel XLS | Posted on 30 Jul 2022 | 3 years ago
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163x Filetype XLS File size 0.05 MB Source: forum.getodk.org
Sheet 1: survey
| type | name | label | hint | required | appearance | relevant | constraint_message | constraint | guidance_hint | media::audio | media::image | calculation |
| note | note | This form is called Adolescent Registration Form will be used for the registration of new batch adolescent of MPC. The objective of the form is to store the details information of adolescent of MPCs located in camps & hosts in order to ensure skills development of the adolescents in different camps & hosts we are working. | ||||||||||
| dateTime | dateTime | Date & Time | 1 | quick | ||||||||
| select_one location | location_type | Location-Refugee/Host | 1 | quick | ||||||||
| select_one refugee | refugee_location | Camp Name | 1 | quick | ${location_type}='refugee' | |||||||
| text | other_specify1 | Other | 1 | quick | ${refugee_location}='other_specify1' | |||||||
| select_one host | host_location | Host Name | 1 | quick | ${location_type}='host' | |||||||
| text | other_specify2 | Other | 1 | quick | ${host_location}='other_specify2' | |||||||
| begin group | personal_details | A. Personal Details | ||||||||||
| text | name | A1a) Name of the Adolescent | 1 | quick | ||||||||
| select_one gender | gender | Gender | 1 | quick | ||||||||
| select_one dob_age | dob_age | A1b) Date of birth or Age | 1 | quick | ||||||||
| date | dob | Date of Birth | 1 | quick | ${dob_age}='dob' | |||||||
| text | age | Age | 1 | quick | ${dob_age}='age' | regex(.,'^[1][5-8]{1}$') | ||||||
| select_one marital_status | marital_status | A1c) Marital Status | 1 | quick | ||||||||
| select_one tot | type_of_training | A1d) Type of Training | 1 | quick | ||||||||
| end group | ||||||||||||
| begin group | address | B. Address | ||||||||||
| begin group | camp_no | a) Camp No | ${location_type}='refugee' | |||||||||
| text | block_no | Block No | 1 | quick | ||||||||
| text | household_no | Household No | numbers | |||||||||
| text | father_name | Father's Name | 1 | quick | ||||||||
| text | mother_name | Mother's Name | 1 | quick | ||||||||
| text | husband_wifename | Husband/Wife's Name | quick | |||||||||
| end group | ||||||||||||
| begin group | nextof_kin | b) Next of Kin | ${location_type}='refugee' | |||||||||
| text | reference_person | Reference Person | quick | |||||||||
| text | household_no | Household No | quick | |||||||||
| text | block_no | Block No | quick | |||||||||
| end group | ||||||||||||
| begin group | address1 | a) Address | ${location_type}='host' | |||||||||
| text | district_name | District | quick | |||||||||
| text | village_name | Village | 1 | quick | ||||||||
| text | father_name | Father's Name | 1 | quick | ||||||||
| text | mother_name | Mother's Name | 1 | quick | ||||||||
| text | husband_wifename | Husband/Wife's Name | quick | |||||||||
| text | contact_no | Contact No | quick | regex(.,'^[0][1][3-9][0-9]{8}$') | ||||||||
| end group | ||||||||||||
| begin group | nextof_kin1 | b) Next of Kin | ${location_type}='host' | |||||||||
| text | reference_person | Reference Person | quick | |||||||||
| text | mobile_no | Mobile No | quick | regex(.,'^[0][1][3-9][0-9]{8}$') | ||||||||
| end group | ||||||||||||
| end group | ||||||||||||
| begin group | education | C. Educational Background | 'vpMwjoJ2yKKL8ge79Rjk37' | |||||||||
| select_one educationlevel | levelof_education | b) What is your highest level of education attained so far? Please choose only one answer | 1 | quick | ||||||||
| select_one vocational | vocational_training | c) Have you attended any Vocational training since you left school? | 1 | quick | ||||||||
| text | training | d) If Yes, when? | quick | ${vocational_training}='Yes' | ||||||||
| text | trained_in | e) What did you train on? | quick | ${vocational_training}='Yes' | ||||||||
| end group | ||||||||||||
| begin group | employment_income | D. Employment and income information | ||||||||||
| select_one employment | employment_status | a) What is your current employment status? Tick what’s applicable | 1 | quick | ||||||||
| text | other_specify3 | Other | 1 | quick | ${employment_status}='other_specify3' | |||||||
| text | monthly_income | b) Estimated total monthly income if employed (in TAKA) | numbers | |||||||||
| select_one mainsource | mainsource_income | c) What is your family’s main source of earnings? | 1 | quick | ||||||||
| text | other_specify4 | Others | 1 | quick | ${mainsource_income}='other_specify4' | |||||||
| integer | family_member | Number of family members living together in the household | quick | |||||||||
| end group | ||||||||||||
| begin group | training_info | E) Training information | ||||||||||
| text | vocational_skills | a) Which vocational skills would you like to be trained in? | 1 | quick | ||||||||
| text | reason | b) State reasons why you want this course? | multiline | |||||||||
| text | intention | c) State how you intend to apply the knowledge and skills obtained from this course? | multiline | |||||||||
| select_multiple contribution | contribution_type | d) What will be your contribution towards the training? You can select multiple options here | 1 | quick | ||||||||
| end group | ||||||||||||
| begin group | cometo_know | Media for training information | ||||||||||
| select_one cometoknow | cometoknow_training | f) How did you come to know about this training/ skills programme? Please choose only one answer | 1 | quick | ||||||||
| text | please_specify | Other, please specify | 1 | quick | ${cometoknow_training}='please_specify' | |||||||
| end group | ||||||||||||
| begin group | authenticity | Authenticity | ||||||||||
| acknowledge | acknowledgement | G. Authenticity : The information provided in this form is correct to the best of my knowledge | 1 | quick | ||||||||
| end group |
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