Items:

1. Now, I would like to you to think back to all the violence incidents we talked about, such as when a wifepartner [husbandpartner], parent or adult relative, or authoritative figure was violent towards you. Did you know of a place or person to go and seek help for any of these violent incidents?

Response options:
Yes - 1
No - 2
Don’t know - 88
Declined to answer - 98

2. Did you try to seek professional help for any of these incidents?

Response Options:
Yes - 1
No - 2
Don’t know - 88
Declined to answer - 98

3. Were you successful in receiving any professional help for any of these incidents, like from a health facility or NGO?

Response Options:
Yes - 1
No - 2
Don’t know - 88
Declined to answer - 98

4. Now think back to the most recent incident you had involving violence by a wifepartner [husbandpartner], parent or adult relative, or authority figure. Did you try to receive any services for this most recent incident?

Response Options:
Yes - 1
No - 2
Don’t know - 88
Declined to answer - 98

5. What was the first place you went to try and seek professional help?

Response Options:
Social services offices - 1
Health facility - 2
Traditionalspiritual healer - 3
Police station - 4
Legal aid centre - 5
Church - 6
Community leader - 7
NGO - 8
Other (specify) - 96
Don’t know - 88
Declined to answer - 98

6. Who, if anyone, helped you go to this service?

Response Options:
Friend - 1
Relative - 2
Teacher - 3
Peerstudent - 4
Other (specify) - 96
No one - 5
Don’t know - 88
Declined to answered - 98

7. How did they help you go to this service?

Response Options:
Transport - 1
Directions - 2
Money - 3
Other (specify) - 96
Don’t know - 88
Declined to answer - 98

8. How much did this service help you?

Response Options:
Helped me a lot - 1
Some help - 2
No help at all - 3
Don’t know - 88
Declined to answer - 98

9. Why did you try not to seek services? (Circle all mentioned)

Response Options:
Afraid of getting in trouble - A
Embarrassed for self or my family - B
Did no want abuser to get in trouble - C
Too far to services - D
Afraid of being abandoned - E
Did not think it was a problem - F
Could not afford transport - G
Could not afford service fees - H
Did not needwant services - I
No one to help me - J
Other (specify) - X
Don’t know - Z
Declined to answer - Y

10. Were there any services you would have wanted, but were not available?

Response Options:
Yes - 1
No - 2
Don’t know - 88
Declined to answer - 98

11. What services would you have wanted? (Circle all mentioned)

Response Options:
Counseling services - A
Medical services - B
Legal counsel - C
Traditional healerspiritual healer services - D
Police services - E
Some where safe to say - F
Other (specify) - X
Don’t know - Z
Declined to answer - Y