Structure of questionnaire by themes
Socio-demographic characteristics: Name, age, religion and type of family
Socio-economic power: Level of education and employment
Number of children, completion of family
Heard of vasectomy?
Knowledge: method, risk, benefits
Approval or disapproval of vasectomy as a method of permanent sterilization in men
Discuss with physician/health service provider
Present mode of contraception
Would you be interested in undergoing vasectomy after completion of family
Intention to undergo vasectomy after having the desired number of children
Source of information: How and where did you get information?
Table 1: Structure of questionnaire listing the various themes constituting the various items