Malaria

Have you got Malaria?

Yes

No

Have you been vaccinated for malaria?

Yes

No

What do you think caused it?

Dirty Drinking Water

Mosquito Bite

Unhygienic Food

Was it transmitted to any of your family members?

Yes

No

For how long were you suffering from malaria?

With what kind of medicine were you treated with?

Tablets

Ayurvedic

Government Medicine

Were you affected with any other disease during that period?

Yes

No

Do you use a mosquito bat or mosquito coil at home?

Yes

No

How often does the corporation spray your locality with the medicine?

Has your lifestyle changed after getting malaria?