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Tool to estimate patients costsQuestionnaire Number:Patient registration Number:Date of Interview (dd/mm/by) Name of Province Name of District Place of interview (household / facility name) Interviewer
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How to fill out this interview questionnaire is

01
To fill out this interview questionnaire, follow these steps:
02
Read each question carefully and understand the information required.
03
For each question, provide a clear and concise answer.
04
Give relevant examples or share experiences whenever possible.
05
Be honest and accurate in your responses.
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Double-check your answers before submitting the questionnaire.
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If there are any additional instructions or guidelines provided, make sure to adhere to them.
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Take your time and answer the questions thoughtfully.
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If you are unsure about any question, don't hesitate to seek clarification from the interviewer or the person responsible for the questionnaire.
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This interview questionnaire is a formal document designed to collect specific information from individuals as part of an evaluation or assessment process.
Individuals who are being interviewed or assessed as part of a particular program, organization, or legal requirement are required to file this interview questionnaire.
To fill out this interview questionnaire, carefully read each question, provide accurate and complete responses, and submit it according to the specified guidelines.
The purpose of this interview questionnaire is to gather necessary information to aid in decision-making, assessments, or compliance with relevant regulations.
The information that must be reported typically includes personal details, background information, and any relevant data specific to the interview topic.
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