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KINGDOM OF CAMBODIA Nation Religion King

National Adult Tobacco Survey of Cambodia

2011

Developing and Strengthening Tobacco Control Policy

By

National Institute of Statistics, Ministry of Plann ing Phnom Penh, Royal Kingdom of Cambodia

Report released:

This work and report was supported by WHO, SEATCA, and Fogarty/NIH (Loma Linda University)

Under

Tobacco research for policy development and tobacco control in the Royal Kingdom of Cambodia

(Technical Report)

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Table of Contents Executive Summary 5 Background 7 Objective 8 Methods 9 Confidentiality of Information 9 Scope and Coverage 9 Sampling Design and Sample Size 10 Questionnaires, Staff Training, Data Collection 12 Survey results

Demographics 13 Trends in all forms of Tobacco Use 16 Prevalence of Smoking any form of Tobacco (Cigarettes, Pipes) assessed using GATS Survey Items 18. Tax Stamps and Health Warning Labels 20 Prevalence of Chewing any form of Tobacco (Betel Quid, Loose Leaf, Commercial Tin) using GATS Survey Items 20 Cessation of Tobacco Use using the GATS items 21 Secondhand Smoke Exposure 24 Measuring the Expenditure on Manufactured and Hand-rolled Cigarettes 26 Measuring Media Exposure to Anti-Tobacco Messaging and Media Exposure to Tobacco Advertising and Promotion 28 Knowledge and Attitudes about Tobacco Use 30

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List of Tables Table 1.0 Demographics Table 2.0 Nationwide prevalence of Smoking Tobacco Products (GATS) Table 3.0 Mean number of cigarettes, cigars, and pipe-loads of tobacco consumed

among daily users (GATS)

Table 4.0 Mean number of cigarettes, cigars, and pipe-loads of tobacco consumed among weekly users (GATS)

Table 5.0 Tax stamps and labeling on the last empty pack of manufactured cigarettes: findings from interviewer inspection

Table 6.0 Nationwide prevalence of Smoking Tobacco Products (GATS) Table 7.0 Mean times per day of chewing tobacco products among daily users using

survey pictograms Table 8.0 Mean times per day of chewing tobacco products among weekly users

using survey pictograms Table 9.0 Cessation of smoked and smokeless tobacco (GATS) Table 10.0 Second hand Smoke Exposure (GATS) Table 11.0 Findings on the Sale and Purchase of Manufactured Cigarettes Table 12.0 Findings on the Sale and Purchase of Hand-rolled Cigarettes made by

Local Businesses Table 13.0 Media Exposure to Anti-Tobacco Messaging and Tobacco Promotion and

Advertising (GATS) Table 14.0 Findings on Knowledge and Attitudes about Tobacco Use

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List of Figures

Figure 1. Nationwide prevalence of all forms of tob acco use (ages 15 and older), NATSC 2011 Figure 2. Nationwide prevalence of all forms of tob acco use (ages 18 and older), NATSC 2011

Acronyms GATS Global Adult Tobacco Survey SEATCA Southeast Asia Tobacco Control Alliance NIS National Institute of Statistics WHO World Health Organization TCLT Tobacco Control Leadership Training NATSC National Adult Tobacco Survey of Cambodia RGC Royal Government of Cambodia FCTC WHO Framework Convention on Tobacco Control MOH Ministry of Health NCHP National Center for Health Promotion

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Executive Summary

The 2011 National Adult Tobacco Survey of Cambodia (NATSC) tracks the

consumption of all forms of tobacco use and allows for a study of 5 year trends in

tobacco use in the population of the Royal Kingdom of Cambodia. The objective of the

survey was to obtain a large nationally representative sample of adults (ages 15 years

and older) to study patterns of tobacco use, tobacco cessation, second hand smoke,

tobacco expenditures, media exposure to tobacco messaging, and knowledge and

attitudes about tobacco use.

The Royal government of Cambodia (RGC) wants to protect their citizens from

the terrible burden caused by tobacco use. The lack of comprehensive tobacco control

legislature and the extraordinary human and financial toll caused by chronic disease

have all played a prominent role in the increased mortality associated with the use of

tobacco products in Cambodia. Tobacco use remains the number one cause of

preventable death in the world and its costs to health care systems and the national

economies are breathtaking. These patterns are seen around the world and within

countries such as Cambodia make clear that tobacco prevention and cessation must be

at the heart of any effective national health care policy.

Policies that have been proven to decrease tobacco use and save lives—high

tobacco product taxes, protection from second hand smoke, graphic health warnings on

tobacco products, banning tobacco advertising, promotion, and sponsorship—will reap

the financial rewards. Despite this evidence from other regions, there is lack of tobacco

control policies found among Southeastern Asian countries such as Cambodia.

Sampling design

The sampled population of 15,615 adults (ages 15 and older) was representative of 12

individual provinces and five groups of provinces. These census based domains were

further samples using a multi-stage cluster design (437 clusters drawn from the latest

census as a sampling frame) to enable the final sample to be nationally representative.

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Trends in all Forms of Tobacco Use

Among adults ages 15 and older, 2011 NATSC findings indicate that:

• 39.4% of men and 15.9% of women are current tobacco users.

• Among men, most of the tobacco users were cigarette smokers (38.6%

prevalence of cigarette use among men) who smoked about half a pack of

manufactured cigarettes per day.

• Among women, most of the tobacco users chewed tobacco (12.7% prevalence of

chewing tobacco among women) in the form of a betel quid that they chewed 2-3

times per day.

Among adults ages 18 and older, 2011 NATSC findings indicate that:

• There was a decline in cigarette smoking among men from 48.0% to 42.5%

during the period from 2005-2006 to 2010-2011.

Tax Stamps and Warning Labels on Manufactured Cigarette Packs

Interviewer examination of the subjects cigarette packs indicated that 95% of the packs

displayed a domestic tax stamp and 89.6% of the packs indicated a health warning label

in Khmer language.

Limited Cessation Resources in Cambodia

Among current smokers, 39% had been advised to quit cigarettes by their doctor, 2.2%

plan to quit, and 5% have tried some form of medical counseling to quit during the past

12 months. Among current tobacco chewers, 23.8% have been advised to quit by a

doctor, 0.8% plan to immediately quit, and 2.3% have tried some form of medical

counseling to quit during the past 12 months.

Smoke-free Homes needed in Cambodia

The 2011 NATSC data indicate that about half of Cambodian homes continue to:

• allow smoking (48.3%),

• allow this smoking to occur in every room of the house (52.9%)

• allows this smoking inside the home to occur on a daily basis (53.9%).

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The 2011 NATSC identifies smoking inside the home as a major environmental health,

public health, and child health issue for Cambodia. Community base programs to curtail

smoking inside the home need to be a high priority for tobacco control efforts for the

new decade.

Anti-Tobacco Messaging on TV, Radio, and the Cigarette Pack

More than half of the information on the dangers of smoking is being seen on television

(59.6%) and radio (52.9%). Another interesting source of anti-tobacco messaging is the

pack itself. Whether smoker or non-smoker, more than 66% of study subjects have

seen the health warning label and studied it closely. 89.9% of subjects believe that the

pack should contain a pictorial warning label.

Conclusion and Implications for National Tobacco Co ntrol

The study findings indicate that tobacco control can be successful in Cambodia and a

decrease in cigarette consumption can be achieved. Strong public support exists for

increasing tax on tobacco products, increasing the price of cigarettes, a ban on tobacco

advertising, promotion, and sponsorship, and for graphic health warnings on the

cigarette pack. Since the data indicates that very few current users plan to quit on their

own, measures (increased tobacco tax, increased price of cigarettes) to decrease the

availability of inexpensive tobacco products to them are needed. A comprehensive

tobacco control law to implement these measures is needed.

Background

The 2011 National Adult Tobacco Survey of Cambodia (NATSC) continues a 5-

year history of conducting large-scale nationally representative surveys of all forms of

adult tobacco use (cigarettes, chewing tobacco, tobacco pipe) in all regions of

Cambodia. During 2005-2006, the largest nationwide survey of adult tobacco use ever

conducted in Cambodia (n=13,988) was completed through a collaborative effort of the

National Institute of Statistics (Ministry of Planning, Phnom Penh, Cambodia) and the

Fogarty-NIH sponsored Tobacco Control Leadership Training Program (TCLT). Design

and validation of the survey was done during the TCLT program that gave Cambodian

researchers from the Ministry of Health an opportunity to implement techniques required

to obtain accurate quantitative data from a targeted population on cigarettes

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(commercial, hand rolled), chewing tobacco, and tobacco pipes(1,2). The aim of the

2005-2006 effort was to 1) examine the demographics of current tobacco users in

Cambodia with special emphasis on tobacco use among women, and 2) examine the

reasons for current use of tobacco in demographic subgroups of this population.

Implications of the findings for the design of prevention programs and tobacco control

policy will be discussed. Since November 2005, RGC has ratified and implemented the

WHO Framework Convention on Tobacco Control (FCTC) treaty and efforts are being

made to monitor health warning labels on cigarette packs along with anti-tobacco

messaging that is being included on popular forms of media…

The 2011 NATSC is an even will continue to include valid survey items of

tobacco use from the 2005-2006 survey and also include items from the Global Adult

Tobacco Survey (GATS) on smoked tobacco, cessation, media, second hand smoke,

and knowledge/attitudes about tobacco use. Also included will be special items where

interviewers examine the cigarette packs for Khmer health labels, tax stamps, and bar

codes. To meet criteria of the GATS, the 2011 NATSC will include ages 15 and older in

the survey.

The 2011 NATSC has three co-principal investigators (Mr. They Kheam, Dr.

Daravuth Yel, and Dr. Pramil Singh) representing the funding and technical support

given to the survey by WHO/SEATCA and by Loma Linda University through its

Fogarty International Center/National Institute of Health grant for international tobacco

research and capacity building.

Objective

The research report of the 2011 NATSC continues to meet the unmet needs for

tobacco control in Cambodia by providing data to accelerate the process of ratifying

national tobacco control laws. Tobacco laws that have been drafted by the Ministry of

Health have related to health labels, tobacco taxes, protection from second hand

smoke, banning of tobacco advertising, promotion, and sponsorship. The objectives of

this survey are to: 1) continue to monitor the prevalence of use of all forms of tobacco

in Cambodia 2) continue to report the demographics of tobacco users to help design

cessation and prevention programs 3) continue to monitor household expenditures on

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tobacco 4) continue to monitor the cessation efforts of current and past users of tobacco

5) continue to identify the prevalence of second hand smoke to assist in the promotion

of smoke free homes, workplaces, and public areas 6) to provide new data on health

labeling of cigarette packs, tax stamps, and population attitudes about taxing cigarette

products.

To achieve these national objectives requires the use of authoritative governmental

institutions with existing stakeholder relationships and proved collaborations between

with local and national governmental entities.

Methods

Confidentiality of Information

All survey participants provided their approval and informed consent and were

assured that any information provided during the National Tobacco survey will be held

confidential and not be released. As part of obtaining this informed consent, all subjects

were informed that their information will be held confidential and used to produce

statistical reports defining the scale of national tobacco use, understanding the effects

of tobacco use, and to monitor tobacco use that will contribute to the development of a

strategic national tobacco policy. All participants were assured that their information

would not be used against them such as identifying persons who failed to pay taxes or

for any other legal purpose.

Scope and Coverage

The scope of the survey is sufficiently wide to meet the objectives mentioned

above. A random sample of 15,615 subjects enrolled those who were 15 years of age

and older from 6,294 sample households drawn from 437 sample clusters. These

subjects provided data through two questionnaires (Form 1 and Form 2). Out of the 437

sample clusters (i.e. village), 87 were from urban areas and 350 were from rural areas.

Household selection was such that 12 households were selected at random from each

sample cluster in urban areas and 15 households from each sample cluster in rural

areas. Table 1 shows the number of villages by province.

Seventeen domains were considered as separate strata at the stage of sampling

selection of villages. The survey has been designed to cover all private households

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including single–member households. Persons living in institutional households like

military barracks, prisons, hospitals and boarding houses were excluded. NATSC Form

1 was completed for the listing of households in every sample village (or segment of

sample village) selected at random for the purpose of the survey. This form was also

used to select the households at random from every village (or segment of the village).

The contents of the Form 1 (Listing of Household) and Form 2 (Core Questionnaire) are summarized as follows:

Form 1: Listing of Household Form 2: Core Questionnaire

A. Demographics and Supplement i. Characteristics such as age, gender, marital status, ethnicity, literacy,

education, occupation, and income (refers to gross income). ii. Tobacco questions from the 2005-2006 survey.

B. Tobacco smoking (GATS format) C. Chewing tobacco (GATS format) D. Cessation (GATS format)

i. tobacco smoking ii. tobacco chewing

E. Second hand smoke (GATS format) F. Economics

i. manufactured cigarettes (by industry) ii. hand rolled cigarettes (local business) iii. loose tobacco for hand rolled cigarettes

G. Media (GATS format) H. Knowledge and Attitudes about tobacco use

i. Harmful effects ii. Attitudes about anti-tobacco policies

I. Diet (Supplement) J. Current health K. Women’s Health (Supplement)

Sampling Design and Sample Size

The NATSC 2011 is a stratified multi-stage cluster sample. Stratification is

achieved by creating 17 survey domains that represent 2 individual provinces (Banteay

Mean Chey, Kampong Cham, Kampong Chhnang, Kampong Speu, Kampong Thom,

Kandal, Koh Kong, Phnom Penh, Prey Veaeng, Pursat, Svay Rieng, and Takeo) and

the following 5 groups of provinces:

I. Batambang and Pailin II. Kampot, Krong Preah Sihanouk, and Krong Kaeb III. Kracheh, Preah Vihear, and Stueng Traeng IV. Mondol Kiri and Rotanak Kiri V. Odar Mean Chey and Siem Reap.

Sample clusters are then selected in two stages. Implicit stratifications will be

achieved at each of the lower level geographical/administrative units by sorting the

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sampling frame before sample selection, according to geographical/administrative units,

and by using a probability proportional to size selection at first stage of sampling. The

allocated sample size is then converted to the number of households and number of

enumeration areas (EA) by taking the non-response into account, and by using the

average number of eligible population members ages 15 years and older per

household. As stated, 12 households were selected per urban EA and 15 households

were selected per rural EA. Table A below shows the sample allocation in number of

EAs and number of households by domain and by type of residence. In total, 437 EA

were needed (87 urban, 350 rural).

In the first stage, the 437 sample EAs were selected by a probability proportional

to EA size method according to the sample allocation given in table A. The EA size is

the number of households residing in the EA. After the sample selection of EAs and

before the main survey, a household listing operation was carried out in all of the

selected EAs, and the resulting list of households served as sampling frame for the

selection of households in the second stage. Some of the selected EAs were too large.

To minimize the task of household listing, selected EAs which have more than 200

households were segmented and only one segment will be selected randomly to include

in the survey -the selection probability then proportional to the final segment size.

Household listings will then be conducted only in the selected segment. So a NATSC

2011 cluster is either an EA or a segment of an EA. In the second stage of selection, a

fixed number of 12 households will be selected from every urban cluster, and a fixed

number of 15 households will be selected from every rural cluster, by an equal

probability systematic sampling. In order that all listed households have an equal

chance to be selected for the interview and in order to prevent bias from being

introduced from interviewers selecting the sample households at the time of the main

survey, the sample households for NATSC 2011 were pre-selected in central office

before the interviewer team arrives. A household selection spreadsheet was prepared to

facilitate the household selection in central office. During the survey interview period,

the interviewer was asked to interview only the pre-selected households. To minimize

bias, no replacement was allowed for household not found or that did not

respond/consent to participate. All subjects 15 years and older who were found in

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households that consented to participate were considered eligible for the individual

survey and were interviewed.

Table A Sector

Urban Rural

Total

Sr. No.

Domains

No. of EAs No. of

households No. of EAs No. of

households No. of EAs

No. of households

1. Banteay Mean Chey 8 96 18 270 26 366 2. Kampong Cham 2 24 23 345 25 369 3. Kampong Chhnang 3 36 23 345 26 381 4. Kampong Speu 2 24 23 345 25 369 5. Kampong Thom 2 24 23 345 25 369 6. Kandal 4 48 21 315 25 363 7. Koh Kong 9 108 17 255 26 363 8. Phnom Penh 29 348 2 30 31 378 9. Prey Veaeng 1 12 24 360 25 372 10. Pursat 2 24 23 345 25 369 11. Svay Rieng 1 12 24 360 26 372 12. Takeo 0 0 24 360 24 360

Battambang 5 60 19 285 24 345 13. Pailin 0 0 1 15 1 15

Kampot 2 24 16 240 18 264 Krong Preah Sihanouk 3 36 4 60 7 60

14.

Krong Kaeb 0 0 1 15 1 15

Kratie 2 24 12 180 14 180 Preah Vihear 1 12 6 90 7 90 15. Stueng Traeng 1 12 4 60 5 60

Mondol Kiri 1 12 7 105 8 117 16. Rotanak Kiri 3 36 15 225 18 261

Odar Mean Chey 1 12 4 60 5 72 17. Siem Reap 5 60 16 240 21 300

Total 87 1044 350 5250 437 6294

Questionnaires, Staff Training, Data Collection, Data Entry

The data collection was completed by administering the survey using the

selection process described in the previous section. A registry of potential households

was developed by the central provincial survey office and then a list of households was

provided to the interviewer teams. Final census sizes were updated for every sample

village (or segment of sample village) and were used to derive the final household

weights. The final survey questionnaire administered to subjects consisted of 103 items

including demographic characteristics, tobacco use, knowledge and attitudes about

tobacco use, exposure to second hand smoke, smoking cessation activities, lifestyle

habits, exposure to tobacco media advertisements, and other miscellaneous questions.

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A total of 86 interviewing staff and their supervisors were recruited and trained by

the National Institute of Statistics(Ministry of Planning), Dr. Daravuth Yel (WHO

Cambodia), Dr. Pramil Singh (Loma Linda University, USA), and Dr. Mom Kong

(Cambodia Movement for Health). All staff members hired for data collection activities

were trained covering the interview process (concepts, definitions) and filling out the

questionnaires. All training of participating staff was completed in an intensive five day

session followed by a quantitative pre-test of the survey and reliability testing of the

interviewers. Data collection, processing, entry, cleaning, and coding were conducted

during October 2010 through January 2011.

The completed questionnaires were collected by field supervisors within each

domain on a specified due date. Manual processing of questionnaires verified status of

completeness, correctness, and consistency of the data entries. The coding

classification of Occupations and Industries was used from previous surveys (i.e. SES,

DHS, TCLT). The coding and classification scheme were based on the UN International

Standard Occupations Classification (ISOC) and UN International Standard Industrial

Classification (ISIC) systems, respectively. Manual editing and coding were performed

by four personnel (one supervisor and three processors) from the NIS. After careful

examination, each questionnaire was stored for entry. The editing and coding of each

questionnaire was performed manually.

A verification software package, known as the Census and Survey Processing System

(CSPro), was used to verify data entry, correction of inconsistencies and tabulation of

survey results. The NIS personnel who performed this process of data process were

trained over the course of four days on entry verification, completeness of entry,

correction of entry errors, and coding. Following data entry, a preliminary report was

generated. Range checks were performed on all variables included in the survey

questionnaire. The range checks that were generated indicated the minimum and

maximum of all variables. All tabulations reported were extracted after cleaning of data

files.

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Survey Results

Demographics

The demographics of the study population are given in table 1. Some of the

indicators in the 2011 NATSC will be different to the 2005-2006 TCLT data due to the

use of a 2011 sample that is 15 years and older and due to a cohort effect where

distributions of urban and rural households have changed. The demographic

characteristics 2011 NATSC sample of 15,615 adults (ages 15 years and older) from all

provinces of Cambodia indicate a mean age of 38.1 years (slightly younger than the

2005-2006 sample due to the inclusion of subjects who were ages 15 to 17 years).

Similar to 2005-2006, the population was predominantly of Khmer ethnicity (97.0%) and

Buddhist (97.6%). Most of the sample had completed 12 years of education or less

(97.4%), earned less than US$ 2 per day (68.8%), and were married (63.1%). The

primary economic activities of most of the subjects was farming (59.8%), sales (8.6%),

labor (7.3%), and rades and crafts (3.0%). The rate of subjects indicating “no

occupation” remained about the same as 2005-2006 at about 16.6%. All other activities

occurred at a prevalence of less than 2%.

Although it is not reflected in the demographics findings in table 1, it is

noteworthy that larger urban areas like Phnom Penh indicated more urban EAs in 2011

than in 2005-2006. The lower rate of subjects of earning less than 1 USD per day

(55.7%) is noteworthy in this regard.

Table 1. Mean age and prevalence of selected demog raphic variables in a nationwide sample of 15,615 adults ( ages 18 years and older) from Cambodia (National Adult Tobacco Su rvey of Cambodia, 2011). All Men Women Age (years) 38.1 37.5 38.6 Ethnicity(%)

Khmer 96.99 96.99 97.00 Cham 1.55 1.53 1.57

Local Tribe* 0.01 0.02 0 Other† 1.45 1.46 1.43

Religion(%) Buddhist 97.56 97.46 97.65

Muslim 1.52 1.53 1.51 Christian 0.05 0.08 0.03

Other‡ 0.87 0.93 0.81 Marital Status(%)

Never married 25.95 29.92 22.68 Currently Married 63.11 65.49 61.16

Divorced or Separated 2.96 1.08 4.5

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Widower/Widow 6.79 2.25 10.53 Education(%)

0-6 y 65.88 58.27 72.16 7-12 y 31.62 38.38 26.05

13-15 y 1.22 1.57 0.93 > 15 y 1.28 1.78 0.86

Income per day in US Dollars (USD)(%)

< 1 USD 55.71 43.49 65.8 1-2 USD 13.18 15.23 11.49

>2-3 USD 11.32 14.12 9.02 > 3 USD 19.78 27.16 13.7

Occupation(%) No Occupation 16.54 12.39 19.97

Professional 1.19 1.84 0.64 Health Professional

(Physician) 0.4 0.55 0.28 Professional Nurse or

Midwife 0.04 0 0.07 Traditional Healer/Faith

Healer 0.05 0.05 0.06 Technical 1.47 2.35 0.75

Clerical 0.24 0.28 0.22 Service 0.52 0.45 0.58

Fireman, Police 0.45 0.89 0.08 Sales 8.62 5.2 11.44

Tobacco Farming or Preparation 0.1 0.1 0.11

Farming, Livestock 59.77 62.04 57.9 Labor 7.34 11.89 3.58

Trades and Crafts 2.98 1.38 4.31 Armed Forces 0.28 0.61 0.02

*indigenous “hill tribes” found throughout Southeast Asia †Chinese, Vietnamese, Laos, Thai, Other ‡Local or tribal religions (i.e. Animist) § medical assistant, nursing assistant, nurse/midwife, traditional healer

Trends in all forms of Tobacco Use

In both the 2011 NATSC and the 2005-2006 TCLT surveys subjects completed

the following items on all forms of tobacco use: 1) "Do you currently smoke cigarettes?

(1= yes, 2= no)", 2) "Do you currently smoke a tobacco pipe? (1= yes, 2= no)", 3)"Do

you currently chew tobacco? (1= yes, 2=no)". These were accompanied by picture

cards to aid in distinguishing the forms of tobacco.

In Figure 1, the finding from these survey items administered to all subjects (ages

15 years and older) indicate that 39.4% of men and 15.9% of women are current

tobacco users as of the January 2011 completion of the survey. Among men, most of

the tobacco users were cigarette smokers (38.6% prevalence of cigarette use among

men). Among women, most of the tobacco users chewed tobacco (12.7% prevalence

of chewing tobacco among women).

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Figure 1. Nationwide prevalence of tobacco use amon g 15,615 adults (ages 15 and older) sampled from urban and rural regions of all provinces of Cambodia.

In Figure 2, the finding from these survey items are presented among subjects

ages 18 years and older in order to compare the fin dings to 2005-2006 data .

These data among adults ages 18 and older adults in Cambodia indicate that 43.4% of

men and 17.2% of women are current tobacco users as of the January 2011 completion

of the survey. Among men, most of the tobacco users were cigarette smokers (42.5%

prevalence of cigarette use among men). Among women, most of the tobacco users

chewed tobacco (13.8% prevalence of chewing tobacco among women).

39.4 [37.8, 40.9]

0.2 [0.1,0.4]

0.7 [0.5,1.0]

38.6 [37.1, 40.2]

15.9 [14.6, 17.2]

0.1 [0.0, 0.3]

12.7 [11.6,13.8]

3.3 [2.8,3.9]

0 20 40 60

Cigarettes

Chewing

Pipe

All Tobacco

WomenMen

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Figure 2. Nationwide prevalence of tobacco use amon g adults (ages 18 and older) sampled from urban and rural regions of all provinc es of Cambodia.

Relative to 2005-2006, the 2011 NATSC indicates 1) a modest decrease in the

prevalence of current smoking in men (48.0% in 2005-2006 to 42.5% in 2011) 2) a

modest decrease in the prevalence of chewing tobacco in women (17.0% in 2005-2006

to 13.8% in 2011). The approximately 3-4% prevalence of current cigarette use in

women has remained constant during 2005 to 2011.

Prevalence of Smoking any form of Tobacco (Cigarettes, Pipes) assessed

using GATS Survey Items

In tables 2-4 the findings from the use of GATS survey items on smoked tobacco

are presented. These indicate similar results to figure 1 where 37.4% of men and 3.2%

of women were identified as current daily smokers of tobacco. Additional features of

these data in tables 2-3 are as follows: 1) the predominant form of daily smoked

43.3 [41.6, 45.1]

0.2 [0.1,0.5]

0.8 [0.6,1.1]

42.5 [40.8, 44.3]

17.2 [15.9, 18.6]

0.1 [0.0, 0.3]

13.8 [12.6,15.0]

3.5 [3.0,4.2]

0 20 40 60

Cigarettes

Chewing

Pipe

All Tobacco

WomenMen

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tobacco in men and women was manufactured cigarettes that were smoked at a rate of

about half a pack per day (men slightly more at 13 cigarettes per day; women slightly

less at about 9 cigarettes smoked per day) 2) after manufactured cigarettes the only

product with any other noteworthy presence was the tendency of male smokers to roll

one cigarette a day from loose tobacco, and women to roll two such cigarettes. 3) The

prevalence of pipe smoking or smoking bags or bundles of cigarettes from local

business was low to the point of not being statistically measured by our very precise

sampling schema.

The GATS data provide new insight on the whether there are “occasional

smokers” (i.e. smoke cigarettes or pipes less than daily) in Cambodia. Table 2 indicates

that less than 1% of the population is in this category. This is probably to be expected

given the addictive nature of the habit and rapid tendency of users to become daily

users.

Despite the low prevalence this groups merits further study since they may

represent a “gateway” subgroup who are about to initiate daily smoking. The data in

table 4 indicate that “less than daily” smokers are smoking 8-10 manufactured

cigarettes per week – possibly an indicator or gateway users who smoke in social

settings. Again, further study of this group is needed.

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Table 2. Nationwide prevalence [95% CI] of smoking tobacco (cigarette, pipe) among 15,615 adults (ages 18 years and older) from Cambodia (Nat ional Adult Tobacco Survey of Cambodia, 2011) is assessed using the Global Adult Tobacco Su rvey methodology. Daily Smoking Less than Daily

Smoking Not

at All All 18.7 [17.8, 19.5] 0.9 [0.7, 1.0] 80.5 [79.6, 81.3] Men 37.4 [35.8, 39.0] 1.7 [1.4, 2.1] 60.9 [59.3, 62.5] Women 3.2 [2.7, 3.8] 0.2 [0.1, 0.3] 96.6 [96.0, 97.1]

Table 3. Mean [95% CI] of number of cigarettes, c igars, and pipe-loads consumed DAILY among daily sm okers in Cambodia (National Adult Tobacco Survey of Cambodia, 2011) i s estimated using the Global Adult Tobacco Survey m ethodology.

Number of Manufactured

cigarettes

Number of Hand-rolled cigarettes (made by local

business)

Number of Hand-rolled cigarettes

(rolled by self, home-made) Cigars

Tobacco pipe (exclude

waterpipe) Water- pipes

Men 13.7

[13.1, 14.4] 0.7

[0.5, 0.9] 1.6

[1.4, 1.9] <1 <1 <1

Women 9.4

[7.8, 11.4] 0.7

[0.3, 1.1] 2.3

[1.5, 3.1] 0 <1 <1

Table 4. Mean [95% CI] of number of cigarettes, c igars, and pipe-loads consumed WEEKLY among occasio nal (i.e. less than daily) smokers in Cambodia (National Adult Tobacco Survey of Cambodia, 2011) is estimated using the Global Ad ult Tobacco Survey

methodology.

Number of Manufactured

cigarettes

Number of Hand-rolled cigarettes (made by local

business)

Number of Hand-rolled cigarettes

(rolled by self, home-made) Cigars

Tobacco pipe (exclude

waterpipe) Water- pipes

Men 8.0

[6.4, 9.6] 0.7

[0, 1.2] 1.1

[0.4,1.8] 0 0 0

Women 10.0

[2.2, 17.8] 1.4

[0.0, 2.9] 0.9

[0,1.9] 0 0 0

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Table 5. Presence of tax stamps and labeling on t he last pack of cigarettes smoked by daily and less than daily smokers in Cambodia (Nati onal Adult Tobacco Survey of

Cambodia, 2011).

Domestic Tax Stamp

identified by Interviewer

Foreign Tax Stamp Identified by Interviewer

Khmer Health Warning Label Identified by Interviewer

Bar Code Identified by Interviewer

Proportion of Packs [95% CI]

95.1 [93.8, 96.2]

7.8 [6.4, 9.6]

89.6 [87.4,91.4]

76.0 [72.9, 79.0]

Tax Stamps and Labels on Manufactured Cigarettes

The data on smoked tobacco clearly indicates that the major foci of usage is the

manufactured cigarette and that FCTC implementation can affect the major form of

cigarette use in Cambodia. To this end, assessing the presence of tax stamps and

health warning labels on the cigarette packs during the period five year after FCTC

ratification in Cambodia is of great use. As part of 2011 NATSC implementation,

interviewers were trained by Dr. Daravuth Yel on how to assess the presence of tax

stamps (domestic and foreign) and health warning labels on packs of manufactured

cigarettes. The interviewers inspected the last empty pack smoked by daily and less

than daily smokers and the findings are given in table 5.

The findings indicate that some aspects of FCTC compliance appears to be

occurring at a national level with 95% of the packs indicating a domestic tax stamp and

89.6% of the packs indicating a health warning label in Khmer language.

Prevalence of Chewing any form of Tobacco (Betel Quid, Loose Leaf, Commercial Tin)

using GATS Survey Items

Findings from the GATS items are quite similar to the findings from the TCLT

items in figures 1-2 that indicate that chewing tobacco is primarily a habit among women

of Cambodia. Given the data indicating that higher levels of nicotine can be absorbed in

chewing tobacco than from smoking tobacco, it is not surprising that the prevalence of

21

less than daily chewers of tobacco is quite low (0.5% or less). The data in tables 7-8

indicate that daily chewers will tend to chew tobacco about 2-3 times per day in the form

of a betel quid (areca nut, tobacco, slaked lime) or 1-2 times per day in loose leaf form.

Use of the areca nut without tobacco does not seem to be a common habit in Cambodia

The picture cards used in the survey aid the identification of these multi-ingredient

habits.

Table 6. Nationwide prevalence [95% CI] of chewing tobacco among 15,615 adults (ages 18 years and older) from Cambodia (National Adult Tobacco Su rvey of Cambodia, 2011) is assessed using the Global Adult Tobacco Survey methodology. Daily Chewing Less than Daily

Chewing Not

at All All 7.0 [6.4, 7.7] 0.3 [0.2, 0.4] 92.7 [92.1, 93.4] Men 0.7 [0.5, 1.0] 0.0 [0.0, 0.1] 99.3 [99.0, 99.5] Women 12.2 [11.1, 13.3] 0.5 [0.4, 0.7] 87.3 [86.6, 88.4]

Less than daily users of chewing tobacco showed a similar preference for weekly

chewing of the betel quid and/or loose leaf tobacco.

Cessation of Tobacco Use assessed using GATS Survey Items

Findings about cessation-related behaviors were assessed by GATS items are

given in table 9.

Cessation through Physician Office Visit

As of survey completion (January 2011), the NATSC indicates that only 18.3% of

the country had visited a physician within the past 12 months. In this group that had

visited a physician, only 15-20% were asked about their use of tobacco as part of a

health history. Adding tobacco use to patient records represents an area for health

reform for the purposes of tobacco intervention and cessation.

Counseling/Treatment of Current Smokers

Among current smokers, 39% had been advised to quit cigarettes by their doctor,

2.2% plan to quit, 5% have tried some form of medical counseling to quit during the past

12 months. Treatment modalities for smoking cessation are virtually non-existent in

Cambodia. Taken together, the resources for medical assistance to quit cigarette

22

Table 7. Mean [95% CI] of times per day that chew ing tobacco products are used among DAILY chewers i n Cambodia (National Adult Tobacco Survey of Cambodia, 2011) is estimated using pictog rams. Betel Quid with Tobacco

Betel Quid without Tobacco

Tobacco without Betel Quid

Commercial Chewing Tobacco

Women 2.6 [2.4, 2.9] <1 1.5 [1.3, 1.8] <1

Men 2.5 [1.5, 3.6] <1 1.5 [0.8, 2.2] 0

Table 8. Mean [95% CI] of times per week that che wing tobacco products are used among OCCASIONAL (le ss than daily) chewers in Cambodia (National Adult Tobacco Survey of Cambodia, 2011) i s estimated using pictograms. Betel Quid with Tobacco

Betel Quid without Tobacco

Tobacco without Betel Quid

Commercial Chewing Tobacco

Women 2.0 [1.1, 2.9] <1 1.6 [1.0, 2.3] <1

Men - - - - “-“ insufficient numbers

X

X

23

Table 9. Items on Cessation of tobacco use adminis tered to 15,615 adults (ages 18 years and older) from Cambodia (National Adult Tobacco Survey of Cambodia, 2011) using the Global Adult Tobacco Survey methodology. All Subjects (n=15,615) How many times did you visit a doctor or health car e provider in the past 12 months ?

0 81.7% 1 to 2 12.1% 3 to 5 4.1%

>5 2.1% During any visit to a doctor or health care provide r in the past 12 months, were you asked if you chew tobacco?

Yes 14.7% No 85.3%

During any visit to a doctor or health care provide r in the past 12 months, were you asked if you smoke tobacco?

Yes 19.7% No 80.3%

Current Smokers (n=3,396)

During any visit to a doctor or health care provide r in the past 12 months, were you advised to stop smoking tobacco?

Yes 39.1% No 60.9%

During the past 12 months, did you use any of the f ollowing methods to try to stop smoking tobacco?

a. Counseling to stop smoking tobacco (examples: at a clinic, health center, school, wat)? 5% b. Medical Treatment to stop smoking tobacco (example: nicotine patch, nicotine gum)? 4.5%

c. Other prescription medications to stop smoking tobacco (not related to nicotine)? 1.2% d. Traditional medicines to stop smoking tobacco 1.3%

e. Smoking telephone support line to stop smoking tobacco 0.6% f. Switching from smoking tobacco to chewing tobacco (example betel quid, chewing tobacco). 0.3%

g. Anything else? 0.6% Which of the following best describes your thinking about quitting smoking?

I am planning to quit within the next month 2.2% I am thinking about quitting within the next 12 months 6.7% I will quit someday, but not within the next 12 months. 34.9%

I am not interested in quitting 56.2% Current Chewers (n=1,042) During any visit to a doctor or health care provide r in the past 12 months, were you advised to stop chewing tobacco?

Yes 24.8% No 75.2%

During the past 12 months, did you use any of the f ollowing methods to try to stop smoking tobacco?

a. Counseling to stop chewing tobacco (examples: at a clinic, health center,school, wat) 2.3% b. Medical Treatment to stop chewing tobacco (example: nicotine patch, nicotine gum) 1.4%

c. Other prescription medications to stop chewing tobacco (not related to nicotine) 0.5% d. Traditional medicines to stop chewing tobacco 0.5%

e. Telephone support line to stop chewing tobacco 0.1% f. Anything else 0.2%

Which of the following best describes your thinking about quitting chewing tobacco? I am planning to quit within the next month 0.8%

I am thinking about quitting within the next 12 months 2.9% I will quit someday, but not within the next 12 months. 17.9%

I am not interested in quitting 78.4%

Smoking is quite low in Cambodia at the present. Additionally, the intention to

immediately quit is also quite low. Cessation of cigarette smoking is an undeveloped

aspect of tobacco control in Cambodia.

24

Counseling/Treatment of Current Chewers

Among current chewers, the data indicate even more meager resources and

scarcity of cessation modalities. During medical visits, 23.8% have been advised to

quit, 0.8% plan to immediately quit, and 2.3% have tried some form of medical

counseling to quit during the past 12 months. Findings from 2005-2006 indicated that

the use of tobacco as a betel quid is part of long held cultural, familial, and traditional

medicine practices. Cessation programs will need to address these belief systems to

be effective.

Second hand Smoke (Environmental Tobacco Smoke) Exposure assessed using GATS

Survey Items

Findings about second hand smoke were assessed by GATS items and are

given in table 10.

Smoke free Homes The 2011 NATSC data indicate that about half of Cambodian homes continue to

allow smoking (48.3%), allow this smoking to occur in every room of the house (52.9%),

and allows this smoking inside the home to occur on a daily basis (53.9%). Given the

large birth cohort of under 18 year old household members in Cambodia (2005 census)

it is reasonable to assume that childhood exposure to tobacco smoke remains highly

prevalent in Cambodia.

The 2011 NATSC identifies smoking inside the home as a major environmental

health, public health, and child health issue for Cambodia. Community base programs

to curtail smoking inside the home need to be a high priority for tobacco control efforts

for the new decade.

Workplace Exposure to Environmental Tobacco Smoke

The 2011 NATSC indicates that indoor workplaces seem to be slightly more

regulated than the homes. Only 13.8% of the workplaces allow indoor smoking to occur

“anywhere”. Even so, about half the workplaces (49.7%) do have some designated

indoor area where employees can smoke.

Public Area Exposure to Environmental Tobacco Smoke

In order of prevalence, 2011 NATSC subjects reported seeing (during the 30

days before survey response) indoor smoking occurring most commonly in restaurants

and food stores (88.1%) followed by public transportation vehicles (56.7%), government

offices (48.8%), offices where they work (44.3%), and health care facilities (17.1%).

25

Table 10. Items on second hand smoke administered to 15,615 adults (ages 18 years and older) from Cambodia (National Adult Tobacco Survey of Cam bodia, 2011) using the Global Adult Tobacco Survey methodology. Which of the following best describes the family ru les about smoking inside of your home: Smoking is allowed, sometimes is allowed, or never allowed?

Allowed 48.3% Sometimes Allowed 17.9%

Never Allowed 33.8% Inside your house, is smoking allowed in every plac e?

Yes 52.9% No 47.1%

How often does anyone smoke inside your home? Daily 53.9%

Weekly 18.5% Monthly 8.0%

Less Than Monthly 19.6% Are you currently employed outside of your home?

Yes 20.2% No 79.8%

Where do you usually work? Inside a Building 15.0%

Outdoors 73.5% Both 11.5%

Which of the following best describes the smoking p olicy in the building where you work? Allowed Anywhere 13.8%

Allowed only in some places 49.7% Not allowed in the building 35.0%

Don’t know 1.5% During the past 30 days, did anyone smoke in the bu ilding where you work?

Yes 44.3% No 55.7%

During the past 30 days, did you visit any governme nt buildings or government offices? Yes 8.5% No 91.5%

Did you see anyone smoke inside of any government b uildings or government offices that you visited in the past 30 days?

Yes 48.8% No 51.2%

During the past 30 days, did you visit any health c are facilities? Yes 11.8% No 88.2%

Did you see anyone smoke inside of any health care facilities that you visited in the past 30 days? Yes 17.1% No 82.9%

During the past 30 days, did you visit any restaura nts/food-stores? Yes 25.6% No 74.4%

Did you see anyone smoke inside of any restaurants/ food-stores that you visited in the past 30 days?

Yes 88.1% No 11.9%

During the past 30 days, did you use any public tra nsportation? Yes 21.7% No 88.3%

Did you see anyone smoke inside of any public trans portation vehicles that you used in the past 30 days?

Yes 56.7% No 43.3%

26

Measuring the Expenditure on Manufactured and Hand Rolled Cigarettes using GATS

Survey Items

Manufactured Cigarettes

As shown in figures 1-2 and tables 3-4, manufactured cigarettes represent the

predominant smoked tobacco product in Cambodia and are smoked by 42.5% of men

and continue to be smoked with no signs of decrease by 3-4% of women. The data

indicate that male and female daily smokers are smoking about half a pack of cigarettes

per day.

What is their expenditure and on what brands? In table 11 the findings indicate

that daily smokers purchased a single pack of cigarettes at their last purchase (mean of

20.6 cigarettes). The purchase in bulk (cartons) or as single cigarettes seems to be

rare. The amount spent on this last purchase that is typically a pack is about 1167 riel

or 0.29 USD. The amount spent per week on cigarettes is 6973 riel or about 1.74 USD.

The most commonly purchased cigarette brands identified by the NATSC 2011

survey are ARA (20.75%), Luxury (13.71%), Cambo (11.78%), Romdoh (11.17%),

LAPIN (10.76%), Elephant (8.2%) ,and Crown (7.91%).

About half of the smokers purchase their cigarettes from street vendors (49.3%).

Hand-rolled Cigarettes from Local Business The NATSC 2011 data indicate that these products are a very small part of the

current market for cigarette manufacture. Despite this, the data in table 12 indicate that

those who use these cigarettes purchase them in bundles and bags in the same

quantities as the packaged cigarettes (about 20 cigarettes purchased each time). The

product represents a cost effective alternative since weekly expenditure is a fraction of

the packaged brands – 2412 riel or 0.6 USD. Monitoring of these products is

necessary since their use may increase if the price of manufactured cigarettes is

increased (i.e. through taxation).

Similar to manufactured cigarettes, these products are commonly sold by street

vendors (47.8%) and at grocery stores (40.5%).

27

Table 11. Findings on the sale of MANUFACTURED CIG ARETTES from the National Adult Tobacco Survey of Cambodia, 2011. NUMBER OF CIGARETTES AND COST OF LAST PURCHASE

The last time you bought manufactured cigarettes fo r yourself, how many cigarettes did you buy? TOTAL Number of Cigarettes bought at last Sale 20.6

Number bought as Single Cigarettes 1.5 Number bought as Packs 18.5

Number bought as Cartons 0.6 Other 0

Amount spent on TOTAL of last purchase (riels) 1167 riels

How much did you spend on manufactured cigarettes d uring the past week? (riels) 6973 riels

Value of the manufactured cigarettes obtained durin g the last time you traded for them (riels) -

Value of the manufactured cigarettes obtained durin g the last time you received them as a gift (riels) -

BRAND OF MANUFACTURED CIGARETTES AT LAST PURCHASE

What brand did you buy the last time you purchased cigarettes for yourself?

ARA 20.75% Luxury 13.71% Cambo 11.78%

Romdoh 11.17% LAPIN 10.76%

Elephant 8.2% Crown 7.91%

FINE 3.89% Alain Delon 3.67%

Other 2.4% IZA 0.89%

National 0.63% 555 0.61%

Disco 0.59% Gold Seal 0.57%

Marce 0.52% Phnom Meas 0.34%

HERO 0.26% PINE 0.26%

Double Happiness 0.25% HUN LENG 0.17%

Davidoff 0.13% OP 0.13%

Angkor 0.07% Texas 0.07% WIGO 0.07%

Good LA 0.07% Mild Seven 0.06%

JET 0.05% CAPITAL 0.03% Marlboro 0.01%

LOCATION OF LAST PURCHASE . The last time you purchased manufactured cigarettes for yourself, where did you buy them?

SUPERMARKET 0.75% TRADITIONAL MARKET 12.0%

STREET VENDOR 49.3% GROCERY STORE 37.4%

RESTAURANT BAR, BEER GARDEN 0.23% NIGHTCLUB, KARAOKE 0% HOTEL/GUESTHOUSE 0.1%

INTERNET 0% TRADE 0%

GIFT 0.2% DON’T REMEMBER 0.02%

28

Table 12. Findings on the sale of HANDROLLED CIGAR ETTES (MADE AT LOCAL BUSINESSES) from the National Adult Tobacco Survey of Cambodia, 2011. NUMBER OF CIGARETTES AND COST OF LAST PURCHASE

The last time you bought handrolled cigarettes for yourself, how many cigarettes did you buy? TOTAL Number of Cigarettes bought at last Sale 21.8

Number bought as Single Cigarettes 7.7 Number bought as Bags 11.5

Number bought as Bundles 2.6 Other 0

Amount spent on TOTAL of last purchase (riels) 606 riel

How much did you spend on handrolled cigarettes dur ing the past week? (riels) 2412 riel

Value of the manufactured cigarettes obtained durin g the last time you traded for them (riels) -

Value of the manufactured cigarettes obtained durin g the last time you received them as a gift (riels) -

LOCATION OF LAST PURCHASE

. The last time you purchased manufactured cigarettes for yourself, where did you buy them? TRADITIONAL MARKET 7.0%

STREET VENDOR 47.8% GROCERY STORE 40.5%

RESTAURANT BAR, BEER GARDEN 3.3% OTHER 1.0%

Measuring the Media Exposure to Anti-Tobacco Messaging and Media Exposure to

Tobacco Advertising and Promotion using GATS Survey Items

2011 NATSC data identify Television and Radio as the medium for the anti-

tobacco messaging from public health and the promotion and advertising of the tobacco

products. These data are given in table 13 and discussed below.

Anti-Tobacco Messaging on Harms of Tobacco Use

Data in table 13 indicate that more than half of the information on the dangers of

smoking is being seen on television (59.6%) and radio (52.9%). Another interesting

source of anti-tobacco messaging is the pack itself. Whether smoker or non-smoker,

more than 66% of study subjects have seen the health warning label and studied it

closely. In reference to the recent legislation, about 90% of subjects believe that the

pack should contain a pictorial warning label. When administering this item, the

interviewer showed the subject a pack with the pictorial warning proposed by current

legislation.

Tobacco Advertising and Promotion

The scope of tobacco advertising and promotion is broad and found across

electronic, print, and roadside media. In order of what is commonly seen by the public it

includes television (49.4%), radio (44.3%), stores (43.5%), posters (41.3%), tobacco

company vehicles (35.2%), and roadside umbrellas (35.1%).

29

A newer movement based on incentives in clothes and gifts with tobacco

purchases is also evident to about 15% of respondents.

Table 13. Findings on MEDIA EXPOSURE from the Nati onal Adult Tobacco Survey of Cambodia, 2011. In the last 30 days, have you noticed information a bout the dangers of smoking tobacco or that encourages quitting in any of the following places?

Newspapers or In Magazines 17.4% Television 59.6%

Radio 52.9% Billboard 32.9%

Other 7.2% HEALTH WARNING LABEL In the last 30 days, did you notice any health warn ings on cigarette packages?

Yes 68% No 32%

In the last 30 days, did you look closely at these health warnings on cigarette packages? Yes 66.4% No 33.6%

Should health warning pictures be included on cigar ette packages? Yes 89.9% No 90.1%

ADVERTISEMENT, SIGNS, PROMOTION In the last 30 days, have you noticed any advertise ments for cigarettes in the following places?

Stores where cigarettes are sold 43.5% Television 49.4%

Radio 44.3% Billboards 33.8%

Posters 41.3% Newspapers or Magazines 11.0%

Cinemas 0.6% Internet 0.4%

On public transportation vehicles or stations 17.8% Tobacco Company Vehicles 35.2%

Umbrellas 35.1% Banners 22.1%

Public Walls 26.4% Concert 3.6%

Advertisement counter 5.5% Other 0.7%

In the last 30 days, have you noticed any sport or sporting event that is associated with cigarette brands or cigarette companies?

Yes 6.2% No 93.8%

In the last 30 days, have you seen any of the follo wing ? Free Samples of Cigarettes 7.4%

Cigarettes at sale prices 7.0% Coupons for cigarettes 2.9%

Free gifts or special discounts when buying cigarettes 14.8% Clothing or other items with a cigarette brand or logo 16.5%

Mail promoting cigarettes 4.9% Do you listen to radio programs on the harms of tob acco?

Yes 36.2% No 63.8%

Knowledge and Attitudes about Tobacco Use: Findings from GATS and TCLT items

2011 NATSC data identify that the harms of tobacco use seem to be known by

most of the Cambodian population ages 15 and older. Table 14 indicates that more

than 75% of the public believes that smoking is 1) harmful 2) harmful to the fetus when

a mother smokes 3) causes bronchitis, lung cancer, and heart disease. Harms of

second hand smoke exposure also seem evident with 70% of respondents indicating

30

that the exposure is harmful. This belief despite the data indicating that half the homes

allow daily smoking needs further study and health programming.

The concept that harming your body with tobacco is sin remains a prevalent

belief and follows up on TCLT data from 2005-2006 that many aspects of Buddhist

belief systems seem to align with tobacco control

Table 14. Findings on KNOWLEDGE AND ATTITUDES ABOU T TOBACCO USE from the National Adult Tobacco Survey of Cambodia, 2011. HARMS – BELIEFS ABOUT SMOKING

“Is smoking harmful to your health?” No, not harmful 2.1%

Yes, a little harmful 12.3% Yes, seriously harmful 83.1%

“Is breathing the smoke from someone else’s cigaret te or pipe harmful to your health?” No, not harmful 4.3%


“Is smoking during pregnancy harmful to the health of the fetus?”? No, not harmful 2.2%


Smoking causes the following diseases: Bronchitis 95.5%

Lung Cancer 95.3% Heart Disease 92.9%

Any Illness 78.6% It is a sin for a cigarette or pipe smoker to produ ce smoke that is inhaled by other persons.

Agree 73.9% Disagree 13.1%

Harming your body with tobacco is a sin. Agree 77.1%

Disagree 11.4% “A man who does not smoke is a real man.”


Smoking should not be allowed in the following plac es: Wat 74.5%

Restaurant and food store 72.8% Public transportation 78.1%

Workplace 78.1% All cigarette tax should be increased


The price of cigarettes should be raised to encoura ge people to stop smoking Agree 82.1%

Disagree 12.3%

NATSC 2010

31

NATSC 2010

A. To be completed by supervisor before interview B. To be completed by interviewer

Province /City Name of household head

District /Khan Address (house No., street….) of other identification)

Commune/Sangkat

Date of the interview Day: Month: Year: 2010

Sample Village/Mondol

Date of last visit Day: Month: Year: 2010

Domain number (1 to 17)

Interviewer’s name: Id:

Sector (Urban=1, Rural=2) Interviewer’s signature: (indicates survey completed and consent obtained)

Sample reference number of household

Team Number:

C. To be completed by supervisor after checking completed questionnaire thoroughly D: To be completed after re-interview (when required)

Supervisor’s name: Id: Name of re-interviewer: Id:

Date checked by supervisor Day: Month: Year: 1 0 Date of re-interview Day: Month: Year:

2010

Date of re-interview (if necessary) Day: Month: Year: 1 0 Interviewer’s signature:

Supervisor’ s signature: Remarks of re-interviewer:

Reception Preparation Data Entry Approval

Id: Date: Id: Date: Id: Date Date:

CONFIDENTIAL All information collected in this survey is strictly confidential and will be used

for statistical purposes only

Royal Government of Cambodia National Institute of Statistic, Ministry of

Planning

NATSC 2010

Section A.1 Demographics Please provide the total number of household members ages 0-14 years: …… and the following information on all members ages 15 years and older usually residing in this household. Try to ask each member individually

Date of Birth

Write '98' if don't know, for day or month and '999' for

Year

Education

ID No

Name

Sex 1=Male, 2=Female (Enter Code)

Day Month Year

What is.. [NAME] ...’s age in completed years? Write '96' if 96 years or more and 98 if don't know

Ethnicity (see ethnicity codes)

Religion (see Religion Codes)

Marital Status

(see marital status codes)

Can [NAME] ... read and write a simple message in any language? 1=yes 2=no

Has [NAME] ... ever attended school? 1=yes 2=no (if no >>Col. 14A)

What is the highest level ..[NAME].. successfully completed?

(see grade

level codes)

Is ..[NAME].. currently in the school system?

1 = Yes 2 = No (if no >>Col. 14A) If the child is on holidays, he/she must be considered as being in the school system

What’s ..[NAME]'s..

current grade?

(see grade

level codes)

Is ..[NAME]'s.. present at home during the entire

period of the survey?

1 = Yes (if yes >>Col. 15) 2 = No

Reason for not present

at home during the

entire period of the

survey?

Enter code

(1) (2) (3) (4A) (4B) (4C) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14A) (14B)

01

02

03

04

05

06

07

08

Ethnicity codes (Col 6) 1= Khmer, 2= Cham, 3=Other local ethnic group, 4= Chinese, 5=Vietnamese, 6=Thai, 7=Lao , 8=Other (specify)

Religion codes (Col 7) 1=Buddhist, 2=Islamic ,3 = Christian, 4 = Other (specify), 5 = None Marital status ( Col. 8 ) 1 = Never Married, 2 = Currently Married, 3 = Live Together, 4 = Widowed , 5 = Divorced , 6 = Separated

Grade level codes (Col 11 and Col.13) 99= none; 0 = preschool/kindergarten, 1= class one, 2=class two………..11=class eleven, 12=class twelve, 13= secondary , 14=technical/vocational pre-secondary, 15=technical/vocational post-secondary, 16= college undergraduate, 17= college graduate, 18=post graduate, 19=other (specify)

Reason for not present at home (Col. 14B) 1=Study away from home, 2=Work away from home, 3=Seeking for work away from home, 4=Visit relatives away from home, 5=Vacation away from home, 6=Medical treatment away from home, 7=Working mission away from home, 8=Stay away from home for security reason, 9=Go abroad, 10= Other (Specify)

NATSC 2010

Section A. Demographics (Continued)

ACTIVITY STATUS DURING THE PAST MONTH

Please provide information on all members aged 15 years and older who usually reside in this household. Try to ask each member individually Primary Economic Activity Secondary Economic Activity

What was ..[NAME].. 's primary occupation during the past month? (Write specific occupation) Note: beggar and sex worker are occupations

In what kind of primary economic activity, like agriculture, manufacturing, construction, trade or service, did ..[NAME].. work in the past month?

What was your income (in riels) from the primary occupation during the past month? (Write in amount in riel ) Enter "98" if no income from primary occupation

What was ..[NAME].. 's secondary occupation during the past month? (Write specific occupation) Note: beggar and sex worker are occupations

In what kind of secondary economic activity, like agriculture, manufacturing, construction, trade or service, did ..[NAME].. work in the past month?

(in riels) from the secondary occupation during the past month? (Write in amount in riel) Enter "98" if no income from secondary occupation

ID No

Did ..[NAME].. do any work at all, even one hour (if no but having a job), for primary occupation during the past month

1=yes 2=no (if no >>Col.2 of Q20 of next section)

Occupation description Code

(NIS) Industry description

Code (NIS)

What was ..[NAME]..'s employment status? Enter code

Under what type of employer did ..[NAME].. work? Enter code

In cash In kind

Did ..[NAME].. do any work at all, even one hour (if no but having a job), for secondary occupation during the past month

1=yes 2=no (if no >>Col.2 of Q20 of next section)

Occupation description Code

(NIS) *

Industry description

Code (NIS)

What was ..[NAME]..'s employment status? Enter code

Under what type of employer did ..[NAME].. work? Enter code

In cash In kind

(1) (15) (16A) (16B) (16C) (16D) (16E) (16F) (17A) (17B) (18) (19A) (19B) (19C) (19D) (19E) (19F) (20A) (20B)

01

02

03

04

05

06

07

08

Employment status Codes (Col.16E and Col.19E) 1=Paid employee, 2=Employer, 3=Own account worker, /self-employed, 4=Unpaid family worker, 5=Other(specify)

Type of employer Codes (Col.16F and Col.19F) 01 = Government, 02 = State enterprise, 03 = Private enterprise, 04 = Joint venture, 05 = Foreign govt, international organization and NGO, 06 = Local NGO, 07 = Self-employed farm , 08 = Non-farm self-employed, 09 = Domestic servant, 10 = Other (specify)

NATSC 2010

Section A.2 2005 Tobacco Questions (exact wording a nd format)

ID

A2.1 Do you currently smoke cigarettes? 1= yes, 2= no

A2.2 Do you currently smoke a tobacco pipe? 1= yes, 2= no

A2.3 Do you currently chew tobacco? 1= yes, 2=no

(1) (2) (3) (4)

01

02

03

04

05

06

07

08

NATSC 2010

SECTION B. TOBACCO SMOKING I would now like to ask you some questions about smoking tobacco (Show Card 0). “To smoke” means at least one puff. Please do not answer about smokeless tobacco at this time (Show Card 1).

- - - - - - - - D A I L Y S M O K E R - - - - - - - - B5. Usually, how many of the following types of tobacco do you currently smoke each day?

a-d Number of cigarettes or cigars. Smoking part of cigarette or cigar and throwing it away counts as one cigarette. e-f Number of pipe loads (define pipe loads using Card 0) Show Card 0 to help the subject select

ID

B1. Do you currently smoke tobacco daily, less than daily, or not at all? 1= DAILY skip to B4 2= LESS THAN DAILY 3= NOT AT ALL skip to B3

B2. Have you smoked tobacco daily in the past? 1= YES skip to B7 2= NO skip to B8

B3. In the past, have you smoked tobacco on a daily basis, less than daily, or not at all? 1= DAILY skip to B9 2= LESS THAN DAILY skip to B10 3=NOT AT ALL skip to section C

B4. How old were you when you first started smoking tobacco daily? In years

IF DON’T KNOW, ENTER “99” a.

Manufactured cigarettes

Complete B11-B12

Number of cigarettes

b. Hand-rolled cigarettes (made by

local business)


c. Hand-rolled cigarettes (rolled by

self, home-made)

Complete B13-B14


d. Cigars

Number of cigars

e. Tobacco

pipe (exclude waterpip

e)

pipe-loads

f. Water- pipes

pipe-loads

B6. How soon after you wake up in the morning do you usually have your first smoke of tobacco? 1=Less than 5 minutes 2=5 to 30 minutes, 3=31 to 60 minutes, or 4=More than 60 minutes? skip to B11

(1) (2) (3) (4) (5) (6a) (6b) (6c) (6d) (6e) (6f) (7)

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L E S S T H A N D A I L Y S M O K E R

D O N O T S M O K E A T

A L L ( C U R R E N T L Y )

B8. How many of the following types of tobacco do you currently smoke during a usual week? a-d Number of cigarettes or cigars. Smoking part of cigarette or cigar and throwing it away counts as one cigarette. e-f Number of pipe loads (define pipe loads using Card 0)

Show Card 0 to help the subject select ENTER 888 if less than weekly but greater than 0 skip to B11

B10. How long has it been since you stopped smoking? Number of Years/month to C code < 1 month as 888

ID

B7. How old were you when you first started smoking tobacco daily?

Enter age in year IF DON’T KNOW, ENTER “99”

a. Manufactured

cigarettes

Complete B11-B12


b. Hand-rolled cigarettes

(made by local business)


c. Hand-rolled cigarettes (rolled by

self, homemade) Complete B13-B14


d. Cigars

Number of cigars

e. Tobacco

pipe (exclude

waterpipe)

pipe-loads

f. Water- pipes

pipe-loads

B9. How old were you when you first started smoking tobacco daily?

Enter age in years IF DON’T KNOW, ENTER “99” Years Months

(1) (8) (9a) (9b)

(9d) (9e) (9f) (9g) (10) (11a) (11b)

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SECTION B. TOBACCO SMOKING (Cont.) Before going to Section C, check items B5a, B8a, B5 c, B8c! Complete Manufactured Cigarette (card 0,a) items for subjects reporting > 0 cigarettes in B5a or B8a. Complete Handrolled by Self (card 0, c) items for subjects reporting > 0 cigarettes in B5c or B8c.

M A N U F A C T U R E D C I G A R E T T E

H A N D R O L L E D B Y S E L F

B11. Request the last empty pack of cigarettes purchased by the subject. The interviewer should answer the following questions by inspecting the pack.

Does the empty pack given to you by the subject display the following?:

1= YES

2=NO

8= Refused to answer

9=DK

ID

a) Domestic tax stamp

b) A foreign tax stamp

c) Khmer health warning label

d) Presence of bar code

B12.

Could an empty pack be obtained from the respondent? 1= YES 2=NO

B13. Diameter of the hand rolled cigarette Show CARD 2 and have subject select diameter from the card. Enter code (A, B,C)

B14. Length of the hand rolled cigarette Show CARD 2 and have subject select length from the card. Enter length in cm from the ruler in card 2

(1) (12a) (12b) (12c) (12d) (13) (14) (15)

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SECTION C. CHEWING TOBACCO The next questions are about chewing tobacco. [INTERVIEWER NOTES: SHOW CARD 1 DURING QUESTIONS C1-C3]

- - - - - - - - - - - - - - - - - D A I L Y - - - - - - - - - - - - - - - - -

C5. Usually, how many times a day do you chew the following? Show CARD 3 to help subject select a choice(s). Non-users of an item should be entere as 0.

C5-2. Betel quid ingredients Show CARD 5 and have subject select amount of each ingredient and enter code 1= about the same 2= less than the amount 3= more than the amount 4= not used

ID

C1. Do you currently chew tobacco on a daily basis, less than daily, or not at all? 1= DAILY skip to C4 2= LESS THAN DAILY 3= NOT AT ALL skip to C3

C2. Have you chewed tobacco daily in the past? 1=Yes skip to C7 2=No skip to C8

C3. In the past, have you chewed tobacco on a daily basis, less than daily, or not at all? 1=DAILY skip to C9 2=LESS THAN DAILY skip to C10 3=NOT AT ALL skip to SECTION D

C4. How old were you when you first chewed tobacco daily? Enter age in years IF DON’T KNOW, ENTER “99”

a. Betel quid with tobacco Times per day

b. Betel quid without tobacco Times per day

c. Tobacco without betel quid Times per day

d. Chewing tobacco from a commercial tin Times per day

C5-1. Amount of tobacco chewed (with or without betel quid) (Interviewer note: show CARD 4 and have subject select amount from the card, enter code ) 1= about the same 2= less than the amount 3= more than the amount 4= not used

a.

Betel leaf

b.

Betel nut

c.

Slaked lime

C6. How soon after you wake up in the morning do you usually chew tobacco for the first time? 1=Less than 5 minutes 2=5 to 30 minutes 3=31 to 60 minutes 4=More than 60 minutes Skip to D

(1) (2) (3) (4) (5) (6a) (6b) (6c) (6d) (7) (8a) (8b) (8c) (9)

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SECTION C. CHEWING TOBACCO (Cont.) The next questions are about chewing tobacco

- - - - - - - - L E S S T H A N D A I L Y - - - - - - - - D O N O T C H E W

T O B A C C O A T A L L

( C U R R E N T L Y )

C8. How many times a week do you usually chew the following?

ENTER 888 IF LESS THAN 1 PER WEEK BUT MORE THAN 0 Show Card 3 to help subject select choice(s).

C8-2. Betel quid ingredients Show CARD 5 and have subject select amount of each ingredient and enter code 1= about the same 2= less than the amount 3= more than the amount 4= not used Skip to D

C10. How long has it been since you stopped using smokeless tobacco? Number of year/month to D

ID

C7. How old were you when you first chewed tobacco daily?

Enter age in years IF DON’T KNOW, ENTER “99”

a. Betel quid with tobacco

b. Betel quid without tobacco

c. Tobacco without betel quid

d. Chewing tobacco from a commercial tin

C8-1. Amount of tobacco chewed (with or without betel quid) Show CARD 4 and have subject select amount from the card, enter code 1= about the same 2= less than the amount 3= more than the amount 4= not used

a. Betel leaf

b. Betel nut

c. Slaked

lime

C9. How old were you when you first chewed tobacco daily? Enter age in year IF DON’T KNOW, ENTER “99”

Years Months

(1) (10) (11a) (11b) (11c) (11d) (12) (13a) (13b) (13c) (14) (15a) (15b)

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SECTION D. CESSATION I would now like to ask you questions about use of health care services and cessation of tobacco use

D6. (Check if subject chews tobacco before reading question) During the past 12 months, did you use any of the following methods to try to stop chewing tobacco? 1=Yes 2 =No 3= Do not chew tobacco (if do not chew tobacco, check 3 for each method)

ID

D1. How many times did you visit a doctor or health care provider in the past 12 months? Would you say 0 times. 1 or 2 times, 3 to 5 times, or 6 or more times? 1= 0 times skip to D6 2= 1 or 2 3= 3 to 5 4= 6 or MORE

D2. During any visit to a doctor or health care provider in the past 12 months, were you asked if you chew tobacco? 1=Yes 2 =No

D3. During any visit to a doctor or health care provider in the past 12 months, were you asked if you smoke tobacco? 1=Yes 2 =No

D4. (Check if subject chews tobacco before reading question) During any visit to a doctor or health care provider in the past 12 months, were you advised to stop chewing tobacco? 1=Yes 2 =No 3= Do not chew tobacco

D5. (Check if subject smokes tobacco before reading question) During any visit to a doctor or health care provider in the past 12 months, were you advised to stop smoking tobacco? 1=Yes 2 =No 3= Do not smoke tobacco

a. Counseling to stop chewing tobacco (examples: at a clinic, health center school, Wat)

b. Medical Treatment to stop chewing tobacco (example: nicotine patch, nicotine gum)?

c. Other prescription medications to stop chewing tobacco (not related to nicotine)?

d. Traditional medicines to stop chewing tobacco

e. Telephone support line to stop chewing tobacco ?

f. Anything else? Specify by writing in

(1) (2) (3) (4) (5) (6) (7a) (7b) (7c) (7d) (7e) (7f)

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SECTION D. CESSATION (Cont.)

D7. (Check if subject smokes tobacco before reading question) During the past 12 months, did you use any of the following methods to try to stop smoking tobacco?

1= Yes 2= No 3= Do not smoke tobacco

ID

a. Counseling to stop smoking tobacco (examples: at a clinic, health center school, Wat)?

b. Medical Treatment to stop smoking tobacco (example: nicotine patch, nicotine gum)?

c. Other prescription medications to stop smoking tobacco (not related to nicotine)?

d. Traditional medicines to stop smoking tobacco

e. Smoking telephone support line to stop smoking tobacco

f. Switching from smoking tobacco to chewing tobacco (example betel quid, chewing tobacco)?

g. Anything else? Specify by writing in

D8. (Check if subject smokes tobacco before reading question) Which of the following best describes your thinking about quitting smoking? 1= I am planning to quit within the next month 2= I am thinking about quitting within the next 12 months 3= I will quit someday, but not within the next 12 months. 4 = I am not interested in quitting 5= I do not smoke tobacco

D9. (Check if subject chews tobacco before reading question) Which of the following best describes your thinking about quitting chewing tobacco?

1= I am planning to quit within the next month 2= I am thinking about quitting within the next 12 months 3= I will quit someday, but not within the next 12 months 4= I am not interested in quitting 5= I do not chew tobacco

(1) (8a) (8b) (8c) (8d) (8e) (8f) (8g) (9) (10)

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SECTION E. SECONDHAND SMOKE II would now like to ask you a few questions about smoking in various places.

ID

E1. Which of the following best describes the family rules about smoking inside of your home: Smoking is allowed, sometimes is allowed, or never allowed? 1= ALLOWED; 2= SOMETIMES IS ALLOWED 3= NEVER ALLOWED SKIP TO E4

E2. Inside your house, is smoking allowed in every place? 1=Yes 2 =No

E3. How often does anyone smoke inside your home? Would you say daily, weekly, monthly, or less than monthly? 1= DAILY 2= WEEKLY 3= MONTHLY 9= LESS THAN MONTHLY

E4. Are you currently employed outside of your home? 1=Yes 2 =No Skip to E8

E5. Where do you usually work? Would you say: inside a building, outdoors or both? 1 INSIDE A BUILDING 2= OUTDOORS Skip to E8 3= BOTH

E6. Which of the following best describes the smoking policy in the building where you work: Smoking is allowed anywhere, smoking is allowed only in some places, or smoking is not allowed in any indoor areas? 1= ALLOWED ANYWHERE 2= ALLOWED ONLY IN SOME PLACES 3= NOT ALLOWED IN THE BUILDING 9= DON’T KNOW

E7 During the past 30 days, did anyone smoke in the building where you work?

1=Yes 2 =No

E8. During the past 30 days, did you visit any government buildings or government offices? 1=Yes 2 =No Skip to E10 9= DON’T KNOW Skip to E10

(1) (2) (3) (4) (5) (6) (7) (8) (9)

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SECTION E. SECONDHAND SMOKE (Cont.) II would now like to ask you a few questions about smoking in various places.

ID

E9. Did you see anyone smoke inside of any government buildings or government offices that you visited in the past 30 days? 1=Yes 2 =No 9= DON’T KNOW

E10. During the past 30 days, did you visit any health care facilities? 1=Yes 2 =No Skip to E12 9= DON’T KNOW Skip to E12

E11. Did you see anyone smoke inside of any health care facilities that you visited in the past 30 days? 1=Yes 2 =No 9= DON’T KNOW

E12. During the past 30 days, did you visit any restaurants/food-stores? 1=Yes 2 =No Skip to E14 9= DON’T KNOW Skip to E14

E13. Did you see anyone smoke inside of any restaurants/food-stores that you visited in the past 30 days? 1=Yes 2 =No 9= DON’T KNOW

E14. During the past 30 days, did you use any public transportation? 1=Yes 2 =No Skip to E16 9= DON’T KNOW Skip to E16

E15 Did you see anyone smoke inside of any public transportation vehicles that you used in the past 30 days?

1=Yes 2 =No 9= DON’T KNOW

(1) (10) (11) (12) (13) (14) (15) (16)

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SECTION F1. ECONOMICS – MANUFACTURED CIGARETTES The next few questions are about how you obtain manufactured cigarettes (i.e. sold in commericial packs) for yourself.

F1.1. The last time you bought manufactured cigarettes for yourself, how many cigarettes did you buy? Enter number of cigarettes Enter 888 in “total” column if NEVER BOUGHT MANUFACTURED CIGARETTES and then skip to F2

ID

Total SINGLE CIGARETTES

PACKS CARTONS OTHER SPECIFY

F1.2. Amount spent on the TOTAL (total in column 2a). Enter price in Riels Enter '00' if don't smoke purchased cigarette

F1.3. Value of the manufactured cigarettes obtained during the last time you traded for them. Enter price in Riels. Enter '00' if don't smoke cigarette taken in trade

F1.4. Value of the manufactured cigarettes obtained during the last time you received them as a gift. Enter price in Riels Enter '00' if don't smoke cigarette received from gift

F1.5. What brand did

you buy the last time you purchased cigarettes

for yourself?

Show CARD 6 and ENTER CODE for the BRAND Other Brand (not on the card)= 49

F1.6. The last time you purchased manufactured cigarettes for yourself, where did you buy them? 1= SUPERMARKET 2= TRADITIONAL MARKET 3= STREET VENDOR 4= GROCERY STORE 5= RESTAURANT BAR, BEER GARDEN 6= NIGHTCLUB, KARAOKE 7= HOTEL/GUESTHOUSE 8= INTERNET 9= TRADE 10= GIFT 99= DON’T REMEMBER

F1.7 How much did you spend on manufactured cigarettes in the past week? Enter price in Riels

(1) (2a) (2b) (2c) (2d) (2e) (3) (4) (5) (6) (7) (8)

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SECTION F2. ECONOMICS – HANDROLLED CIGARETTES (LOC AL BUSINESS) The next few questions are about how you obtain hand-rolled cigarettes for yourself from a local business.

F2.1. The last time you bought hand-rolled cigarettes for yourself from a local business, how many hand-rolled cigarettes did you buy? Enter 888 in ”Total” if NEVER BOUGHT HANDROLLED CIGARETTES FROM A LOCAL BUSINESS and skip to F3

ID

TOTAL SINGLE CIGARE

TTES

BAG TIED/BUNDLE

D

OTHER SPECIF

Y

F2..2. Amount spent on TOTAL (total in column 10a). Enter price in Riels Enter '00' if don't smoke purchased hand rolled cigarette

F2.3. Value of the handrolled cigarettes (local business) obtained during the last time you traded for them. Enter price in Riels. Enter '00' if don't smoke hand rolled cigarette taken in trade

F2..4. Value of the handrolled cigarettes (local business) obtained during the last time you received them as a gift. Enter price in Riels Enter '00' if don't smoke hand rolled cigarette received from gift ¬

F2.5. The last time you purchased handrolled cigarettes (local business) for yourself, where did you buy them? 1= TRADITIONAL MARKET 2= STREET VENDOR 3= GROCERY STORE 4= RESTAURANT BAR, BEER GARDEN 5= NIGHTCLUB, KARAOKE 6= HOTEL/GUESTHOUSE 7= TRADE 8=GIFT 9= OTHER 99= DON’T REMEMBER

F2.6. How much did you spend on hand rolled cigarette (local business) in the past week? Enter price in Riels

(1) (9a) (9b) (9c) (9d) (9e) (10) (11) (12) (13) (14)

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SECTION F3. ECONOMICS – Loose Tobacco for Hand-rol led Cigarettes or Chewing The next few questions are about the last time you obtained loose tobacco for yourself to roll a cigarette or chew tobacco

ID

F3.1. The last time you bought loose tobacco for yourself, how much did you buy (in kam)? 1 kam = 0.1 kg Enter 888 if NEVER BOUGHT LOOSE TOBACCO and skip to G

F3.2. Amount spent on the loose tobacco reported from F3.1. Enter price in Riels

Enter '00' if don't smoke purchased loose tobacco for hand rolled cigarette

F3.3. Value of the loose tobacco obtained during the last time you traded for it. Enter price in Riels. Enter '00' if don't smoke loose tobacco for hand rolled cigarette taken in trade

F3.4. Value of the loose tobacco obtained during the last time you received it as a gift. Enter price in Riels Enter '00' if don't smoke loose tobacco for hand rolled cigarette received as a gift

F3.5. The last time you purchased loose tobacco for yourself, where did you buy it? 1= TRADITIONAL MARKET 2= STREET VENDOR 3= GROCERY STORE 4= RESTAURANT BAR, BEER GARDEN 5= NIGHTCLUB, KARAOKE 6= TRADE 7= GIFT 8= Did not obtain it by purchase,trade ,or gift 9= OTHER 99= DON’T REMEMBER

F3.6. Did you grow your loose tobacco that you chew or smoke?

1= yes 2=no

F3.7. How much did you spend on loose tobacco in the past week? Enter price in Riels

(1) (15) (16) (17) (18) (19) (20) (21)

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SECTION G. MEDIA The next few questions ask about your exposure to the media, advertisements, and health warning label in the last 30 days.

Health Warning Label G1. In the last 30 days, have you noticed information about the dangers of smoking

tobacco or that encourages quitting in any of the following places? 1=YES 2=NO 9= NOT APPLICABLE

ID

a. In newspapers or in

magazines?

b. On television?

c. On the radio?

d. On billboards?

e. Somewhere else? Specify

G2. In the last 30 days, did you notice any health warnings on cigarette packages? 1=Yes 2 =No Skip to G5 3= DID NOT SEE ANY CIGARETTE PACKAGES Skip to G5

G3. In the last 30 days, did you look closely at these health warnings on cigarette packages? 1=Yes 2 =No

G4. Should health warning pictures be included on cigarette packages? 1=Yes 2 =No Show picture card 10

(1) (2a) (2b) (2c) (2d) (2e) (3) (4) (5)

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SECTION G. MEDIA (Cont.) The next few questions ask about your exposure to the media, advertisements, and health warning label in the last 30 days.

Advertisement, Signs, and Promotion

G5. In the last 30 days, have you noticed any advertisements for cigarettes in the following places?

1=YES 2=NO 9=DK

ID

a. In stores where

cigarettes are sold?

b. On television?

c. On the

radio?

d. On billboards

?

e. On posters?

f. In newspapers

or magazines?

g. In cinemas?

h. On the

internet?

i. On public

transportation

vehicles or

stations?

j. On tobacco compan

y vehicles

?

k. Umbrella (ex: at a stall)

l. Banner

(in public area)

m. On public walls?

n. Concert?

o. Advertisement counter (example: in a restaurant or

other public area)

p. Anywhere else? Specif

y:

(1) (6a) (6b) (6c) (6d) (6e) (6f) (6g) (6h) (6i) (6j) (6k) (6l) (6m) (6n) (6o) (6p)

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SECTION G. MEDIA (Cont.) The next few questions ask about your exposure to the media, advertisements, and health warning label in the last 30 days.

Advertisement, Signs, and Promotion (Cont.) G7. In the last 30 days, have you seen any of the following ?

1=YES 2=NO

9=DK

No. G6. In the last 30 days, have you noticed any sport or sporting event that is associated with cigarette brands or cigarette companies? 1=YES 2=NO 9=DK a.

Free samples of cigarettes?

b. Cigarettes at sale prices?

c. Coupons for cigarettes?

d. Free gifts or special discount offers on other products when buying cigarettes?

e. Clothing or other items with a cigarette brand name or logo?

f. Mail promoting cigarettes?

G8. Do you listen to radio programs on the harms of tobacco? 1= yes 2= no (skip to H) (not adverstisements!)

G9. On what station? (Write in) To H Enter 99 for don’t know

(1) (7) (8a) (8b) (8c) (8d) (8e) (8f) (9) (10)

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Section H. Knowledge and Attitudes about Tobacco Us e Ask all members aged 15 and over individually who are present during the entire period of the survey

Knowledge and Attitudes about Harmful Effects H1. Answer the following questions about your beliefs on smoking Choose one of the following: 1= No, not harmful 2= Yes, a little harmful or moderately harmful 3= Yes, seriously harmful 9= Don’t know or refuse to answer

H2. Smoking causes the following diseases: 1 = agree 2 = disagree 9 = don’t know/refuse to answer

ID No

(a) “Is smoking harmful to your health?”

(b) “Is breathing the smoke from someone else’s cigarette or pipe harmful to your health?”

(c) “Is smoking during pregnancy harmful to the health of the fetus?”

(a) Bronchitis

(b) Lung Cancer

(c) Heart Disease

(d) Any Illness

H3. It is a sin for a cigarette or pipe smoker to produce smoke that is inhaled by other persons.

1 = agree 2 = disagree 9 = don’t know/refuse to answer

H4. Harming your body with tobacco is a sin


H5. “A man who does not smoke is not a real man” 1 = agree 2 = disagree 9 = don’t know/refuse to answer

(1) (2) (3) (4) (5a) (5b) (5c) (5d) (6) (7) (8)

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Section H. Knowledge and Attitudes about Tobacco Us e (Cont.) Ask all members aged 15 and over individually who are present during the entire period of the survey

H6. Smoking should not be allowed at the following places 1 = agree 2 = disagree 9 = don’t know/refuse to answer

ID

(a) Wat (b) Restaurant and food store

(c) Public transportation

(d) Workplace inside a building/house

H7. All cigarette tax should be increased


H8. The price of cigarettes should be raised to encourage people to stop smoking 1 = agree 2 = disagree 9 = don’t know/refuse to answer

(1) (9a) (9b) (9c) (9d) (10) (11)

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SECTION I . DIET Use Card 7 for rice and noodle questions (plates, bowls) Use Card 8 to estimate cups and glasses Use Card 9 to identify bread

I1. How much rice did you eat yesterday? Show the plate on Card 7 and enter number of plates. If a person didn’t eat rice, enter “0” for that meal. Enter “99” if data is not available for a person. Note: If the quantity of rice is less than one plate, please record a half (0.5) or a quarter (0.25) of plate Be sure to enter RICE ONLY. An item for noodles occurs later.

ID

For breakfast For lunch For dinner Other Total (6)=(2)+(3)+(4)+(5)

(1) (2) (3) (4) (5) (6)

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I2. FOODS Note: a palm is approximately 50 kam

1 kam = 0.1 kg a.Noodles

bowls

Show Card 7

b.Breads kam

Show Card 9

c. Eggs (Chicken, Duck)

NUMBER

d.Milk (Cow)

CUP Show Card 8

e.Condensed sweetened Milk (Cow)

f. Fresh Fish kam

g. Fish Paste, Fermented Fish. Dried

Fish, Salted Fish kam

h. Squid, Shrimp, Prawns

kam

ID No

How many bowls of noodles did you consume in the past 7 days?

How many times in the past 7 days did you consume breads?

How much did you consume each time? Show Card 9 1= about this amount 2= less than this amount 3= more than this amount

How many times in the past 7 days did you consume eggs?

Usual number of eggs consumed each time.

How many times in the past 7 days did you consume a cup of a cow’s milk

Does this cup best match the amount consumed each time. 1=about the same 2= less than this cup 3= more than this cup

How many tins of condensed milk did you consume in the past 7 days? (Fractions of tin can be reported (0.5 = half a tin)) (Make sure this is not included in the last item)

How many times in the past 7 days did you consume fresh fIsh

How much did you consume each time?

How many times in the past 7 days did you consume fish paste, fermented fish. dried fish, or salted fish?


How many times in the past 7 days did you consume Squid, Shrimp, or Prawns?


(1) (7A) (8A) (8B) (9A) (9B) (10A) (10B) (11A) (12A) (12B) (13A) (13B) (14A) (14B)

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I3. FOODS Note: a palm is approximately 0.5 kam

1 kam = 0.1 kg a. Crab

kam b. Beef Meat

kam c. Pork Meat

kam d. Chicken Meat

kam e. Organ Meat (beef,

meat, chicken) kam

f.Other Meat (i.e. rat, frog, bird)

kam

g. Dark Green Leafy Vegetablest

kam

ID No

How many times in the past 7 days did you consume crab?


How many times in the past 7 days did you consume beef meat?


How many times in the past 7 days did you consume pork meat?


How many times in the past 7 days did you consume chicken meat?


How many times in the past 7 days did you consume organ meat?


How many times in the past 7 days did you consume other meat?


How many times in the past 7 days did you consume dark green leafy vegetables?


(1) (7A) (7B) (8A) (8B) (9A) (9B) (10A) (10B) (11A) (11B) (12A) (12B) (13A) (13B)

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I4. FOODS Note: a palm is approximately 50 kam

a. Orange Vegetables (i.e. pumpkin, carrot, orange sweet potato)

kam

b. Fruits (i.e. ripe mango, ripe papaya )

kam

c. Alcohol (Beer)

GLASS

Show Card 8

d. Alcohol (Wine)

GLASS

Show Card 8

e. Alcohol (Spirits not including palm lquor)

GLASS

Show Card 8

f. Alcohol (Palm Liquor) g. Non-Alcoholic Beverages (soft drink, fruit juice, fruit syrup)

GLASS

h. Water

GLASS

ID No

How many times in the past 7 days did you consume orange vegetables?


How many times in the past 7 days did you consume fruits?


How many glasses of beer did you consume during the past 7 days

Does this glass best match the amount consumed each time. 1=about the same 2= less than this cup 3= more than this cup

How many glasses of wine did you consume during the past 7 days


How many glasses of spirits did you consume during the past 7 days?

Does this glass best match the amount consumed each time. 1=about the same 2= less than this glass 3= more than this glass

How many glasses of palm liquor did you consume during the past 7 days?

Does this glass best match the amount consumed each time. 1=about the same 2= less than this glass 3= more than this glass

How many times in the past 7 days did you consume a glass of non-alcoholic beverage?


How many times in the past 7 days did you consume a glass of water?


(1) (7A) (7B) (8A) (8B) (9A) (9B) (10A) (10B) (11A) (11B) (12A) (12B) (13A) (13B) (14A) (14B)

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NATSC 2010

SECTION J. Current Health

Access to Health Care J3. Has a doctor or other health worker EVER

diagnosed or told you that you are suffering from the following:

1 = yes , 2 = no , 9 = don’t know/refuse to answer

ID No J1. How would you evaluate your current health during the past 4 weeks? Enter code

J2. Have you experienced any of the following illnesses, injuries or other health problems in the past 4 weeks? (if more than one refer to the most important)

Enter code (a)

Tuberculosis J4. Malaria (c) HIV/AIDS

J4. Where was advice or treatment first sought for your illness/injury?

Enter code

Public Medical Sector 1=National Hospital (PP) 2=Provincial Referral Hospital (RH) 3=District Hospital (RH) 4=Health Center 5=Health Post 6=Outreach

7=Other Public (specify)>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> (1) (2) (3) (4a) (4b) (4c) (5)

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Private Medical Sector 8=Private Hospital 9=Private Clinic 10=Home/Office of Trained Health Worker/Nurse 11=Visit of Trained Health Worker/Nurse

12= Other Private Medical (Specify)>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 13=Private Pharmacy

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Not Medical Sector 14=Shop Selling Drugs/Market 15=Kru Khmer/Magician 16=Monk/Religious Leader 17=Traditional Birth Attendant

18=Other not Medical (specify)>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Codes for Col. 2

1=Very good, 2=Good, 3=Average, 4=Bad, 5=Very bad, 6=Don't know

Codes for Col. 3

1=stomach ache, 2=back pain, 3=headache, 4=ear pain, 5=eye pain, 6=fever, 7=diarrhoea, 8=cold & cough without ,rapid or difficult breathing, 9=cold & cough with rapid or difficult breathing, 10=mine injury, 11=road accident, 12=food-borne disease, 13=water-borne disease, 14=dropsy (swollen belly) 15 = Other Care Need (Specify………………) 16= No care, 17=No diseases

NATSC 2010

K. Women’s Health (Administer to women ages 15 to 4 9)

ID K1. Has a doctor or other health professional told you that you are currently pregnant? 1=pregnant 2=not pregnant skip to K9 3 = classified as postmenopausal skip to K9 9=unsure skip to K9

K2. Describe your smoking of tobacco (cigarette, pipe) during this pregnancy? 1= do not smoke tobacco 2 = started smoking tobacco (did not use before the pregnancy) 3= increased smoking of tobacco (did smoke before pregnancy) 4= decreased smoking of tobacco (did smoke before pregnancy) 5= quit smoking of tobacco (did smoke before pregnancy)

K3. Describe your chewing of tobacco during this pregnancy? 1= do not chew tobacco 2 = started chewing tobacco (did not use before the pregnancy) 3= increased chewing of tobacco (did chew before pregnancy) 4= decreased chewing of tobacco (did chew before pregnancy) 5= quit chewing of tobacco (did chew before pregnancy)

K4. Have you experienced “morning sickness” during this pregnancy? 1 = yes 2 = no 9 = don’t know/refuse to answer

K5. Did you smoke cigarettes to help with the “morning sickness” during this pregnancy? 1 = yes 2 = no 9 = don’t know/refuse to answer

(1) (2) (3) (4) (5) (6)

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NATSC 2010

ID

K6. Did you smoke a tobacco pipe to help with the “morning sickness” during this pregnancy? 1 = yes 2 = no 9 = don’t know/refuse to answer

K7. Did you chew tobacco to help with the “morning sickness” during this pregnancy? 1 = yes 2 = no 9 = don’t know/refuse to answer

K8. Did you chew the betel quid to help with the “morning sickness” during this pregnancy? 1 = yes 2 = no 9 = don’t know/refuse to answer

K9. Have you used tobacco or betel quid to help with morning sickness during any previous pregnancy? 1 = yes 2 = no 3= never pregnant (skip to K12) 9 = don’t know/refuse to answer

K10. Have you used tobacco or betel quid to help with labor pains during any previous pregnancy? 1 = yes 2 = no 9 = don’t know/refuse to answer

K11. Was your first use of tobacco or betel quid during a pregnancy? 1 = yes 2 = no 3= Never used tobacco or betel quid in my lifetime 9 = don’t know/refuse to answer

(1) (7) (8) (9) (10) (11) (12)

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NATSC 2010

K12. Have any of the following advised to use tobacco or betel quid when pregnant? 1=yes 2=no

ID

(a) Traditional Birth Attendant

(b) Midwife

(c) Older Female Relative (d) Older Male Relative (e) Kru Khmer (f) Health Worker

(1) (13a) (13b) (13c) (13d) (13e) (13f)

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NATSC 2010

K13. When was your last

menstruation? 1 = Less than 1 month ago skip to K19 2 = More than 1 month ago 3= More than 2 months ago 9 = don’t know/refuse to answer skip to K19

K14. Describe your smoking of tobacco (cigarette, pipe) during the past 2 months? 1= do not smoke tobacco 2 = started smoking tobacco 3= increased smoking of tobacco (have smoked longer than 2 months) 4= decreased smoking of tobacco (have smoked longer than 2 months) 5= quit smoking of tobacco (have smoked longer than 2 months)

K15. Describe your chewing of tobacco or betel quid during the past 2 months? 1= do not chew tobacco or betel quid 2 = started chewing tobacco or betel quid 3= increased chewing of tobacco or betel quid 4= decreased chewing of tobacco or betel quid 5= quit chewing tobacco or betel quid

K16. Have you experienced nausea during the past two months? 1 = yes 2 = no (skip to K19) 9 = don’t know/refuse to answer (skip to K19)

K17. Did you smoke tobacco to help with this nausea? 1 = yes 2 = no 9 = don’t know/refuse to answer

K18. Did you chew tobacco or betel quid to help with this nausea? 1 = yes 2 = no 9 = don’t know/refuse to answer

(1) (14) (15) (16) (17) (18) (19)

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K19. List children who were born to women aged 15 and older living in the household and present at home during the entire period of the survey

NATSC 2010

Please check the child status of women in the household. Enter code 1=yes, 2=No (End of Enterview) Serial no.

Mother ID (Record from ID No. (Col.1) of Demographics in page 2)

Child ID (Record from ID No. (Col.1) of Demographics in page 2) Note: Write '00' if child is not living in the household/child died or not in the household roster

Child name (If no name enter 'NONAME')

Indicate whether child was born alive? Enter '�' to indicate the child born alive (born alive=showed any sign of life after birth)

How old was mother at the time of their childbirth? (Age in completed years) If do not know enter '99'

Current Vital Status Enter code 1=Alive (>>next child) 2=Dead 9=Do not know/Unsure (>>next child)

Died before the age of 5 years Enter 1=Yes 2=No (>> next child)

Died before 1 year of age Enter 1=Yes 2=No

(1) (20) (21) (22) (23) (24) (25) (26) (27)

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END OF QUESTIONNAIRE

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Ex qañM 2010

tMbn; (1 to 17)

eQµaHm®nþIsmÖasn_ Id: Epñk ¬TIRbCuMCn =! CnbT =@ ¦

htßelxam®nþIsmÖasn_ elxeyagsMNakRKYsar

elxsMKal;Rkum³

C. R tU vbM eBj eda ym®nþ I R tY tBi ni tü bnÞ ab; BI ) anR tYt Bi ni tü tarag sM NY rcb; sBV RKb; ehI y D: RtU vbM e BjeR kay eBleFI V I smaÖ sn¾ eT ,I gvi j ¬ebI man¦

eQµaHm®nþIRtYtBinitü Id:

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kalbriecäTRtYtBinitürbs;m®nþIRtYtBinitü éf¶ Ex qañM 1 0

kalbriecäTeFIVsmÖasn¾eT,Igvij éf¶ Ex qañM

2010

kalbriecäTsmÖasn_eLIgvij (ebIcaM)ac;¦ éf¶ Ex qañM 1 0

htßelxam®nþIsmÖasn_eT,Igvij

htßelxam®nþIRtYtBinitü

kMNt;sMKal;smÖasn_eT,Igvij

bnÞab;BI)anbMeBjbBa¢IsmaCikRKsarrYcral; RtUvbMeBjEpñkenH cMnYnsmaCiksrubkñúgbBa¢IRKYsar

karTTYl karerobcM karbB©ÚalTinñn½y karyl;RBm Id: kalbriecäT Id: kalbriecäT Id: kalbriecäT kalbriecäT

raCrd æaP i)alkm<úCa vi Tü a sß anCa tisß i ti R k sYg Epnkar

sM gat; Bt’manTaMgGs;EdlRbmUl)anBIGegát

enHRtUv)an rkSaCasMgat;bMput nwgRtUv)aneRbIR)as; sMrab;Etkñúg

eKaledAsßitib:ueNÑaH


Epñk A1. sMnYrRbCasa®sþ sUmpþl sUmpþl sUmpþl sUmpþl;; ;;Bt’mancMnYnsrubsmaCikRKYsarGayu Bt’mancMnYnsrubsmaCikRKYsarGayu Bt’mancMnYnsrubsmaCikRKYsarGayu Bt’mancMnYnsrubsmaCikRKYsarGayu 0000----14 14 14 14 qñaM qñaM qñaM qñaM ³ ³ ³ ³ >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> nigsUmpþlnigsUmpþlnigsUmpþlnigsUmpþl;; ;;Bt’mBt’mBt’mBt’manBIRKbanBIRKbanBIRKbanBIRKb;; ;;smaCikRKYsarTaMgGssmaCikRKYsarTaMgGssmaCikRKYsarTaMgGssmaCikRKYsarTaMgGs;;;; Gayu Gayu Gayu Gayu 15 15 15 15 qñaM eLIg EdlrsqñaM eLIg EdlrsqñaM eLIg EdlrsqñaM eLIg Edlrs;; ;;enACaRbcaMkñúgRKYsarenHenACaRbcaMkñúgRKYsarenHenACaRbcaMkñúgRKYsarenHenACaRbcaMkñúgRKYsarenH. . . . sUmBüayamsYrsmaCikmñaksUmBüayamsYrsmaCikmñaksUmBüayamsYrsmaCikmñaksUmBüayamsYrsmaCikmñak;; ;;² ² ² ² edaypÞaledaypÞaledaypÞaledaypÞal;; ;;

karsikSaGbkarsikSaGbkarsikSaGbkarsikSaGb;; ;;rMrMrMrM

éf¶ Ex qñaM kMeNIt

cuH 98 ebImindwgéf¶ b¤Ex cuH (9999) kñúg (4C) ebImindwgqñaM

ID

eQµaH ePT 1=Rbus 2=RsI

éf¶ Ex qñaM

etI [ eQµaH] manGayu bu:nµanKitCa qñaMeBj ? cuH ; 96 ; ebIGayuBI 96 eLIg cuH ; 98 ; ebImindwg

CnCati cuHkUd

sasna cuHkUd

saßnPaB GaBah¾ BiBah¾ etI [eQµaH] Gac

Gan nig sresr lixitgay² CaPasaNamYy )anEdr b¤eT? 1=)aT / cas 2= eT

etI [eQµaH]Føab; )ancUleron salaEdrb¤eT? 1=)aT / cas 2= eT (ebIeTeTA kUeLan 14A)

etI [eQµaH] )aneronbBa©b;

eCaKC½y fñak;x<s;bMput RtwmNa ?

cuHkUd

etI [ eQµaH] bc©úb,nñkMBug eronenAsalaEdrb¤eT? 1=)aT / cas 2=eT (ebIeT eTAkUeLan 14 A) ebIekµgQb; visSmkalRtUv cat;Tukfa bc©úb,nñkMBugsikSa

etI [eQµaH] bc©úb,nñeron enAfñak;TI bu:nñan?

cuHkUd

(1) (2) (3) (4A) (4B) (4C) (5) (6) (7) (8) (9) (10) (11) (12) (13)

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elxkUd kUeLan 6 1 = Exµr 2 = cam 3= Rkumkulsm<½n§d¾éTeTotkñúgRbeTs 4 = cin 5 = evotNam 6 = éf 7 = Lav 8 = CnCatiepSgeTot ¬bBa¢ak;¦ elxkUd kUeLan 7 1 =RBHBuT§sasna 2 = GIusøamsasna 3 = RKws<sasna 4 = sasnaepSgeTot ¬sUmbBa¢ak;¦ 5 = Kµan elxkUd kUeLan 8 1 = minEdlerobkar 2 = erobkarehIy 3 = rs;enACamYyKañ 4 = bþI b¤RbBn§søab;ecal 5 = ElglHKañ 6 = Ebk)ak;Kañ elxkUd kUeLan 11 nig

13 99= Kµan 0=metþyü 1=fñak;TI ! 2= fñak;TI 2 … 11= fñak;TI 11 12= fñak;TI 12 13= viBaØabnb½RtmFümsikSaTutiyPUmi 14 = sBaØab½Rt¼viBaØabnb½RtmFümsikSabec©keTs b¤viC©aCIv³ 15 = sBaØab½Rt¼viBaØabnb½RteRkaymFümsikSa bec©keTs b¤viC©aCIv³ 16 = minTan;bBa©b;mhaviTüal½y¼saklviTüal½y 17 = )anbBa©b;mhaviTüal½y¼saklviTüal½y 18 =fñak;eRkay]tþm 19 =epSg² ¬bBa¢ak;¦


Ep ñk A1. sMnYrRbCasa®sþ ¬t¦

sßanPaBskmµPaBesdækic© kñúgry sßanPaBskmµPaBesdækic© kñúgry sßanPaBskmµPaBesdækic© kñúgry sßanPaBskmµPaBesdækic© kñúgry³³³³eBl eBl eBl eBl 1 1 1 1 ExknøgmkExknøgmkExknøgmkExknøgmk sUmpþl sUmpþl sUmpþl sUmpþl;;;;Bt’manBIRKbBt’manBIRKbBt’manBIRKbBt’manBIRKb;; ;;smaCikRKYsarTaMgGssmaCikRKYsarTaMgGssmaCikRKYsarTaMgGssmaCikRKYsarTaMgGs; ; ; ; Gayu Gayu Gayu Gayu 15 15 15 15 qñaM eLIg EdlrsqñaM eLIg EdlrsqñaM eLIg EdlrsqñaM eLIg Edlrs;;;;enACaRbcaMkñúgRKYsarenHenACaRbcaMkñúgRKYsarenHenACaRbcaMkñúgRKYsarenHenACaRbcaMkñúgRKYsarenH. . . . sUmBüayamsYrsmsUmBüayamsYrsmsUmBüayamsYrsmsUmBüayamsYrsmaCikmñakaCikmñakaCikmñakaCikmñak;; ;;² ² ² ² edaypÞaledaypÞaledaypÞaledaypÞal;;;; skmµPaBesdækic©cMbg

etIGñkmanmuxrbrcMbgCaGVI kalBIExmun ? ¬cUrsresrmuxrbreGay)an Cak;lak;¦ sMKal;³ GñksMuTan nig GñkrksIupøÚvePT KWCamuxrbrEdr.

kñúgRbePTskmµPaBesdækic©GIV dUcCa ksikmµ plitkmµ sMNg; BaNiC¢kmµ b¤esvakmµ EdlGñk)aneFIVkalBIExmun?

etIGñkTTYl)an R)ak;cMNUl¼R)ak; QñÜl¼R)ak;Ex cMnYnb:unµanBImuxrbrcMbg enHkalBIExmun? ¬cuH {98} KµanR)ak;cMNUlBImuxrbrcMbgenH.¦

ID etI [eQµaH] vtþmanenApÞH kñúgry³eBl eFVIGegátb¤eT? 1=man ¬ebIman eTAkUeLan 15) 2= eT

etImUlehtuGIV Edl [ eQµaH] GvtþmanBIpÞH kñúgry³eBl eFIVGegát?

cuHkUd

etIGñk)aneFIVkargareT sUm,IEtmYyema:g ¬ebImineFVI Etmankargar¦ EdlCamuxrbrcMbg kalBIExmun ? 1=)aT¼cas 2= eT

(ebIeTeTAkUeLan 2 én sMnYr A2.1 énEpñkbnÞab;)

BiBN’na muxrbr elx kUd BiBN’na skmµPaB esdækic© elx kUd

etIsßanPaB kargarrbs; GñkmanlkçN³CaRbePT kargar GIV?

cuHkUd

etIGñkeFVIkareGayGñkNa?

cuHkUd Casac;R)ak; ¬erol¦

Carbs; ¬erol¦

(1) (14A) (14B ) (15) (16A) (16B) (16C) (16D) (16E) (16F) (17A) (17B)

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elxkUd kUeLan 14B 1 =sikSaq¶ayBIpÞH 2 =eFIVkarq¶ayBIpÞH 3 =rkkargareFVIq¶ayBIpÞH 4 =eTAelgbgb¥Únq¶ayBIpÞH 5 =eTAvisSmkalq¶ayBIpÞH 6=eTABüa)alCMgWq¶ayBIpÞH 7 =cuHebskkmµq¶ayBIpÞH 8 =sñak;enAq¶ayBIpÞHedIm,Isnþisux 9=eTAbreTs 10=epSgeTot ¬bBa¢ak;¦ elxkUd kUeLan 16E 1=eFIVkarykR)ak;ebovtSr¾¼ R)ak;QñÜl ¬nieyaCik¦, 2=eFIVCanieyaCk 3=eFIVkaredayTunpÞal;xøÜn¼ eFIVedayxøÜnÉg, 4=eFIVkareGayRKYsaredaymin ykR)ak;ebovtSr¾¼R)ak;QñÜl, 5=epSg² ¬bBa¢ak;¦ elxkUd kUeLan 16F 1=rdæaPi)al 2=shRKasrdæ ¬KµanRkbx½NÐ¦ 3=Rkumh‘unÉkCn 4=shRKascMruH 5=rdæaPi)albreTs¼GgÁkarGnþrCati NGO 6=GgÁkareRkArdæaPi)alkñúgRsuk 7=kargarksidæanpÞal;xøÜn 8=kargarminEmnksidæanpÞal;xøÜn 9=sIuQñÜlRKYsarÉkCn

10=epSg² ¬bBa¢ak;¦ >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>


Epñk A1. sMNYrRbC asa®sþ ¬ t¦ Epñk A2 sMNYrfñaMCk; skmµPaBesdækic©bnÞab;bnSM

etIGñkmanmuxrbr bnÞab;bnSM CaGVI kalBIExmun ? ¬cUrsresrmuxrbreGay)anCak;lak;¦ sMKal;³ GñksMuTan nig GñkrksIupøÚvePT KWCamuxrbrEdr.

kñúgRbePTskmµPaB esdækic©GIV dUcCaksikmµ plitkmµ sMNg; BaNiC¢kmµ b¤esvakmµ EdlGñk)aneFIV kalBIExmun?

etIGñkTTYl)an R)ak;cMNUl¼R)ak; QñÜl¼R)ak;Ex cMnYnb:unµanBImuxrbr bnÞab;bnSM enH kalBIExmun? ¬cuH {98} KµanR)ak;cMNUlBImuxrbr bnÞab;bnSM enH.¦

ID etIGñk)aneFIVkargar

eT sUm,IEtmYyema:g ¬ebImineFVI Etmankargar¦ EdlCamuxrbr bnÞab;bnSM kalBIExmun ? 1=)aT¼cas 2= eT

(ebIeTeTAkUeLan 2 én sMnYr A2.1 énEpñkbnÞab;)

BiBN’naBI muxrbr elx kUd BiBN’na skmµPaB esdækic© elx kUd

etIsßanPaB kargarrbs;Gñkman lkçN³Ca RbePT kargarGIV?

cuHkUd

etIGñkeFVIkar eGayGñkNa?

cuHkUd

Casac; R)ak; ¬erol¦

Carbs; ¬erol¦

A 2.1 etIGñkCk;)arI b¤eT enAeBl bc©úb,nñenH ? 1=)aT¼cas 2= eT

A2.2.

etIGñkCk;exSór Edrb¤eT enAeBlbc©úb,nñ enH ? 1 = )aT¼cas 2 = eT

A2.3. etI GñkcukfñaMEdrb¤eT enAeBl bc©úb,nñenH ? 1 = )aT¼cas 2 = eT

(1) (18) (19A) (19B) (19C) (19D) (19E) (19F) (20A) (20B) (1) (2) (3)

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elxkUd kUeLan 19 E 1=eFIVkarykR)ak;ebovtSr¾¼ R)ak;QñÜl ¬nieyaCik¦, 2=eFIVCanieyaCk 3=eFIVkaredayTunpÞal;xøÜn¼ eFIVedayxøÜnÉg, 4=eFIVkareGayRKYsaredaymin ykR)ak;ebovtSr¾¼R)ak;QñÜl, 5=epSg² ¬bBa¢ak;¦ elxkUd kUeLan 19F 1=rdæaPi)al 2=shRKasrdæ ¬KµanRkbx½NÐ¦ 3=Rkumh‘unÉkCn 4=shRKascMruH 5=rdæaPi)albreTs¼GgÁkarGnþrCati NGO 6=GgÁkareRkArdæaPi)alkñúgRsuk 7=kargarksidæanpÞal;xøÜn 8=kargarminEmnksidæanpÞal;xøÜn 9=sIuQñÜlRKYsarÉkCn

10=epSg² ¬bBa¢ak;¦ >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>


Epñk B. karCk;fñaMC k; ´sUmGnuBaØatisYrGñk sMNYrxøH´sUmGnuBaØatisYrGñk sMNYrxøH´sUmGnuBaØatisYrGñk sMNYrxøH´sUmGnuBaØatisYrGñk sMNYrxøH²²²²EdlTakEdlTakEdlTakEdlTak;; ;;TgeTAnwgkarCkTgeTAnwgkarCkTgeTAnwgkarCkTgeTAnwgkarCk;;;;fñaMCkfñaMCkfñaMCkfñaMCk; ; ; ; ¬bgðajkatrUbPaB ¬bgðajkatrUbPaB ¬bgðajkatrUbPaB ¬bgðajkatrUbPaB 0000¦¦¦¦. . . . CkCkCkCk;;;;))))arI mann½yfa CkarI mann½yfa CkarI mann½yfa CkarI mann½yfa Ck;;;;yayayaya:: ::gticmYyhWtgticmYyhWtgticmYyhWtgticmYyhWt. . . . sUmkMueqøIy TaksUmkMueqøIy TaksUmkMueqøIy TaksUmkMueqøIy Tak;; ;;TgeTAnwTgeTAnwTgeTAnwTgeTAnwgfñaMCkgfñaMCkgfñaMCkgfñaMCk;; ;;sMrabsMrabsMrabsMrab;; ;;cuk enAeBlenH ¬bgðajkatrUbPaB cuk enAeBlenH ¬bgðajkatrUbPaB cuk enAeBlenH ¬bgðajkatrUbPaB cuk enAeBlenH ¬bgðajkatrUbPaB 1111¦¦¦¦....

- - - - - - - - - - - - - - C k ; e r o g r a l ; é f ¶ - - - - - - - - - - - - - - B5. CaFmµta etIGñkCk;fñaMCk;RbePTdUcxageRkamenH Gs;bu:nµanedIm kñúgéf¶nImYy² sBVéf¶enH? cMelIyBI a dl; d KitCacMnYnedIm. Ck;)arI b¤sIuháar EtknøHedIm b¤BIrbIhWt rYce)aHecal cat;Tukfa1edImEdr. cMelIyBI e dl; f KitCacMnYnqñúk ¬kMNt;TMhMqñúk tamkatrUbPaB 0¦. bgðajkatrUbPaB 0 edIm,ICYyGñkeqøIykñúgkareRCÍserIs. cuH 888 ebIticCag 1 kñúgmYyéf¶ ehIyFMCag 0

ID

B1. sBVéf¶enH etIGñkCk; fñaMCk; Caerogral;éf¶ ticCagerogral;éf¶ b¤ minCk;)arITal;EtesaH? 1=Ck;erogral;éf¶ rMlgeTA B4

2=Ck;ticCagerogral;éf¶ 3=minCk;Tal;EtesaH

rMlgeTA B3

B2.

kalBIGtItkal etIGñkCk;fñaMCk; Caerogral;éf¶b¤eT?

1=)aT¼cas

rMlgeTA B7

2=eT

rMlgeTA B8

B3. kalBIGtItkal etIGñkCk;fñaMCk; Caerogral;éf¶ ticCagerogral;éf¶ b¤ minCk;)arITal;EtesaH?

1=Ck;erogral;éf¶ rMlgeTA B9

2=Ck;ticCagerogral;éf¶ rMlgeTA B10

3=minCk;Tal;EtesaH

rMlgeTAEpñk Epñk Epñk Epñk C

B4.

etIenAGayub:unµan enAeBlEdlGñk cab;epþÍmCk;fñaMCk;dMbUg Caerogral;éf¶? cuHCaqñaMeBj ebImindwg cuH 99 a.

)arIkBa©b; bMeBjbMeBjbMeBjbMeBj

B11-B12

cMnYnedIm

b. )arImUréd ¬plit

kñúgRsuk¦

cMnYnedIm

c.

)arImUréd ¬mUrxøÜnÉg¦

bMeBjbMeBjbMeBjbMeBj

B13-B14

cMnYnedIm

d.

sIuháar

cMnYnedIm

e. exSór ¬min rab;bBa©Úl exSóTwk¦

cMnYnqñúk

f.

exSóTwk

cMnYnqñúk

B6. CaFmµta etIeRkayPJak; BIdMeNkeBlRBwk ry³eBl bu:nµan EdlGñkCk;fñaMCk; edImdMbUg?

GñkGacfa³ 1=ticCag5naTI, 2=cenøaHBI5 eTA30naTI, 3=cenøaHBI31 eTA60naTI b¤ 4=elIsBI 60naTI?

-ebI B5A=0 nig B5C=0 rMlgeTAEpñkrMlgeTAEpñkrMlgeTAEpñkrMlgeTAEpñk C

-ebI B5A> 0 rMlgeTAsMNYr rMlgeTAsMNYr rMlgeTAsMNYr rMlgeTAsMNYr B11

-ebI B5A=0 nig B5C > 0

rMlgeTAsMNUr rMlgeTAsMNUr rMlgeTAsMNUr rMlgeTAsMNUr B13

(1) (2) (3) (4) (5) (6a) (6b) (6c) (6d) (6e) (6f) (7)

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Epñk B. karCk;fñaMC k; ¬t¦

- - - - C k ; t i c C a g e r o g r a l ; é f ¶ - - - - m i n C k ; T a l ; E t e s a H ¬ s B V é f ¶ e n H ¦ B8. CaFmµta etIGñkCk;fñaMCk;RbePTdUcxageRkamenH Gs;b:unµanedIm kñúgs)aþh_Fmµta sBVéf¶enH?

cMelIyBI a dl; d KitCacMnYnedIm. Ck;)arI b¤sIuháar EtknøHedIm b¤BIrbIhWt rYce)aHecal cat;Tukfa1edImEdr. cMelIyBI e dl; f KitCacMnYnqñúk ¬kMNt;TMhMqñúk tamkatrUbPaB 0¦. bgðaj katrUbPaB 0 edIm,ICYyGñkeqøIykñúgkareRCÍserIs. cuH 888 ebIticCag 1 kñúgmYys)aþh¾ ehIyFMCag 0 -ebI B8A=0 ¼ 888 nig B8C=0¼ 888 rMlgeTAEpñk rMlgeTAEpñk rMlgeTAEpñk rMlgeTAEpñk C

-ebI B8A> 0 rMlgeTAsMNYr rMlgeTAsMNYr rMlgeTAsMNYr rMlgeTAsMNYr B11

-ebI B8A=0¼ 888 nig B8C > 0 rMlgeTAsMNYr rMlgeTAsMNYr rMlgeTAsMNYr rMlgeTAsMNYr B13

B10. etIGñkQb;Ck;fñaMCk; ry³eBlb:unµanehIy? cuHcMnYnEx¼qñaM cuH 888ebIsinCaQb;Ck; ticCag mYyEx bMeBjrYcrMlgeTAEpñk C

ID

B7. etIenAGayub:unµanqñaM Edl Gñkcab;epþÍmCk;fñaMCk;dMbUg Caerogral;éf¶?

cuHCaqñaMeBj ebI mindwgcuH 99

a.

)arIkBa©b; bMeBjbMeBjbMeBjbMeBj B11-B12

cMnYnedIm

b. )arImUréd ¬plit

kñúgRsuk¦

cMnYnedIm

c.

)arImUréd ¬mUrxøÜnÉg¦ bMeBjbMeBjbMeBjbMeBj B13-

B14

cMnYnedIm

d.

sIuháar

cMnYnedIm

e. exSór ¬min rab;bBa©Úl exSóTwk¦

cMnYnqñúk

f.

exSóTwk

cMnYnqñúk

B9. etIenAGayub:unµanqñaM Edl Gñkcab;epþÍmCk;fñaMCk;dMbUg Caerogral;éf¶?


qñaM cuHcMnYnqñaM

Ex

cuHcMnYnEx

(1) (8) (9a) (9b) (9c) (9d) (9e) (9f) (10) (11a) (11b)

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Epñk B. karCk;fñaMC k; ¬t¦ muneTAEpñk C sUmBinitüemIl begÁal B5a, B8a, B5c, B8c

bMeBj)arIkBa©b; (katrUbPaB 0,a) ebIGñkeqøIyraykarN¾ > 0 )arIkñúgsMNYr B5a or B8a . bMeBj)arImUrédedayxøÜnÉg (katrUbPaB 0,c) ebIGñkeqøIyraykarN¾ > 0 )arIkñúgsMNYr B5c or B8c .

) a r I k B a © b ; ) a r I m U r é d ¬ m U r e d a y x ø Ü n É g ¦

B11. sMukBa©b;)arITeT EdlGñkeqøIy)anTijcugeRkay. GñkeFIVsMPasn_ RtUvbMeBjsMNYr xageRkam edayBinitüemIlkBa©b;)arI. etIkBa©b;)arITeTenaH manbgðajdUcxageRkamenHEdrb¤eT

1=)aT¼cas

2=eT

8=bdiesF mineqøIy 9=mindwg

ID

a) EtmRb×kñúgRsuk

b) EtmRb× breTs

c) søakbMram suxPaB CaPasaExµr

d) vtþmanén)arkUd (bar code)

B12. etIGñkGacsMukBa©b;)arI TeT BIGñkeqøIy)anb¤eT?

1= )aT¼cas

2= eT ebI B5C=0 ¼ 888 nig

B8C=0¼ 888 rMlgeTAEpñkrMlgeTAEpñkrMlgeTAEpñkrMlgeTAEpñk C

B13. TMhMén )arImUréd bgðajkatrUbPaB 2 ehIy [GñkeqøIyeRCÍserIsTMhM BIkatrUbPaB cuHkUd ¬A, B, C¦

B14. RbEvgén)arImUréd

bgðajkatrUbPaB 2 ehIy [GñkeqøIyeRCÍserIsTMhM BIkatrUbPaB cuHRbEvgCa ¬s>m¦

(1) (12a) (12b) (12c) (12d) (13) (14) (15)

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Epñk C. fñaMCk;sMr ab;cuk sMNYrCabnþbnÞab;mkenH KWTak;TgeTAnwgkarcukfñaMCk;. kMNt;sMKal;GñksMPasn_³ bgðajkatrUbPaB 1 eBlsYrsMNYr C1-C3

- - - - - - - - - - - - - - - - - c u k e r o g r a l ; é f ¶ - - - - - - - - - - - - --

C5. CaFmµta etIGñkcukRbePTNamYy dUcxageRkamenH b:unµandgkñúgéf¶nImYy²? bgðajkatrUbPaB 3333 edIm,ICYyGñkeqøIyeRCIserIs cuH 0 ebIKat;mincuk

C5.2. eRKOgpSMénsøamøÚr bgðajkatrUbPaBkatrUbPaBkatrUbPaBkatrUbPaB5555 ehIy[ GñkeqøIyeRCÍserIsbrimaN éneRKOgpSMnImYy²¦ cuHkUd

1= brimaNRbEhlKña 2= ticCabrimaNenH 3= eRcInCagbrimaNenH 4= mineRbIR)as;

ID

C1. sBVéf¶enH etIGñkcukfñaMCk; Caerogral;éf¶ ticCagerogral;éf¶ b¤mincukfñaMCk;Tal;EtesaH?

1=cukerogral;éf¶ rMlgeTA C4

2 =cukticCagerog ral;éf¶ 3=mincukTal;Et esaH rMlgeTA C3

C2. kalBI GtItkal etI GñkcukfñaMCk; Caerogral;éf¶ b¤eT?

1=)aT¼cas

rMlgeTA C7

2=eT

rMlgeTA C8

C3.kalBIGtItkal etIGñkcukfñaMCk; Caerogral;éf¶ ticCagerogral;éf¶ b¤mincukfñaMCk; Tal;EtesaH? 1=cukerogral;éf¶ rMlgeTA C9

2= cukticCagerog ral;éf¶ rMlgeTAC10

3=mincukTal;Et esaH rMlgeTAEpñkD

C4. etIenA Gayub:unµan EdlGñkcab; epþÍmcukfñaMCk;dMbUg Caerog ral;éf¶?


a. søamøÚr CamYyfñaMCk; cuHcMnYndgcuHcMnYndgcuHcMnYndgcuHcMnYndg kñúgkñúgkñúgkñúg1111éf¶éf¶éf¶éf¶

b. søamøÚr edayKµan fñaMCk; cuHcMnYndgcuHcMnYndgcuHcMnYndgcuHcMnYndg kñúgkñúgkñúgkñúg1111éf¶éf¶éf¶éf¶

c. fñaMCk; edayKµan søamøÚr cuHcMnYndgcuHcMnYndgcuHcMnYndgcuHcMnYndg kñúgkñúgkñúgkñúg1111éf¶éf¶éf¶éf¶

d.fñaMCk;sMrab; cukEdldak; lk;kñúgkMb:ug cuHcMnYndgcuHcMnYndgcuHcMnYndgcuHcMnYndg kñúgkñúgkñúgkñúg1111éf¶éf¶éf¶éf¶

C5-1.brimaNfñaMCk; Edl)an cuk ¬edaymanb¤KµansøamøÚr¦ bgðajkatrUbPaBkatrUbPaBkatrUbPaBkatrUbPaB4444 ehIy[ GñkeqøIyeRCÍserIsbrimaN BIkatrUbPaB¦ cuHkUd

1= brimaNRbEhlKña 2= ticCagbrimaNenH

3= eRcInCagbrimaNenH 4= mineRbIR)as;

a.

søwkmøÚr

b.

søa

c.

kMe)ar

C6.etIeRkayPJak;BI dMeNkeBlRBwk ry³eBlbu:nµan EdlGñkcukfñaMCk; dMbUg? GñkGacfa

1=ticCag5naTI, 2=cenøaHBI5 eTA30naTI, 3 =cenøaHBI31 eTA60naTI b¤ 4=elIsBI 60 naTI bMeBjrYc rMlgeTA Epñk D

(1) (2) (3) (4) (5) (6a) (6b) (6c) (6d) (7) (8a) (8b) (8c) (9)

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Epñk C. fñaMCk;sMr ab;cuk ¬t¦ sMNYrCabnþbnÞab;mkenH KWTak;TgeTAnwgkarcukfñaMCk;.

- - - - - - - - c u k t i c C a g e r o g r a l ; é f ¶ - - - - - - - - m i n c u k T a l ; E t e s a H ¬ s B V é f ¶ e n H ¦

C8. CaFmµta etIGñkcukfñaMCk;b:unµandg kñúg1s)aþh_ dUcxageRkamenH? cuH 888 ebIticCag 1 kñúgmYy s)aþh_ ehIyFMCag 0 bgðajkatrUbPaB3 edIm,ICYyGñkeqøIyeRCÍserIs

C8.2. eRKOgpSMénsøamøÚr bgðajkatrUbPaBkatrUbPaBkatrUbPaBkatrUbPaB5555 ehIy[ GñkeqøIyeRCÍserIsbrimaN éneRKOgpSMnImYy²¦ cuHkUd

1= brimaNRbEhlKña 2= ticCabrimaNenH

3= eRcInCagbrimaNenH 4= mineRbIR)as; rMlg eTAEpñk D

C10. etIGñkQb;cukfñaMCk; ry³eBlb:unµanehIy?

cuHcMnYnEx¼qñaM cuH 888ebIsinCaQb;cuk ticCag mYyEx bMeBjrYcrMlgeTAEpñk D

ID

C7. etIenAGayub:unµanqñaM EdlGñkcab;epþÍmcukfñaMCk; dMbUg Caerogral;éf¶? cuHCaqñaMeBj ebI mindwgcuH 99

a.

søamøÚr CamYy fñaMCk;

b.

søamøÚr eday KµanfñaMCk;

c.

fñaMCk; edayKµansøamøÚr

d.

fñaMCk;sMrab;cuk Edl dak;lk; kñúgkMb:ug

C8.1.brimaNfñaMCk; Edl)ancuk ¬edayman b¤KµansøamøÚr¦ bgðajkatrUbPaBkatrUbPaBkatrUbPaBkatrUbPaB4444 ehIy[Gñk eqøIyeRCÍserIsbrimaN BIkat rUbPaB¦ cuHkUd

1= brimaNRbEhlKña 2= ticCabrimaNenH 3= eRcInCagbrimaNenH 4= mineRbIR)as

a.

søwkmøÚr b.

søa c.

kMe)ar

C9. etIenAGayub:unµanqñaM EdlGñkcab;epþÍmcukfñaMCk; dMbUg Caerogral;éf¶?


qñaM cuHcMnYnqñaM

Ex

cuHcMnYnEx

(1) (10) (11a) (11b) (11c) (11d) (12) (13a) (13b) (13c) (14) (15a) (15b)

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Epñk D. karlHbg; \LÚvenHxMJúcg;sYrGñknUvsMNYrmUycMnYnGMBIesvaEfTaMsuxPaB nigkarlHbg;énkareRbIR)as;fñaMCk;

¬BinitüeLIgvíj ebIGñkeqøIycukfñaMCk;¦

D6. kñúgry³eBl12ExknøgmkenH etIGñk)aneRbIR)as;víFINamYyxageRkamenH edIm,IBüayamQb;cuk fñaMCk;Edrb¤eT?

1=)aT¼cas

2= eT

3= mincukfñaMCk; (ebI mincukfñaMC;k; BinitüelxkUd 3 sMrab;viFInimYy²)

ID

D1. etIGñkFøab;eTA CYbBieRKaHCamYyevC¢ bNÐit b¤GñkEfTaM suxPaBNamñak; kñúg ry³eBl12Exknøg mkenH b:unµandg?

etIGñkfa 0dg 1b¤2dg 3eTA5dg b¤6b¤eRcIndg?

1= 0 dg rMlgeTA D6

2= 1 b¤ 2 dg

3= 3eTA 5 dg

4= 6 b¤eRcIndg

D2. eBlCYbBieRKaH CamYyevC¢bNÐit b¤GñkEfTaMsuxPaB Namñak; kñúgry³eBl 12Ex knøgmkenH etIKat;Føab;sYrGñk BIkarcukfñaMCk; b¤eT?

1=)aT¼cas

2= eT

D3. eBlCYbBieRKaH CamYyevC¢bNÐit b¤ GñkEfTaMsuxPaBNamñak; kñúgry³eBl 12Ex knøgmkenH etIKat;Føab;sYrGñk BIkarCk;fñaMCk; b¤eT?

1=)aT¼cas

2= eT


D4. eBlCYbBieRKaH CamYyevC¢bNÐit b¤GñkEfTaMsuxPaB Namñak; kñúgry³eBl 12Ex knøgmkenH etIKat;Føab;pþl; dMbUnµan[GñkQb; cukfñaMCk; b¤eT? 1=)aT¼cas

2= eT

3= mincukfñaMCk;

¬BinitüeLIgvíj ebIGñkeqøIyCk;fñaMCk;¦

D5 eBlCYbBieRKaH CamYyevC¢bNÐit b¤GñkEfTaMsuxPaB Namñak; kñúgry³eBl 12Ex knøgmkenH etIKat;Føab;pþl; dMbUnµan[GñkQb; Ck;fñaMCk; b¤eT? 1=)aT¼cas

2= eT

3= minCk;fñaMCk;

a.

RbwkSaeyabl;edImüI[Qb; cukfñaMCk; ¬]TahrN_³ enAKøInik mNÐlsuxPaB salaeron vtþGaram¦

b.

karBüa)al edayfñaM edImüI [Qb;cuk fñaMCk; ¬]TahrN_³ bnÞHbiTmanCatinIkUTIn b¤sárekAs‘U manCatinIkUTIn¦

c.

karBüa)al edayfñaM edImüI [Qb;cukfñaMCk; epSgeTot ¬EdlminEmn CanIkUTIn¦

d.

»sfburaN edImüI[Qb; cukfñaMCk;

e.

kmµvíFICYy[Qb;cukfñaM Ck;tam TUrs½BÞ

f. epSgBIenH? sUmsresr bBa¢ak;

(1) (2) (3) (4) (5) (6) (7a) (7b) (7c) (7d) (7e) (7f)

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Epñk D. karlHbg; ¬ t¦

¬BinitüeLIgvíj ebIGñkeqøIyCk;fñaMCk;¦

D7. kñúgry³eBl12Ex knøgmkenH etIGñk)aneRbIR)as;víFINamYyxageRkamenH edIm,IBüayamQb;Ck;fñaMCk; Edrb¤eT?

1=)aT¼cas 2= eT

3= minCk;fñaMCk

ID

a.RbwkSaeyabl; edIm,I[ Qb;Ck;fñaMCk; ¬]TahrN_³ enAKøInik mNÐlsuxPaB salaeron vtþGaram

b. karBüa)aleday fñaMedIm,I[Qb;Ck;fñaMCk;¬]TahrN_³ bnÞHbiTmanCati nIkUTIn b¤sárekAs‘U manCatinIkUTIn¦

c. karBüa)al edayfñaMepSg eTotedIm,I[ Qb;Ck;fñaMCk; ¬Edlmin EmnCanIkUTIn¦

d. »sfburaN edIm,I[Qb;Ck;fñaMCk;

e.kmµvíFICYy [Qb;Ck; fñaMCk; tamTUrs½BÞ

f.pøas;bþÚrBIkar Ck;fñaMCk;eTAcukfñaMCk;víj ¬]TahrN_ søamøÚr cukfñaMCk;¦

g. epSgBIenH? sUmsresr bBa¢ak;³

; ¬BinitüeLIgvíj ebIGñkeqøIyCk;fñaMCk;¦

D8. etIcMeLIyNamYyxageRkamenH EdlskþismCageK eTAnwgkarKitrbs;Gñk GMBIkarQb;Ck;fñaMCk;? 1= ́ manKMeragnwgQb;Ck;fñaMCk; kñúgGMLúgExeRkay

2= ́ manKMeragnwgQb;Ck;fñaMCk; kñúgGMLúg12ExeRkay

3=´manKMeragnwgQb;Ck;fñaMCk;enAéf¶NamYy bu:EnþminEmnkñúgGMLúg12ExeRkayeT

4 = ́ mincab;GarmµN_nwgkarQb; Ck;fñaMCk;eT 5 = ́ minCk;fñaMCk;eT


D9. etIcMeLIyNamYyxageRkamenH EdlskþismCageK eTAnwgkarKit rbs;Gñk GMBIkarQb;cukfñaMCk;?

1= ́ manKMeragnwgQb;cukfñaMCk; kñúgGMLúgExeRkay

2= ́ manKMeragnwgQb;cukfñaMCk; kñúgGMLúg12ExeRkay

3=´manKMeragnwgQb;cukfñaMCk;enAéf¶NamYy bu:EnþminEmnkñúgGMLúg12ExeRkayeT

4 = ́ mincab;GarmµN_nwgkarQb; cukfñaMCk;eT 5 = ́ mincukfñaMCk;eT

(1) (8a) (8b) (8c) (8d) (8e) (8f) (8g) (9) (10)

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Epñk E. karRsUb EpSg)arIB IeK ´sUmsYrGñknUvsMNYrBIrbI GMBIkarCk;fñaMCk; enAkEnøgnana.

ID

E1. etIcMeLIyNamYyxag eRkamenH EdlGFib,ay skþismCageK eTAnwgeKal karN_Ck;)arIkñúgpÞH rbs; RKYsarGñk GnuBaØati[Ck; eBlxøHGnuBaØati[Ck; b¤ minGnuBaØati[Ck;Tal;Et esaH? 1=GnuBaØati[Ck; 2=eBlxøH GnuBaØati[Ck; 3=minGnuBaØati[Ck; Tal;EtesaH rMlgeTA E4

E2.enAkñúgpÞH rbs;Gñk etI GnuBaØati[Ck;fñaMCk; enARKb; kEnøgb¤eT?

1=)aT¼cas 2=eT

E3.etImanGñkCk; fñaMCk; jwkjab; b¤eT enAkñúgpÞH rbs;Gñk? GñkGacniyay fa ral;éf¶ ral;s)aþh_ ral;Ex ticCagral;Ex? 1=ral;éf¶

2=ral;s)aþh_ 3=ral;Ex 9=ticCagral;Ex

E4.etIsBVéf¶enH GñkRtUv)aneKCYl[eFIVkarxageRkA pÞHrbs;Gñkb¤? 1=)aT¼cas; 2=eT¼minGBa©wg ……

rMlgeTA E8

E5. CaFmµta etI GñkeFIVkar enAkEnøg Na? GñkGacfa xagkñúg GKar xageRkAGKar b¤TaMgBIr? 1=xagkñúg

2=xageRkA rMlgeTA E8 3=TaMgBIr

E6. etIcMeLIyNamYyxageRkamenH EdlskiþsmCageKeTAnwgeKal neya)ayCk;fñaMCk;kñúgGKar énkEnøg eFIVkarrbs;Gñk³ GnuBaØati[Ck;fñaMCk; enARKb;kEnøg GnuBaØati[Ck;fñaMCk;EtenAkEnøgxøH b¤ minGnuBaØati[Ck;fñaMCk; enARKb;kEnøg 1=GnuBaØati[Ck; enARKb;kEnøg

2=GnuBaØti[Ck; EtenAkEnøgxøH

3=minGnuBaØati[Ck; enARKb;kEnøg

9=mindwg

E7. kñúgry³eBl 30éf¶knøgmkenH etImannrNamñak; Ck;fñaMCk;enAkñúgGKar EdlGñkeFIVkar Edrb¤eT?

1=)aT¼cas

2=eT

E8.kñúgry³eBl30éf¶ knøgmkenH etIGñk)an cUleTAkñúgGKar b¤ kariyal½yeFIVkar NamYy rbs;rdæaPi)al Edrb¤eT?

1=)aT¼cas

2=eT→rMlgeTA E10

9=mindwg →rMlgeTA E10

(1) (2) (3) (4) (5) (6) (7) (8) (9)

01

02

03

04

05

06

07

08


Epñk E. karRsUb EpSg)arIB IeK ¬bnþ¦

ID

E9.etIGñk)aneXIjnrNa mñak;Ck;fñaMCk; enAkñúgGKar b¤ kariyal½yeFIVkarrbs; rdæaPi)al EdlGñk)ancUl kñúgry³eBl30éf¶knøgmk b¤eT?

1=)aT¼cas

2=eT 9=mindwg

E10.kñúgry³eBl30éf¶ knøgmkenH etIGñk)an eTARKwHsßansuxaPi)alNamYy Edrb¤eT?

1=)aT¼cas

2=eT rMlgeTA E12

9=mindwg rMlgeTA E12

E11.etIGñk)aneXIj nrNamñak; Ck;fñaMCk; enAkñúgRKwHsßan suxaPi)al EdlGñk)an eTA kñúgry³eBl30éf¶ knøgmk b¤eT? 1=)aT¼cas

2=eT

9=mindwg>

E12.kñúgry³eBl30éf¶ knøgmkenH etIGñkcUl ePaCnIydæan¼kEnøglk;GaharNamYy Edrb¤eT? 1=)aT¼cas

2=eT rMlgeTA E14

9=mindwg rMlgeTA E14

E13.etIGñk)aneXIj nrNamñak; Ck;fñaMCk; enAkñúg ePaCnIydæan ¼kEnøg lk;Gahar EdlGñk)aneTA kñúg ry³eBl30éf¶knøg mk b¤eT? 1=)aT¼cas

2=eT

9=mindwg

E14.kñúgry³eBl30éf¶ knøgmkenH etIGñkeRbI R)as;meFüa)ayeFIVdMeNIr saFarN³NamYy b¤eT? 1=)aT¼cas

2=eT rMlgeTA F1.1

9=mindwg rMlgeTA F1.1

E15.etIGñk)aneXIj nrNamñak; Ck;fñaMCk; enAkñúgmeFüa)ay eFIV dMeNIrsaFarN³ Edl Gñk)aneRbIR)as; kñúg ry³eBl30éf¶knøgmk b¤eT? 1=)aT¼cas 2=eT 9=mindwg

(1) (10) (11) (12) (13) (14) (15) (16)

01

02

03

04

05

06

07

08


Epñk F1. esdæk ic©-)arIkBa©b ; ¬plited ayerag cRk¦ sMrab;sMnYrBIr bI bnÞab;sUmerobrab;;GMBImeFüa)ayEdlGñkTTYl)an)arIkBa©b;¬]TaheN_ TTYl)anCakBa©b; ¦sMrab;xøÜnÉg

F1.1.eBlEdlGñk)anTij)arIcugeRkay sMrab;xøÜnGñk etIGñk)anTij)arI b:unµanedIm? cuHcMnYnedIm cuH 888 kñúgkUeLansrub ebIminEdlTij rYcrMlgeTAEpñk F2

ID

a.

srubsrubsrubsrub b.

)arIray c.

kBa©b; d.

sug e.

epSg

F1.2. cMNayelIkarTij )arIsrub ¬kñúgkUeLansrub 2a)

cuHtMélCaerol

cuH 00 ebIminCk;)arI Edl)anTij

F1.3. tMélsrubén)arI kBa©b; EdlGñk)anmk BIkaredaHdUr eBlcug eRkay cuHtMélCaerol

cuH 00 ebIminCk;)arI Edl)anedaHdUr

F1.4. tMélsrubén)arI kBa©b; EdlGñk)anmk BIGMeNay eBlcug eRkay

cuHtMélCaerol cuH 00 ebImin Ck;)arIEdlCa GMeNay

F1.5.e tI)arIma:kGIV EdlGñk)anTij sMrab; xøÜnGñk enAeBlTij cugeRkay? ¬eRbIkatrUbPaB6666 rYccuH ma:k)arI¦

cMeBaHma:k)arI Edl minmankñúgkat

rUbPaB sUmcuH 49

F1.6.enAeBlTij)arIcugeRkay sMrab;xøÜnGñk etIGñk)anTijenATINa? cuHkUd³ 1= pSarTMenIb 2= pSarFmµta 3= Gñklk;tampÚøv

4= kEnøglk;eRKOgeTs

5= ePaCnIydæan )ar, BEER GARDEN,

6= rgÁsal xara:GUex

7= sNæaKar¼pÞHsMNak; 8= GiunETeNt 9= edaHdUr 10= GMeNay 99= mincaM

F1.7. etIGñkcMNayluy Casrub Gs;b:unµan eTA elIkarTij)arI kúñgs)aþh_ knøgmkenH? cuHtMélCaerol

(1) (2a) (2b) (2c) (2d) (2e) (3) (4) (5) (6) (7) (8)

01

02

03

04

05

06

07

08


Epñk F2. esd ækic©-)arImUréd ¬p litkñúgRsuk¦ sMrab;sMnYrBIr bI bnÞab;sUmerobrab;;GMBImeFüa)ayEdlGñkTTYl)an)arImUrédsMrab;xøÜnÉgBIplitplkúñgRsuk

F2.1.eBlEdlGñk)anTij)arImUrédcugeRkay sMrab;xøÜnGñkBIplitkñúgRsuketIGñk )anTij )arImUrédb:unµanedIm? cuH 888 kñúgkUeLansrub ebIminEdlTij rYcrMlgeTAEpñk F3

ID

a.

srubsrubsrubsrub b.

)arIray c.

fg; d.

)ac; e.

epSg

F2..2. tMélsrubén)arImUéd Edl)anTij ¬kñúgkUeLansrub 9a)

cuHtMélCaerol cuH 00 ebIminCk;)arI Edl)anTij

F2.3. tMélsrubén)arImUréd plitkñúgRsuk EdlGñk)anmk BIkaredaHdUr eBlcugeRkay cuHtMélCaerol cuH 00 ebIminCk;)arImUéd Edl)anedaHdUr

F2.4. tMélsrubén)arImUréd plitkñúgRsuk EdlGñk)an mkBIGMeNay eBlcugeRkay

cuHtMélCaerol cuH 00 ebIminCk;)arI EdlCaGMeNay

F2.5. enAeBlTij)arImUrédcugeRkay sMrab;xøÜnGñk plitkñúgRsuk etIGñk)anTijenA TINa? 1= pSarFmµta 2= Gñklk;tampÚøv




6= sNæaKar¼pÞHsMNak; 7= edaHdUr 8= GMeNay

9= epSg² bBa¢ak; 99= mincaM

F2..6. etIGñkcMNayluy Casrub Gs;b:unµan eTAelI karTij)arImYréd plitkñúgRsukkúñg s)aþh_knøgmkenH?

cuHtMélCaerol

(1) (9a) (9b) (9c) (9d) (9e) (10) (11) (12) (13) (14)

01

02

03

04

05

06

07

08


Epñk F3. esdækic©-fñaMCk;ray sMrab;)arImUr éd b ¤sMrab;cuk

sMrab;sMnYrBIr bI bnÞab;sUmerobrab;;GMBIeBlcugeRkayEdlGñkTTYl)anfñaMCk;raysMrab;xøÜnÉgedIm,ImUrCa)arIsMrab;Ck; rWcuk

ID

F3.1.eBlEdlGñk)anTij fñaMCk;ray cugeRkay sMrab;xøÜnGñk etIGñk)an Tijb:unµan ¬KitCaxaM¦? xaM=0.1kg

cuH 888 ebIminEdlTij rYcrMlgeTAEpñk G

F3.2 tMélsrubénfñaMCk; rayEdl)anraykarN_BI F3.1

cuHtMélCaerol cuH 00 ebIminCk;fñaMCk; Edl)anTij

F3.3 tMélsrubénfñaMCk; ray EdlGñk)anmkBIkar edaHdUr eBlcugeRkay cuHtMélCaerol cuH 00 ebIminCk;fñaMCk; Edl)anedaHdUr

F3.4 tMélsrubénfñaMCk;ray EdlGñk)anmkBIGMeNay eBlcugeRkay

cuHtMélCaerol cuH 00 ebIminCk;fñaMCk; EdlCaGMeNay

F3.5.enAeBlTijfñaMCk;raycugeRkay sMrab; xøÜnGñk etIGñk)anTijenATINa? 1= pSarFmµta 2= Gñklk;tampÚøv




6= edaHdUr 7= GMeNay 8= min)anTTYledaykarTij edaHdUr b¤GMeNay

9= epSg² bBa¢ak; 99= mincaM

F3.6. etIGñkdaMfñaMCk; edayxøÜnÉg sMrab;Ck; b¤cuk b¤?

1= )aT¼cas

2=eT

F3.7 etIGñkcMNayluyCa srubGs;b:unµan eTAelIkarTij fñaMCk;ray kúñgs)aþh_knøg mkenH?

cuHtMélCaerol

(1) (15) (16) (17) (18) (19) (20) (21)

01

02

03

04

05

06

07

08


Epñk G. RbB½n§pSBVpSayB ½t’man sMNYrBIrbICabnþbnÞab;enH KWsYrGMBIkardwglWrbs;GñkeTAnwgRbB½n§pSBVpSayB½t’man karpSayBaNiC¢kmµ nigsøakbMramsuxPaB kñúgry³eBl30éf¶knøgmkenH.

bMramsuxPaB G1.kñúgry³eBl30éf¶knøgmkenH etIGñkFøab;kt;sMKal;eXIjB½t’manGMBIeRKaHfñak; énkarCk;fñaMCk; b¤B½t’manEdlelIkTwkcitþ[Qb;Ck;fñaMCk; enAkEnøgxageRkamenH Edrb¤eT?

1=)aT¼cas

2=eT 9=minskþismnwgsYr

ID

a. kñúgsarB½t’man b¤kñúgTsSnavdþI

b. kñúgTUrTsSn_ c. kñúgvíTüú d. elIpÞaMg)a:NU e. enAkEnøgepSgeTot bBa¢ak;

G2.kñúgry³eBl30éf¶knøgmkenH etIGñkFøab;kt;sMKal;eXIjman bMramsuxPaBNamYy enAelIkBa©b; )arIEdrb¤eT?

1=)aT¼cas

2=eT rMlgeTA G5

3=minFøab;eXIjkBa©b;)arI NamYyeT → rMlgeTA G5

G3. kñúgry³eBl30éf¶knøgmkenH etIGñk)anBinitüemIledayykcitþ Tukdak; eTAelIbMramsuxPaB enAelI kBa©b;)arITaMgenH Edrb¤eT?

1=)aT¼cas

2=eT

G4. etIbMramsuxPaBCarUbPaB KYrEtRtUv)andak;bBa©ÚlenAelI kBa©b;)arIEdrb¤ eT?

1=)aT¼cas 2=eT

¬eRbIkatrUbPaB10101010¦

(1) (2a) (2b) (2c) (2d) (2e) (3) (4) (5)

01

02

03

04

05

06

07

08


Epñk G. RbB½n§pSBVpSayB ½t’man ¬t¦ sMNYrBIrbICabnþbnÞab;enH KWsYrGMBIkardwglWrbs;GñkeTAnwgRbB½n§pSBVpSayB½t’man karpSayBaNiC¢kmµ nigsøakbMramsuxPaB kñúgry³eBl30éf¶knøgmkenH.

karpSayB aNiC¢kmµ sBaØa nigk arpSBVpS aylk; G5. kñúgry³eBl30éf¶knøgmkenH etIGñkFøab;kt;sMKal;eXIjnUvkarpSayBaNiC¢kmµ enAkEnøgdUcxageRkamenH Edrb¤eT?

1=)aT¼cas

2=eT 9= mindwg

ID

a. enA kEnøg lk;)arI

b. enAkñúg TUrTsSn_

c. kñúg víTüú

d. enAelI pÞaMg)a:NU?

e. enAelI pÞaMg

rUbPaB

f. kñúg sarB½t’man

b¤kñúg TsSnavdIþ?

g. kñúgerag PaBynþ?

h. enAGiun ETeNt?

i. enA yan b¤ cMNt

saFarN

i. enAelI yan rbs;

Rkumh‘un fñaMCk;

k. q½Rt (]TahrN_ taMgenA kEnøg

NamYy)

l. bda (enAkEnøgsaFarN³)

m. enAelI CBa¢aMg

saFarN³

n. kar RbKMut®nþI

o. enAbBa¢r Kitluy

(]TahrN_ kñúg ePaCnIydæan b¤TIsaFarN³)

p. enAkEnøg epSgeTot?

bBa¢ak;:

(1) (6a) (6b) (6c) (6d) (6e) (6f) (6g) (6h) (6i) (6j) (6k) (6l) (6m) (6n) (6o) (6p)

01

02

03

04

05

06

07

08


Epñk G. RbB½n§pSBVpSayB ½t’man ¬t¦ sMNYrBIrbICabnþbnÞab;enH KWsYrGMBIkardwglWrbs;GñkeTAnwgRbB½n§pSBVpSayB½t’man karpSayBaNiC¢kmµ nigsøakbMramsuxPaB kñúgry³eBl30éf¶knøgmkenH.

karpSayB aNiC¢kmµ sBaØa nigk arpSBVpS aylk; ¬t¦

G7.kñúgry³eBl30éf¶knøgmkenH etIGñkFøab;eXIjnUvkarpSBVpSaylk;)arINamYy dUcxageRkamenH Edrb¤eT? 1=)aT¼cas

2=eT 3=mindwg

ID.

G6.kñúgry³eBl30éf¶knøgmkenH etIGñkFøab;kt; sMKal;eXIjnUvkarRbkYt kILa b¤RBwtþikarN_kILa NamYy EdlP¢ab;CamYy ma:k)arI b¤Rkumh‘unfñaMCk; Edrb¤eT? 1=)aT¼cas 2=eT

9= mindwg

a. CUn)arIKMrUeday \tKitéfø

b. bB©aúHtMél)arI c. b½NÑsMrab; Tij)arI

d. vtßúGnusSavrIy_ b¤karcuHéfø

BiesscMeBaH plitpl epSgeTot eBlTij)arI

e. sMelokbMBak; b¤rbs; epSgeTot EdlmaneQµaH

b¤LÚháÚ)arI

f. b½NÐpSBVpSay lk;)arI

G8. etIGñksþab;kmµvíFIvíTüú sþIBI plb:HBal;énkareRbIR)as;fñaMCk; Edrb¤eT? 1=)aT¼cas 2=eT ¬rMlgeTAEpñk H¦

¬minEmnCakarpSayBaNiC¢kmµ eT¦

G9. etIvíTüúNa? ¬sresrcUl¦ rYceTAEpñk H

cuH 99 ebImindwg

(1) (7) (8a) (8b) (8c) (8d) (8e) (8f) (9) (10)

01

02

03

04

05

06

07

08


Epñk H. cMeN Hd wg nig \ riyabf GMBIk areRbIR)as;fñaMCk; sYrsmaCikRKYsarTaMgGs; EdlmanGayu15qñaMeLIg ehIymanvtþmanenApÞHkñúgry³eBlGegát mñak;mþg.

cM eN Hdw g n i g \ri yabfGM B I \T§i BlEdlman eRKaHfñ ak;rbs;) arI H1. eqøIyeTAnwgsMNYrTaMgLay GMBIC¿enOrbs;GñksþIBIkarCk;)arI dUcxageRkam. eRCÍserIscMelIymYy kñúgcMeNamxag eRkam³ 1= eT KµaneRKaHfñak; 2= )aT¼caseRKaHfñak;bnþicbnþÜc¼mFüm 3= )aT¼cas eRKaHfñak;F¶n;F¶r 9= mindwg b¤ bdiesFmineqøIy

H2. karCk;)arIbNþaleGayekItCMgW TaMgLay xageRkamenH ³ 1 = yl;Rsb 2 = minyl;Rsb 9 = mindwg b¤bdiesFmineqøIy

ID No

(a) etIkarCk;)arIbNþal[man eRKaHfñak;dl;suxPaB Edrb¤eT?

(b) etIkarRsUbEpSg)arI b¤EpSgexSóGñk epSg maneRKaHfñak;dl;suxPaBGñk Edrb¤eT?

(c) etIkarCk;)arI enAeBl manépÞeBaH GacmaneRKaH fñak;dl;suxPaBTarkkúñg épÞ Edrb¤eT?

(a) CMgW rlak TgsYt

(b)

mharIk sYt

(c)

CMgWebHdUg

(d)

CMgWNak¾GacekItman

H3. vaCakarsag)abkmµEdlGñkCk; )arI b¤exSó begáItEpSg EdlGñkdéT RsUbcUl 1 = yl;Rsb 2 = minyl;Rsb 9= mindwg b¤ bdiesFmineqøIy

H4. karbMpøajxøÜn rbs;Gñk eday kareRbIR)as;fñaM Ck; KWCakarsag )ab

1 = yl;Rsb 2 = minyl; Rsb 9= mindwg b¤ bdiesFmin eqøIy

H5. : bursEdl minecHCk;)arI KW minEmnCaburs BitR)akdenaHeT} 1 = yl;Rsb 2 = minyl;Rsb 9 = mindwg b¤ bdiesFmineqøIy

(1) (2) (3) (4) (5a) (5b) (5c) (5d) (6) (7) (8)

01

02

03

04

05

06

07

08


Epñk H. cMeN Hd wg nig \ riyabf GMBIk areRbIR)as;fñaMCk; sYrsmaCikRKYsarTaMgGs; EdlmanGayu15qñaMeLIg ehIymanvtþmanenApÞHkñúgry³eBlGegát mñak;mþg.

H6. karCk;)arIminKYrRtUv)aneKGnuBaØatieT enAtamkEnøgxageRkamenH³ 1 = yl;Rsb 2 =minyl;Rsb 9 =mindwg b¤ bdiesFmineqøIy

ID

(a) vtþ Garam (b) ePaCnIydæan ¬kEnøglk;Gahar¦

(c) meFüa)ay eFIVdMeNIr saFarN³

(d) kEnøgeFVIkar kñúgGKar

H7. Bn§elI)arIRKb;RbePT KYrRtUv)andMeLIg

1 = yl;Rsb 2 = minyl; Rsb 9= mindwg b¤bdiesFmineqøIy

H8. tMél)arI KYrEt®tUv)andMeLIg edIm,ICMrujeGayGñkCk;)arIQb;Ck; 1 =yl;Rsb 2 = minyl;Rsb 9 = mindwg b¤bdiesFmineqøIy

(1) (9a) (9b) (9c) (9d) (10) (11)

01

02

03

04

05

06

07

08


Epñk I. rbbGahar

eRbIR)as;katrUbPaB 7 sMrab;sMNYrGMBI)ay nigKuyTav¼mi¼nMbBa©úk ¬KitCacan¦ eRbIR)as;katrUbPaB 8 edIm,I)a:n;RbmaNGMBIEBg nigEkv eRbIR)as;katrUbPaB 9 edIm,IkMNt;Gahar

I1. etIGñkbriePaK)ayb:unµancankalBIéf¶mSilmij? cUrbgðajcanCargVas; EdlmankñúgkatrUbPaB7 ehIykt;cMnYncanEdlKat;eqøIy. ebIsinCaKat;min)anbriePaK)ay cuH {0} enAkúñgcenøa GahareBlenaH. cUrcuH {99} ebIsinCaKat;minGacpþl;cMelIy)an sMKal;³ ebIsinbrimaN)ayEdlKat;briePaKenaHticCag 1 cancUrdak; 1¼2 b¤ 1¼4 éncan. RtUvc,as;kñúgcitþfa cuHEt)ayb:ueNÑaH. cMENkKuyTav¼mI¼nMbBa©úk RtUvkt;RtaenAsMNYreRkay.

ID

sMrab;Gahar eBlRBwk

sMrab;Gahar eBléf¶Rtg;

sMrab;Gahar eBll§ac

sMrab;Gahar eBlepSgeTot

srub (6)= (2)+ (3)+ (4)+ (5)

(1) (2) (3) (4) (5) (6)

01

02

03

04

05

06

07

08


Epñk I. rbbGahar ¬t¦

I2. Gahar kMNt;sMKal;³ TMhMb:un)atéd RtUveK)a:n;RbmaNfa manTMgn; 50Rkam ¬b¤0>5xaM¦. ebIminbriePaKeT cuH 0 sMrab;EpñkGaharenaH

a. KuyTav¼mI¼ nMbBa©úk

caneKam

bgðajkat 7

b. nMb½ug xaM

bgðajkat 9

c. s‘ut ¬Bgman; BgTa¦ cMnYn

d. TwkedaH ¬eKa¦ EBg

bgðajkatrYbPaB 8

e. TwkedaHeKaxab;

f. RtIRss; xaM

g. RtIEkéqñ ¬p¥k Rbhuk egot eq¥Ir Rblak;¦

xaM

h. bgÁar bgág kMBws xaM

ID No

kalBIs)aþh¾ knøgeTA etIGñk briePaK KuyTav¼mI¼ nMbBa©úk Gs;b:unµancan? cuHcMnYncan

kalBIs)aþh¾ knøgeTA etIGñk briePaKnMb½ug b:unµandg?

cuHcMnYndg

etIGñkbriePaK b:unµankñúgmþg²?

bgðajkat 9

1=TMhMRbhak;; RbEhl 2=TMhMtUcCag 3=TMhMFMCag

kalBIs)aþh¾knøgeTA etI GñkbriePaK s‘ut b:unµan dg? cuHcMnYndg

cMnYns’ut Edl)an briePaK kñúgmþg²?

cuHcMnYns‘ut

kalBIs)aþh¾ knøgeTA etI Gñk briePaK TwkedaHeKa b:unµanEBg?

cuHcMnYnEBg

etITMhMEBg dUcemþc? 1=TMhMRbhak;;RbEhl 2=TMhMtUcCag 3=TMhMFMCag

kalBIs)aþh¾ knøgeTA etIGñkbriePaK TwkedaHeKaxab;Gs; b:unµankMb:ug? GaccuHCa cMENkénkMb:ug ¬0>5=knøH kMb:ug¦

kalBIs)aþh¾ knøgeTA etIGñk riePaKRss; b:unµandg?

cuHcMnYndg

etIGñk briePaK Gs;b:unµan kñúgmþg²?

KitCaxaM

kalBIs)aþh¾knøgeTA etI GñkbriePaK RtIEkécñb:unµan dg?

cuHcMnYndg


KitCaxaM

kalBIs)aþh¾knøgeTA etI GñkbriePaK bgÁar bgág kMBwsb:unµan dg?

cuHcMnYndg


KitCaxaM

(1) (7A) (8A) (8B) (9A) (9B) (10A) (10B) (11A) (12A) (12B) (13A) (13B) (14A) (14B)

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I3. Gahar kMNtsMKal;³ TMhMb:un)atéd RtUveK)a:n;RbmaNfa manTMgn; 50Rkam ¬b¤0>5xaM¦. ebIminbriePaKeT cuH 0 sMrab;EpñkGaharenaH

a. sac;kþam xaM

b. sac;eKa xaM

c. sac;RCUk xaM

d. sac;man; xaM

e. eRKOgkñúg ¬eKa RCUk man;

xaM

f. sac;epSgeTot ¬kNþúr kEgáb stVsøab¦

xaM

g. bEnøEdlmansøwkBN’ ébtgcas;

xaM

ID No

kalBIs)aþh¾knøgeTA etI GñkbriePaK sac;kþam b:unµandg?

cuHcMnYndg


KitCaxaM

kalBIs)aþh¾knøgeTA etI GñkbriePaK sac;eKa b:unµandg?

cuHcMnYndg


KitCaxaM

kalBIs)aþh¾knøgeTA etI GñkbriePaK sac;RCUk b:unµandg?

cuHcMnYndg


KitCaxaM

kalBIs)aþh¾knøgeTA etI GñkbriePaK sac;man; b:unµandg?

cuHcMnYndg


KitCaxaM

kalBIs)aþh¾knøgeTA etI GñkbriePaK sac;eRKOgkñúg b:unµandg?

cuHcMnYndg


KitCaxaM

kalBIs)aþh¾knøgeTA etI GñkbriePaK sac;epSgeTot b:unµandg?

cuHcMnYndg


KitCaxaM

kalBIs)aþh¾knøg eTA etIGñkbriePaK bEnøEdlmansøwk BN’ébtgcas; b:unµandg?

cuHcMnYndg

etIGñkbriePaK Gs;b:unµan kñúgmþg²?

KitCaxaM

(1) (7A) (7B) (8A) (8B) (9A) (9B) (10A) (10B) (11A) (11B) (12A) (12B) (13A) (13B)

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I4. Gahar kMNtsMKal;³ TMhMb:un)atéd RtUveK)a:n;RbmaNfa manTMgn; 50Rkam ¬b¤0>5xaM¦. ebIminbriePaKeT cuH 0 sMrab;EpñkGaharenaH

a. bEnøBN’elOgTMu ¬el<A kar:ut dMLÚgCVa¦

xaM

b. EpøeQI ¬sVayTMu lðúgTMu xñúrTMu¦

xaM

c. eRKOgRsvwg ¬Rsaebor¦

sresrCacMnYnEkv bgðajkatrUbPaB8

d. eRKOgRsvwg ¬Rsa¦ sresrCacMnYnEkv bgðajkatrUbPaB8

e. eRKOgRsvwg ¬es<oerot¦ minrab;bBa©ÚlTwketñatCUreT

sresrCacMnYnEkv bgðajkatrUbPaB8

f. TwketñatCUr sresrCacMnYnEkv

g.

ePsC¢³EdlKµanCatiRsvwg ¬TwkRkUc TwkEpøeQI TwksuIr:U¦

sresrCacMnYnEkv

h. Twk sresrCacMnYnEkv

ID No

kalBIs)aþh¾ knøgeTA etI GñkbriePaK bEnøBN’ elOgTMu b:unµandg? cuHcMnYndg


KitCaxaM

kalBIs)aþh¾ knøgeTA etI GñkbriePaK EpøeQI b:unµandg?

cuHcMnYndg

etIGñk briePaK Gs;nµan kñúgmþg²?

KitCaxaM

kalBIs)aþh¾ knøgeTA etI GñkBisa RsaeborGs; b:unµanEkv?

cuHcMnYndg

etITMhMEkv dUcemþc? 1=TMhMdUc Kña 2=TMhMtUc Cag 3=TMhMFM Cag

kalBIs)aþh¾ knøgeTA etI GñkBisaRsa Gs; b:unµanEkv? cuHcMnYnEkv

etITMhMEkv dUcemþc? 1=TMhMdUcKña 2=TMhMtUcCag 3=TMhMFM Cag

kalBIs)aþh¾ knøgeTA etI GñkBisa es<óerot Gs; b:unµanEkv? cuHcMnYnEkv

etITMhMEkv dUcemþc? 1=TMhMdUcKña 2=TMhMtUcCag 3=TMhMFMCag

kalBIs)aþh¾ knøgeTA etI GñkTwketñatCUr Gs; b:unµan Ekv? cuHcMnYnEkv


kalBIs)aþh¾ knøgeTA etI GñkBisa ePsC¢³Kµan CatiRsvåg Gs;b:unµan Ekv? cuHcMnYnEkv


kalBIs)aþh¾ knøgeTA etI GñkBisaTwk

Gs;b:unµan Ekv? cuHcMnYnEkv

etITMhMEkv dUcemþc? 1=TMhMdUc Kña 2=TMhMtUc Cag 3=TMhMFM Cag

(1) (7A) (7B) (8A) (8B) (9A) (9B) (10A) (10B) (11A) (11B) (12A) (12B) (134A) (13B) (14A) (14B)

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rebob rbbénk arrs;enA


Epñk J. sßan PaBsuxPaBbc ©úb,nñ

karEsVgrkesva suxa Pi)al J3. etI®KUreBTü b¤k¾GñkeFVIkarEpñksuxPaBdéTeTot Edl eFVIeraKvinicä½y b¤R)ab;Gñkfa GñkkMBugTTYlnUvsßanPaB CMgWNamYykúñgcMeNamxageRkamenHEdrb¤eT? 1 = )aT cas 2 = eT 9 = mindwg b¤bdiesFmineqøIy

ID J1. etIGñkGacvay tMélsuxPaBbc©úb,nñ rbs;GñkdUcemþc kalBI4s)aþh_knøg mkenH? cuHkUd

J2. etIGñkmanekItCMgW man rbYs b¤manbBaðasuxPaB déTeTot dUcxageRkamenH Edrb¤eT kalBI4s)aþh_knøg mkenH? ¬ebImanC¿gW b¤bBaðasuxPaB elIsBI1 sUmeRCIserIsC¿gWNa EdlF¶n;F¶rCageK¦ cuHkUd

(a) CMgWrebg J4. RKuncaj; (c) huIv ¼eGds¾

J4. eBlGñkcg;BieRKaHeyabl;GMBIsuxPaB b¤rkkarBüa)alCMgW b¤rbYsrbs;Gñk etIGñk eTArkkEnøgNamuneK?

EpñksaFarN³ ¬rd§¦ 01 =mnÞIreBTüCati 02 =mnÞIreBTübEg¥kextþ 03 =mnÞIreBTübEg¥kRsuk 04 =mNÐlsuxPaB 05 =b:usþ×suxPaB ¬enAkúñgtMbn;dac;Rsyal nigminmanGaKareT¦ 06 =karcuHcl½ttammUldæan rbs;m®nþIsuxaPi)al 07 =EpñksaFarN³ epSgeTot ¬bBa¢ak;¦>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

(1) (2) (3) (4a) (4b) (4c) (5)

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EpñkevC¢sa®sþÉkCn 08 =mnÞIreBTüÉkCn 09 =KøInikÉkCn 10 =pÞH b¤kEnøgeFVIkarrbs;RKUeBTü b¤ Kilanubdæayika 11 =eBTüBüa)alGñkCMgWenAtampÞH 12 =eBTüÉkCnepSg²eTot ¬bBa¢ak;¦>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 13 =»sfsßanÉkCn

05

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08

EpñkminEmnevC¢sa®sþ 14 =haglk;fñaM b¤pSar 15 =RKUExµr b¤ ®KYesþaHpøMú mnþGaKm 16 =RBHsgÇ b¤GñkdwknaMEpñksasna 17 =qµbburaN 18 =epSgeTot ¬bBa¢ak;¦>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

elxkUd kUeLan 2 1= l¥xøaMgNas; 2= l¥ 3= mFüm 4= m

inl¥ 5= minl¥EmnETn 6= mindWg

elkUd kUeLan 3 01 = cukeBaH 02= QWxñg 03= QWk,al 04= QWRtecok 05= QWEPñk 06= RKun 07= raK 08= pþas;say nigk¥k ¬edayminmankar dkdegðImjab; b¤lM)ak ¦09= pþas;say nig k¥k ¬edaymankardkdegðImjab; b¤lM)ak ¦ 10= rbYsedaysarRKab;mIn 11= eRKaHfñak;cracr 12= CMgWbNþalmkBIcMNIGahar 13= CMgWbNþalmkBIkareRbIR)as;Twk 14= CMgWehImeBaH ¬eBaHmanTwkeRcIn¦ 15=karEfTaMsuxPaBepSgeTot ¬bBa¢ak;>>>>>>>>>>>>>>>>>>>>>>>>>¦ 16=KaµnkarEfTaMsuxPaB 17=KµanCMgW


Epñk K. suxPaB®sþI sYrcMeBaHEt®sþI EdlmanGayuBI15-49qñaMbu:eNÑaH ¬sUmKUs “ –“ RKb;kUeLan ebIsinCaminEmn®sþI EdlmanGayuBI15-49qñaM ¦

ID K1. etImanRKUeBTü b¤buKÁliksuxaPi)al Namñak;R)ab;Gñkfa GñkkMBugmanépÞeBaH b¤eT?

1 =manépÞeBaH 2 = KµanépÞeBaH rMlgeTA K9

3 = Gs;rdUv rMlgeTA K9 9 =minc,as; rMlgeTA K9

K2. cUrBiBN’naGMBIkarCk;fñaMCk;rbs;Gñk ¬)arI exSó¦ kñúgkMLúgeBlEdlGñkmanépÞeBaHenH ? 1 =minCk;fñaMCk;eT 2 =cab;epþImCk;fñaMCk; ¬min)aneRbIR)as;eT muneBlmanépÞeBaH¦ 3 =)anbegáInkarCk;fñaMCk; ¬)aneRbIR)as;taMgBImuneBl manépÞeBaH¦ 4 =)anbnßykarCk;fñaMCk; ¬)aneRbIR)as;taMgBImuneBl manépÞeBaH¦ 5=Qb;Ck;fñaMCk; ¬)aneRbIR)as;taMgBImuneBlmanépÞeBaH¦

K3. cUrBiBN’naGMBIkarcukfñaMCk;rbs;Gñk kñúgkMLúgeBlEdlGñkmanépÞeBaHenH ? 1 =mincukfñaMCk;eT 2 =cab;epþImcukfñaMCk; ¬min)aneRbIR)as;eT muneBlmanépÞeBaH¦ 3 =)anbegáInkarcukfñaMCk; ¬)aneRbIR)as;taMg BImuneBl manépÞeBaH¦ 4 = )anbnßykarcukfñaMCk; ¬)aneRbIR)as;taMgBImuneBl manépÞeBaH¦ 5 =Qb;cukfñaMCk; ¬)aneRbIR)as;taMgBImuneBlmanépÞeBaH¦

K4. etIGñkmankarcaj; kUnEdr b¤eT enAeBlmanépÞeBaHelIkenH? 1 =cas 2 = eT 9 = mindwg b¤bdiesFmineqøIy

K5. etIGñkCk;)arI edIm,Ibn§ÚrbnßyGkar³caj;kUn Edrb¤eT enAeBlmanépÞeBaHenH? 1 =cas 2 =eT 9 =mindwg b¤bdiesFmineqøIy

(1) (2) (3) (4) (5) (6)

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Epñk K . suxP aB ®sþI ¬t¦

sYrcMeBaHEt®sþI EdlmanGayuBI15-49qñaMbu:eNÑaH ¬sUmKUs “ –“ RKb;kUeLan ebIsinCaminEmn®sþI EdlmanGayuBI15-49qñaM ¦

ID K6. etIGñkCk;exSó edIm,Ibn§Úrbnßy Gakar³caj;kUnEdrb¤eT enAeBlman épÞeBaHenH?

1=cas 2 = eT 9= mindwg b¤bdiesFmineqøIy

K7. etIGñkcukfñaMCk; edIm,Ibn§Úrbnßy Gakar³caj;kUnEdrb¤eT enAeBlman épÞeBaHenH?

1=cas 2= eT 9= mindwg b¤bdiesFmineqøIy

K8. etIGñkhUbsøamøÚr edIm,Ibn§Úrbnßy Gakar³caj;kUnEdrb¤eT enAeBlman épÞeBaHenH?

1=cas 2= eT 9= mindwg b¤bdiesFmineqøIy

K9. etIGñkFøab;eRbIR)as;fñaMCk; b¤hUb søa møÚr edIm,Ibn§ÚrbnßyGakar³caj;kUn Edrb¤eT enAeBlmanépÞeBaHelIkmun? 1=cas 2= eT 3 = minFøab;manépÞeBaH rMlgeTA K12 9=mindwg b¤bdiesFmineqøIy

K10. etIGñkFøab;eRbIR)as;fñaMCk; b¤hUb søamøÚrEdrb¤eT edIm,Ibn§ÚrbnßykarQW eBaHqøgTenø enAeBlman épÞeBaHelIkmun?

1 =cas 2= eT 9= mindwg b¤bdiesFmineqøIy

K11. etIenHCaelIkTI1b¤ EdlGñkeRbI R)as;fñaMCk; b¤hUbsøamøÚrenAeBlman épÞeBaH? 1 =cas 2= eT 3= minEdlFøab;eRbIR)as;fñaMCk; Tal;EtesaH kñúgCÍvítrbs;́ 9= mindwg b¤bdiesFmineqøIy

(1) (7) (8) (9) (10) (11) (12)

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Epñk K. suxPaB®sþI ¬t¦

sYrcMeBaHEt®sþI EdlmanGayuBI15-49qñaMbu:eNÑaH ¬sUmKUs “ –“ RKb;kUeLan ebIsinCaminEmn®sþI EdlmanGayuBI15-49qñaM ¦ K12. etImannrNamñak;dUcxageRkamenH Føab;R)ab;[GñkeRbIR)as;fñaMCk; b¤hUbsøamøÚr Edrb¤eT enAeBlmanépÞeBaH?

1=cas 2= eT

ID

(a) qµbburaN (b) eBTüqµb (c) sac;jati EdlCa®sþIv½ycMNas; (d) sac;jati EdlCabursv½ycMNas; (e) RKUExµr (f) buKÁliksuxaPi)al

(1) (13a) (13b) (13c) (13d) (13e) (13f)

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Epñk K. suxPaB®sþI ¬t¦

sYrcMeBaHEt®sþI EdlmanGayuBI15-49qñaMbu:eNÑaH ¬sUmKUs “ –“ RKb;kUeLan ebIsinCaminEmn®sþI EdlmanGayuBI15-49qñaM ¦ ID

K13. etIGñkmkrdUvcugeRkay enAeBlNa?

1 = ticCag1Exknøgmk rMlgeTA K19

2 = elIsBI1Exknøgmk

3= elIsBI2Exknøgmk

9 = mindwg¼bdiesFmineqøIy rMlgeTA K19

K14. cUrBiBN’naGMBIkarCk;fñaMCk;rbs;Gñk ¬)arI exSó¦ kñúg kMLúgeBlEdl2Exknøgmk? 1 =minCk;fñaMCk;eT 2 =cab;epþImCk;fñaMCk; ¬min)aneRbIR)as;eTmuneBlman épÞeBaH¦ 3 =)anbegáInkarCk;fñaMCk; ¬)aneRbIR)as;taMgBI2Exmun¦ 4 =)anbnßykarCk;fñaMCk; ¬)aneRbIR)as;taMgBI2Exmun¦ 5 =Qb;Ck;fñaMCk; ¬)aneRbIR)as;taMgBI2Exmun¦

K15. cUrBiBN’naGMBIkarcukfñaMCk; b¤hUbsøamøÚr rbs;Gñk kñúgkMLúgeBlEdl2Exknøgmk? 1 =mincukfñaMCk; b¤hUbsøamøÚreT 2 =cab;epþImcukfñaMCk; b¤hUbsøamøÚr 3 =)anbegáInkarcukfñaMCk; b¤hUbsøamøÚr 4 =)anbnßykarcukfñaMCk; b¤hUbsøamøÚr 5 =Qb;cukfñaMCk; b¤hUbsøamøÚr

K16. etIGñkmanGarmµN_ cg;k¥ÜtEdrb¤eT kñúgGMLúg2Ex knøgmkenH? 1 =cas 2 = eT ¬rMlgeTA K19¦ 9 = mindwg ¼bdiesFmineqøIy rMlgeTA K19

K17. etIGñkCk;fñaMCk; edIm,Ibn§Úrbnßykarcg;k¥Üt Edrb¤eT? 1 =cas 2 =eT 9 =mindwg ¼bdiesFmineqøIy

K18. etIGñkcukfñaMCk; b¤hUb søamøÚr edIm,Ibn§Úr bnßykarcg;k¥ÜtEdrb¤eT?

1 =cas 2 = eT 9 = mindwg ¼bdiesFmineqøIy

(1) (14) (15) (16) (17) (18) (19)

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Epñk K. suxPaB®sþI ¬t¦ K19. cuHbBa¢IkUnEdl)anekItBIRsþIGayu15qñaMeLIg Edlrs;enAkñúgRKYsar ehIymanvtþmanenApÞHkñúgry³eBlGegát

sUmBinitüemIlsßanPaBmankUnrbs;RsþIkñúgRKÜsar rYcKUsrgVg;elIkUd 1= )aT¼cas+ ¬bMeBjtaragxageRkam¦ 2 = eT ¬ebIeT cb;karsMPasn_¦

elxerelxerelxerelxerog og og og elxsMKal;mþayrbs;kUn nimYy² ¬sUmcMlgelxsMKal; mþayrbs; kUn BITMBr½ 2 énEpñkRbCasaRsþ¦

elxsMKal;kUnnimYy² ¬sUmcMlg elxsMKal; kUnTaMgGs; BITMBr½ 2 énEpñkRbCasaRsþ¦ cMNaM³ cuH :00 : ebIkUnmin rs;enAkñúgRKYsarenH b¤søab; b¤minmankñúgbBa¢IRKÜsar

eQµaHkUnnimYy² ¬ebIekµgminTan;dak;

eQµaH cuH “KµaneQµaH”¦

cUrbBa¢ak;fa etIkUnnimYy² ekIt mkenArs; Edrb¤eT? cUrKUssBaØa ' �' edIm,IbBa¢ak;fa kUnekIt mkenArs;.

¬ekItmkenArs;KWTarkenaH )anbgðajBIsBaØaNamYy famanCIvitrs;bnÞab;BIekIt¦

etImþaymanGayub:unµan enAeBlsMralkUnnImYy²? ¬GayumþayKitCaqñaMeBj¦ ebImindwgsresr '99'

sßanPaBCIvitbc©úb,nñ cuHelxkUd 1 = enArs; 2 = søab; 9= mindwg¼minc,as; ¬ebI 1 b¤ 9 eTAkUnbnÞab;¦

)ansøab;eRkamGayu5555qñaM? 1=)aT¼cas 2 = eT ¬ebI 2 eTAkUnbnÞab;¦

)ansøab;eRkamGayu1111qñaM? 1= )aT¼cas 2= eT

(1) (20) (21) (22) (23) (24) (25) (26) (27)

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cb;tar agsMNYr

national adult tobacco survey of cambodia 2011chewing tobacco among women) in the form of a betel...

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