101A) During this interview, I would like to take your blood pressure. I will take your blood pressure three times during this interview.

There is no danger to the procedure. It is done to see if a person suffers from hypertension. Without treatment, hypertension can cause serious damage to the heart.

The results of the blood pressure test will be given at the end of the interview along with an explanation of your blood pressure results. If you have high blood pressure, given that we cannot perform further testing to give you proper treatment during the survey, we will advise you to consult a health care facility or a doctor.

Do you have any questions about the blood pressure test? If at any point you have questions, you may ask them to me.

You can say yes, or you can say no to the blood pressure test now. You can also decide to stop this blood pressure testing at any time.

Will you allow me to take your blood pressure now?

SIGNATURE OF INTERVIEWER:________

106c) During this interview I would like to measure your blood pressure. I will do this three times during the interview. There is no danger to the procedure. We do it to know if a person has high blood pressure. If it isn't treated, high blood pressure can seriously hurt the heart.

I will give you the results of the blood pressure measurement after the interview and explain to you the meaning of the results. If you have high blood pressure, we recommend that you consult a health care facility or see a doctor because we cannot offer any treatment as part of the survey.

Do you have any questions to ask me about blood pressure measurement?

You can say yes or no, and you can also decide at any point in the interview to not participate in taking blood pressure measurements.

Respondent signature
Date

101A) During the interview I would like to measure your blood pressure. This will be done three times during the interview. This is a harmless procedure. It is used to find out if a person has high blood pressure. If it is not treated, high blood pressure may eventually cause serious damage to the heart.

The results of this blood pressure measurement will be given to you after the interview together with an explanation of the meaning of your blood pressure numbers. If your blood pressure is high, we will suggest that you consult a health facility or doctor since we cannot provide any further testing or treatment during the survey.

Do you have any questions about the blood pressure measurement so far? If you have any questions about the procedure at any time, please ask me.

You can say yes or no to having the blood pressure measurement now.
You can also decide at any time not to participate in the blood pressure measures.

Would you allow me to proceed to take your blood pressure measurement at this time?

Signature of interviewer: ___________________________
Date: ____________

102 During the interview I would like to measure your blood pressure. This will be done three times during the interview.
This is a harmless procedure. It is used to find out if a person has high blood pressure. If it is not treated, high blood pressure may eventually cause serious damage to the heart.
The results of this blood pressure measurement will be given to you after the interview together with an explanation of the meaning of your blood pressure numbers. If your blood pressure is high, we will suggest that you consult a health facility or doctor since we cannot provide any further testing or treatment during the survey.
Do you have any questions about the blood pressure measurement so far? If you have any questions about the procedure at any time, please ask me.
You can say yes or no to having the blood pressure measurement now.
You can also decide at anytime not to participate in the blood pressure measures.
Would you allow me to proceed to take your blood pressure measurement at this time?
Signature of interviewer: ____________________
Date: ___________________

101B) During the interview I would like to measure your blood pressure. This will be done three times during the interview. This is a harmless procedure. It is used to find out if a person has high blood pressure. If it is not treated, high blood pressure may eventually cause serious damage to the heart.

The results of this blood pressure measurement will be given to you after the interview together with an explanation of the meaning of your blood pressure numbers. If your blood pressure is high, we will suggest that you consult a health facility or doctor since we cannot provide any further testing or treatment during the survey.

Do you have any questions about the blood pressure measurement so far? If you have any questions about the procedure at any time, please ask me.

You can say yes or no to having the blood pressure measurement now. You can also decide at any time not to participate in the blood pressure measures.

Would you allow me to proceed to take your blood pressure measurement at this time?

SIGNATURE OF INTERVIEWER: ____
DATE: ____