ITSV2

10

What is your gender?

Male

Female

11

What is your age?

Equipment

12. Please indicate the equipment that you have received, when you have received it and whether it was received in good condition.

	Number received(batch-1)	Date received	Nr. received in good condition	Number received(batch-2)	Date received	Nr. received in good condition
Desktop

Printer

Scanner

UPS

Laptop

Modem

PDA

13.Please indicate what you have done with the equipment that you have received.(Nr. Distributed)

	To other facilities/field workers(batch-1)	To facility staff	Not in good condition and returned	In stock and not yet allotted	To other facilities/field workers(batch-2)	To facility staff	Not in good condition and returned	In stock and not yet allotted
Desktop

Printer

Scanner

UPS

Laptop

Modem

PDA

14. Have you received IT equipment that did not come from the LD HIS but from other Line Directors or other sources?

Yes

No

15. If yes to question 14 please indicate what you have received and how many units?

16. Could you indicate from whom you have received the equipment in question 14?

17. What is in your opinion the overall condition of the equipment that you have received from the LD HIS?

18. Could you indicate which equipment is not operational (not working / broken down) on the day of the visit and how many?

19. What were the type of problems that you have had with the equipment?