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    Questioniar Report Wrirte

    Uploaded by

    Shahbaz ali
    The document contains a 21 question malnutrition questionnaire for pregnant women. It aims to understand their nutritional knowledge, dietary habits, and any challenges experienced during pregnancy. Key areas covered include common causes and signs of malnutrition, access to nutritious foods, and awareness of nutritional needs.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Questioniar Report Wrirte

    Uploaded by

    Shahbaz ali
    13 views10 pages
    The document contains a 21 question malnutrition questionnaire for pregnant women. It aims to understand their nutritional knowledge, dietary habits, and any challenges experienced during pregnancy. Key areas covered include common causes and signs of malnutrition, access to nutritious foods, and awareness of nutritional needs.

    Original Title

    Questioniar Report wrirte (2)

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    The document contains a 21 question malnutrition questionnaire for pregnant women. It aims to understand their nutritional knowledge, dietary habits, and any challenges experienced during pregnancy. Key areas covered include common causes and signs of malnutrition, access to nutritious foods, and awareness of nutritional needs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    13 views10 pages

    Questioniar Report Wrirte

    Uploaded by

    Shahbaz ali
    The document contains a 21 question malnutrition questionnaire for pregnant women. It aims to understand their nutritional knowledge, dietary habits, and any challenges experienced during pregnancy. Key areas covered include common causes and signs of malnutrition, access to nutritious foods, and awareness of nutritional needs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 10

    1

    SHIFA COLLEGE OF NURSING

    Name………………………………

    DOB……………………………….

    Age…………………………………

    Education………………………….

    Marital Status…………………......

    CONSENT FORM
    I ______________________ willingly giving consent to SCN
    students to conduct my interview I am well aware that I will not
    get any kind of monetary benefit from this interview.

    Signature.....................
    2

    Malnutrition questionnaire

    1 .can you describe your routine during pregnancy?


    Yes _____ No_____
    2. Do you know about malnutrition in pregnancy?
    Yes _____ No______

    3. Do you think malnutrition is a common issue in pregnancy?


    Yes_____ No____
    4. Do you know about the nutritional needs for pregnant women?
    Yes_____ No_____
    5. Are you aware of the causes of malnutrition during pregnancy?
    Yes_____ No_____
    6. Do you face any economic challenges to maintain nutritious diet during
    pregnancy?
    Yes_____ No_____
    7. Do you have easy access to fresh and nutritious food in your community?
    Yes_____ No_____
    8. Are there any cultural or religious factors that affect your dietary habits?
    Yes_____ No_____
    9. Do you have any food restrictions or any medical condition that affect your
    nutrition?
    Yes_____ No_____
    10. Have you noticed any significant changes in your weight during pregnancy ?
    3

    11. Are you experience fatigue or illness?


    Yes_____ No_____
    12. Do you notice any changes in your skin such as dryness paleness or bruising?
    Yes_____ No _____
    13. have you noticed any unusual swelling in your hands face or legs?
    Yes_____ No_____
    14. Have you ever discussed your concerns or symptoms with your healthcare
    provider?
    Yes_____ No_____
    15. Do you think dietary modifications help to reduce malnutrition?
    Yes____ No_____
    16. Do you know essential nutrients and their rich resources required for body?
    Yes_____ No_____
    17. Do you agree that improved hygiene and sanitation condition are essential to
    prevent malnutrition by reducing the risk of infection?
    Yes _____ No_____
    18. Do you have access to clean and safe drinking water?
    Yes_____ No_____
    19. Are you aware of any educational resources or programs that provide
    information on malnutrition in pregnancy?
    Yes_____ No_____
    4

    ‫کیا آپ اپنے روزانہ کھانے کی مقدار بیان کر سکتے ہیے؟‬

    a. Balanced________________
    b. Insufficient_______________
    c. Excessive_____________

    Yes _____ No______

    1. Are you aware of the causes of malnutrition during pregnancy?

    ‫کیا آپ حمل کے دوران غذائیت کی کمی کی وجوہات سے واقف ہیں؟‬


    5

    Yes _____ No______

    If yes specify it___________________________________________

    2. Are there any cultural or religious factors that affect your dietary habits?
    ‫کیا کوئی ثقافتی یا مذہبی عوامل ہیں جو آپ کی غذائی عادات کو متاثر کرتے ہیں؟‬

    Yes _____ No______

    3. Do you have access to a balanced and diverse diet during pregnancy?


    ‫کیا آپ کو حمل کے دوران متوازن اور متنوع خوراک تک رسائی حاصل ہے؟‬
    Yes _____ No______

    4. Are there any health conditions or medications that may impact your
    nutritional status?

    ‫کیا صحت کی کوئی ایسی حالت یا دوائیں ہیں جو آپ کی غذائیت کو متاثر کر سکتی ہیں؟‬

    Yes _____ No______

    5. Do you have any dietary restrictions or preferences that affect your food
    choices at pregnancy?

    ‫کیا آپ کے پاس کوئی غذائی پابندیاں یا ترجیحات ہیں جو حمل کے دوران آپ کے کھانے کے انتخاب کو متاثر کرتی ہیں؟‬

    Yes _____ No______


    6

    6. Are there any financial constraints that limit your ability to purchase
    food during pregnancy?

    ‫کیا ایسی کوئی مالی رکاوٹیں ہیں جو حمل کے دوران خوراک خریدنے کی آپ کی صالحیت کو محدود کرتی ہیں؟‬

    Yes _____ No______

    7. Have you experienced any significant changes in your life that may have
    affected your nutritional status?
    ‫کیا آپ نے اپنی زندگی میں کوئی ایسی اہم تبدیلیوں کا تجربہ کیا ہے جس سے آپ کی غذائیت متاثر ہوئی ہے؟‬

    a.Job loss
    b.Relocation
    c.illness

    Yes _____ No______

    8. Have you noticed any of the following signs in yourself during


    pregnancy?
    ‫کیا آپ نے حمل کے دوران اپنے اندر درج ذیل عالمات میں سے کسی کو دیکھا ہے؟‬

    ASwelling of the limbs (edema)


    b. Pale or dry skin
    c. Brittle hair and nails
    d. Frequent infections

    Yes _____ No______


    7

    9. Have you experienced any of the following in pregnancy?


    ‫کیا آپ نے حمل کے دوران درج ذیل میں سے کسی کا تجربہ کیا ہے؟‬

    a. Unintentional weight loss


    b. Frequent illness
    c. Fatigue and weakness

    Yes _____ No______

    10.Do you know daily normal calories requirement and their calculation at
    pregnancy?
    ‫کیا آپ حمل میں روزانہ کیلوریز کی ضرورت اور ان کا حساب جانتے ہیں؟‬

    Yes _____ No______


    If yes specify it___________________________________________
    11.Do you think dietary modification help to reduce malnutrition?
    ‫کیا آپ کے خیال میں خوراک میں تبدیلی سے غذائی قلت کو کم کرنے میں مدد ملتی ہے؟‬

    Yes _____ No______

    12.Do you know protein and iron rich sources?


    ‫کیا آپ پروٹین اور آئرن سے بھرپور ذرائع جانتے ہیں؟‬

    A. Egg______
    B. Red beans______
    c. Meat_____
    d. Milk___
    8

    Yes _____ No______

    13.Do you know essential micronutrient and their rich sources required for
    body growth?
    ‫کیا آپ جسم کی نشوونما کے لیے ضروری غذائی اجزاء اور ان کے بھرپور ذرائع کو جانتے ہیں؟‬

    a. spinach______
    b. red bean_____
    c. dairy food____
    d. milk______

    Yes _____ No______

    14. Do you know normal percentage requirement of carbohydrate, protein


    and fats in your food?
    ‫ پروٹین اور چکنائی کی عام فیصد ضرورت ہے؟‬،‫یا آپ جانتے ہیں کہ آپ کے کھانے میں کاربوہائیڈریٹ‬

    a. carbohydrate% ______
    b. protein% _______
    c. fats% _________

    Yes _____ No______

    15.Have you ever had your nutritional status assessed by a healthcare


    professional before pregnancy?
    ‫کیا آپ نے حمل سے پہلے کبھی صحت کی دیکھ بھال کرنے والے پیشہ ور کے ذریعہ اپنی غذائیت کی کیفیت کا اندازہ لگایا ہے؟‬

    Yes _____ No______


    9

    16.Do you agree that improved hygiene and sanitation conditions are
    essential to prevent malnutrition by reducing the risk of infections?

    ‫کیا آپ اس بات سے اتفاق کرتے ہیں کہ انفیکشن کے خطرے کو کم کرکے غذائیت کی کمی کو روکنے کے لیے حفظان‬
    ‫صحت اور صفائی کے بہتر حاالت ضروری ہیں؟‬

    Yes _____ No______

    17.Do you have access to clean and safe drinking water?

    ‫کیا آپ کو پینے کے صاف اور محفوظ پانی تک رسائی ہے؟‬

    Yes _____ No______

    18.Would you say there is a need for more effort to prevent malnutrition
    during pregnancy at your region?

    ‫کیا آپ کہیں گے کہ آپ کے عالقے میں حمل کے دوران غذائیت کی کمی کو روکنے کے لیے مزید کوششوں کی‬
    ‫ضرورت ہے؟‬

    Yes _____ No______

    19.Is public awareness campaigns and media play a significant role in


    promoting healthy eating patterns and lifestyles to prevent malnutrition
    at pregnancy?
    ‫کیا حمل کے دوران غذائیت کی کمی کو روکنے کے لیے صحت مند کھانے کے انداز اور طرز زندگی کو فروغ دینے میں عوامی‬
    ‫بیداری کی مہمات اور میڈیا اہم کردار ادا کرتے ہیں؟‬

    Yes _____ No______


    10

    20.Should supplementation and fortification programs be encouraged to


    combat malnutrition in pregnancy?
    ‫کیا حمل میں غذائی قلت سے نمٹنے کے لیے سپلیمنٹیشن اور مضبوطی کے پروگراموں کی حوصلہ افزائی کی جانی‬
    ‫چاہیے؟‬

    Yes _____ No______

    21.Any additional comments or information you would like to share related


    to malnutrition during Pregnancy?

    ‫دوران غذائیت سے متعلق کوئی اضافی تبصرے یا معلومات جو آپ شیئر کرنا چاہیے؟‬

    Yes _____ No______

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