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Any information provided in the questionnaire will be strictly confidential मो सर्वेऺणभा ददईएका सफै जानकायी अतत गोप्म यहनेछन ् The University of Aberdeen, Department of Public Health Aberdeen, AB25 2ZD सॊमुक्त अतधयाज्म (UK) भा फासस्थान बएका नेऩारीहरुको स्र्वास््म य जीर्वन शैरीको सर्वेऺण आजको तभतत (Today’s date): गते(Day): ……./ भदहना(Month) ………………../2007 भ प्रततक अतधकायी एफडॊन वर्वश्ववर्वद्यारमभा अध्ममन गने वर्वद्याथॉ हुॉ। भैरे UK भा र्वासस्थान बएका नेऩारीहरूको Survey of Health and Lifestyle of Nepalese Migrants in the UK ु स्र्वास््म य जीर्वन शैरी सॊफन्धध अध्ममन गदै छ। तऩाईंको अभूल्म सभमको कदह तभनेट ददई मो तरको े ु सर्वेऺणका प्रश्नहरुको जर्वाप ददनुहुन भ हाददि क अनुयोध गदि छ। जर्वाप फेनाभी हुनेछन ् य मसभा बएका सॊऩूणि जानकायी अतत गोप्म यहनेछन ्। बये को प्रश्नऩत्र तर ददईएको ठे गानाभा ऩठाईददनु होरा। (I am Pratik Adhikary, a Nepalese student at the University of Aberdeen and I am conducting a survey on the health and life-style of Nepalese migrants in the UK. It would be greatly appreciated if you could take a few minutes to fill out the questionnaire. Results are anonymous (I am not asking your name), confidential and for this study only. Please return your completed questionnaire to the address below.) मदद तऩाईंरे मी प्रश्नहरुको जर्वाप हारसारै ऩठाईसक्नु बएको बए, मो प्रश्नऩत्र ऩुन: बनुि ऩदै न। (Have you filled in this questionnaire before? If yes, thank you and stop. If no, please complete the following questions.) Demographic characteristics: 1. तऩाईंको तरङ्ग Are you (please tick one): ऩुरुष(Male): भदहरा(Female): 2 1 2. तऩाईंको उभेय (What is your age)? ________ (फषिभा, completed years) 3. नेऩारभा तऩाईंको जधभस्थान name) ____________ (न्जल्रा) (Where were you born in Nepal? please specify the district (Where do you live in the UK)? (please specify city/town) 4. तऩाईं UK भा कन शहयभा फस्नुहुधछ ु ___________________ 5. तऩाईंको जातीम सभूह (एउटा छाधनुहोस ्) (What is your ethnic background?, please tick one) 1 5 फाहुन / ऺत्री (Bramin/Chhetri) नेर्वाय (Newar) गुरुङ (Gurung) याई (Rai) 2 3 4 भगय (Magar) शेऩाि (Sherpa) तरम्फु (Limbu) 6 7 8 ताभाङ (Tamang) अरु (खुराउनुहोस ्) Other (specify): ___________________________ 1 Any information provided in the questionnaire will be strictly confidential मो सर्वेऺणभा ददईएका सफै जानकायी अतत गोप्म यहनेछन ् 6. तऩाईंको र्वैर्वादहक अर्वस्था (एउटा छाधनुहोस ्) (What is your marital status?) (please tick one) अवर्वर्वादहत (Unmarried) वर्वर्वादहत (Married/Civil partner) 1 2 वफधुय/वफधर्वा (Widowed) 3 4 ु सॊफधध वफच्छे द । छट्टै फसेको (Divorced/separated) 7. तऩाईंका आपरे हे यचाह गनुऩने फारफच्चा छन ्? (Do you have dependent children?) ं ि छन ् (Yes) 1 छै नन ् (No) 2 8. तऩाईंसॊग UK भा कतत फच्चाहरू सॊगै फस्छन ् ? (How many of children live with you in UK?) __________। कततजना फच्चाहरु नेऩारभा छन ्? (How many children live in Nepal?) __________ 9. तऩाईंको UK को फासस्थानभा कतत कोठाहरु छन ् ? (How many bedrooms are at your UK residence ?) (house/apartment)? __________ 10. तऩाईंरे (तऩाईं य तऩाईंको ऩरयर्वायरे ) कतत कोठाहरु प्रमोग गनुि बएको छ ? (How many bedrooms do you (=you, partner & children together) use?) ___________ 11. तऩाईं फस्नुबएको बाडाभा (Tenant): घय बाडाभा हो दक आफ्नै हो 1 ? (Are you the tenant or the owner of the 2 house/apartment where you live?) आफ्नै घय (Owner): 12. तऩाईं सुरुभा UK कसयी आउनु बएको तथमो? (In what capacity did you first come to the UK (please tick one)? ऩमिटक तबसाभा (As a visitor) वर्वद्याथॉ (As a student) ऩरयर्वायसॊग (As a dependant) अधम (खुराउनुहोस) Other (specify) 1 2 3 कामि अनुभतत (र्वक ऩतभिट) (As a work permit ि holder) उच्चदऺ जनशक्ती (As a highly skilled migrant) ब्रीटीस सेना (As an Ex-Gurkha, British army) _____________________________ 4 5 6 13. तऩाईं UK भा फस्नुबएको कतत फषि बमो ? (How long have you been in UK? number years & months) _______ (फषि, years) & ______ (भदहना, months) 14. तऩाईंको UK को तबसा / फसाई कस्तो हो? (What is your current immigration status in the UK?, please tick only one) स्थामी फातसधदा (Resident, ILR) कामि अनुभती (Work permit) व्माऩारयक (Business status) शयणाथॉ (Refugee/asylum seeker) फ्रस टे रेधट (Fresh Talent) े 1 2 3 4 5 नागरयक (UK citizen) 6 7 8 9 10 वर्वद्याथॉ (On student visa) ऩरयर्वायका साथ (Dependant) रुकय फसेको (Over stay) े उच्चदऺ फसाईंसरुर्वा (Highly Skilled Migrant) 2 Any information provided in the questionnaire will be strictly confidential मो सर्वेऺणभा ददईएका सफै जानकायी अतत गोप्म यहनेछन ् अधम (खुराउनुहोस) Other (specify) _____________________________ 15. तऩाईंको UK भा भुख्म ऩेशा (What is your primary occupation in the UK?) (please tick one only) 1 7 cWoog (Study) घये रु सहामक (Domestic Assistant) lrlsT;s / g;{ (Doctor/Nurse) Manager/Account/Administrator -d]g]h/ / n]vfkfn / k|zf;s_ Engineering/IT specialist 2 3 4 स्र्वास््म सहामक (Care Assistant) सेप/र्वेटय (ये ष्टुयेधट) Restaurant (chef/wait सुयऺा गाडि (Security) 8 9 10 -O{GhLlgo/ / ;"rgf k|aLlw laz]if1_ Teacher/Researcher/Lecturer -lzIfs / cg;Gwfgstf{ / 5 अधम (खुराउनुहोस) (Other, specify) _______________ k|fWofks व्माऩाय (Business) 6 16. तऩाईंरे कतत ऩढाइ ऩुया गनुि बएको छ? (Please indicate the highest level of formal education you have completed, tick one only) अतशन्ऺत (None) प्राथतभक तह (Primary) भाध्मतभक तह (Secondary/SLC pass) 1 2 3 करेज तह (I.A/I.Ed/ ISc /10+2) वर्वश्ववर्वद्यारम तह (University) 4 5 17. तऩाईं आफ्नो अॊग्रेजीराई कन स्तयको ठाधनु हुधछ? (How do you rate your English proficiency?, please ु tick one)? अतत याम्रो (Very good) याम्रो (Good) दठक (Fair) ै 1 2 3 कभजोय (Poor) 4 5 धेयै कभजोय (Very Poor) 18. तऩाईंको ऩरयर्वायको सन ् २००६ भा जम्भा फावषिक आम्दानी (कय ततनुि बधदा ऩदहरे ) कतत तथमो? (What was your total family income before taxes for 2006? (for single, indicate your personal income). ₤___________ स्र्वास््म य जीर्वन शैरी (General Health and Lifestyle): 19. साभाधमतमा, तऩाईंरे आफ्नो स्र्वास््म कस्तो छ your health?, please tick one). अतत याम्रो (Very good) याम्रो (Good) दठक (Fair) ै 1 2 3 नयाम्रो (Poor) धेयै नयाम्रो (Very Poor) 4 5 बधने ठाधनु हुधछ ? (In general, how would you rate 20. साभाधमतमा, तऩाईंरे आफ्नो खानऩीन कविको स्र्व स््मकय छ बधने ठाधनु healthy would you consider your diet?, please tick one). अतत स्र्वस्थ (Very good) स्र्वस्थ (Good) 1 2 अस्र्वस्थ (Poor) धेयै अस्र्वस्थ (Very Poor) हुधछ? (In general, how 4 5 3 Any information provided in the questionnaire will be strictly confidential मो सर्वेऺणभा ददईएका सफै जानकायी अतत गोप्म यहनेछन ् दठक (Fair) ै 3 21. क तऩाईं धुम्रऩान गनुहुधछ? (Do you smoke?) े ि गछि (Yes): ु 1 गददि न (No) : धुम्रऩान गने बए एक ददनभा कततर्वटा चुयोट वऩउनु हुधछ ? (If yes, how many cigarettes do you smoke during an average day?) ________ 22. तऩाईंको वफचायभा, क तऩाईंरे वऩउने चुयोटको सॊख्मा तऩाईंको स्र्वास््म को रातग हातनकायक हुधछहोरा ? े (Do you think your present level of tobacco consumption is harmful to your health?) हातनकायक छ (Yes): 1 हातनकायक छै न (No):  2 थाहा छै न (Not sure): 3 2 (नगने बए, २३ भा जानुस ्, If no, go to 23). 23. क तऩाईं भादकऩदाथि (यक्सी, वफमय आदद) सेर्वन गनुहुधछ? (Do you drink alcohol?) े ि गछि (Yes): ु 1 गददि न (No): 2 (नगने बए, २६ भा जानुस ् , If no go to 26). 24. तऩाईं कततको भादकऩदाथि सेर्वन गनुहुधछ ? (How often do you drink alcohol? ि (b}lgs) Daily (k|fo b}lgs) Almost daily (xKtfdf @/# times per week 1 2 (xKtfdf ! k6s) Once a week (slxn]sfxL) Occasionally/Only in the function 4 5 k6s) 2-3 3 25. तऩाईंको वफचायभा क तऩाईंरे वऩउने भादकऩदाथिको भात्रा स्र्वास््मको रातग हातनकायक हुधछ होरा ? (Do े you think your present level of alcohol consumption is harmful to your health?) हुधछ (Yes): 1 हुॊदैन (No): 2 थाहा छै न (Not sure): 3 26. तऩाईंको रातग एक हप्ताभा कतत ईकाइसम्भ भादकऩदाथि सेर्वन गनि उतचत होरा alcohol consumption is considered safe and sensible for you in a week?) _______ ईकाइ (units) थाहा छै न (Do not know):  9 ? How many units of 27. तऩाईं परपर य सागसब्जी कतत खानुहुधछ ? (परपर य सागसब्जीको रातग छट्टा छट्टै उिय ददनु ू ू ु ु होस ्) (How often do you eat fruits and vegetables/Salad (include vegetables in curry)? Please tick one box for vegetables AND one box for fruit) सागसब्जी, ;nfb (Vegetables and salad) ददनको ३ ऩटक बधदा फढी (More than 3 times a day) ददनको १ ऩटक बधदा फढी (More than once a day) ददनको १ ऩटक (One time a day) ददनको १ ऩटक बधदा कभ (Less than परपर (Fruits) ू 1 2 3 4 ददनको ३ j6f बधदा फढी (More than 3 times a day) ददनको १ j6f बधदा फढी (More than once a day) ददनको १ j6f (One time a day) ददनको १ 1 2 3 4 j6f बधदा कभ (Less than 4 Any information provided in the questionnaire will be strictly confidential मो सर्वेऺणभा ददईएका सफै जानकायी अतत गोप्म यहनेछन ् once a day) हप्ताको १ ऩटक बधदा कभ (Less than once a week) 5 once a day) हप्ताको १ j6f बधदा कभ (Less than once a week) 5 28. क तऩाईं तनमतभत रुऩभा कसयथ/व्मामाभ गनुहुधछ? (Do you exercise regularly?) े ि गछि (Yes): ु 1 गने बए क गनुि हुधछ? (If yes, what do you do regularly?) े दहड्छ (Walk): ु 1 2 खेर खल्छ (Play sports) ु गददि न (No): 2 जीभ जाधछ (Go to the gym): ु 3 आॉप कसयथ गछि (Self exercise): 4 ै ु 29. क तऩाईं को आफ्नो GP छ र्वा GP को भा दताि हुनु बएको छ ? (Are you registered with a General े Practitioner (GP)?) छ (Yes): 1 छै न (No):2  (छै न बने, ३१ भा जानुस ्, If no, go to question 31) 30. गत १२ भदहनाभा, तऩाईं आफ्नोरातग कतत ऩटक GP को भा जानु बमो ? (Approximately how many times in the last 12 months did you visit a GP in UK?) ______(ऩटक, times) 31. GP सॊग दताि नबएको बए, दकन दताि नगनुि बएको हो? (If no, why were not you registered with a GP?, tick most appropriate). _____________________________________________________________ 32. क तऩाईं रे गत १२ भदहनाभा स्र्वास््म ऩरयऺण े गयाएॉ (Yes): 33. 1 गयाईन (No): (योग नरातगकनै ) गयाउनु बमो ? (Have you had a general medical check up in the last 12 months (without being sick)?) 2 (जस्तै, स्तनको भेभोग्राभ , प्माऩ टे स्ट , कोरेस्टे योर टे स्ट, प्रोस्टे ट टे स्ट आदद) गनुि बएको तथमो? (Have you gone for a disease screening test in the last 3 years? (e.g., mammogram, PAP test, blood cholesterol monitoring, prostrate test) तथएॉ (Yes): 1 तथएन (No): 2 क तऩाईंरे वर्वगत े ३ फषिभा कनै योगको न्स्ितनङ टे स्ट ु 34. तऩाईंराई गत १२ भदहनाभा कतत ऩटक अस्ऩतारको दघटना तथा आकन्स्भक वर्वबागभा जानु ऩय ् मो? ु ि How many times in the last 12 months did you visit an Accident & Emergency Department? ______ (ऩटक, times) 35. तऩाईंको आफ्नो दधत तचदकत्सक छ र्वा तऩाईं registered with a dentist?) छ (Yes):  1 छै न (No):  2 (छै न बने ३७ भा जानुस ्, If no, go to question 36) दधत तचदकत्सककहाॉ दताि हुनबएको छ ? (Are you ु 5 Any information provided in the questionnaire will be strictly confidential मो सर्वेऺणभा ददईएका सफै जानकायी अतत गोप्म यहनेछन ् 36. तऩाईं गत र्वषि कतत ऩटक दधत तचदकत्सक कहाॉ जानु बमो? (Approximately how many times in the last 12 months did you visit your dentist in UK?) _____(ऩटक, times) 37. क तऩाईं दीघि योघफाट वऩदडत हुनहुधछ ? (तभल्ने जतत सर्वैभा ये जा रगाउनुहोस ् ) ( Do you have any े ु chronic health problems/conditions?, tick all that apply): A. भधुभेह (Diabetes) Yes: Yes: Yes: Yes: 1 1 1 1 No No No No 2 2 2 2 B. उच्च यक्तचाऩ (High blood pressure) C. उच्च कोरेस्टे योर (High cholesterol) D. दभ (Asthma) E. अधम (Others, specify): _______________________ 38 स्र्वास््म य योग सॊफन्धध तऩाईको धायणा/वर्वचाय (प्रत्मेक हयपभा एक तचधह रगाउनुहोस ) (Your opinions ् on health and illness, tick one answer on each line /sentence please) SN बनाई (Statements) ऩूणि सहभत (Strongly Agree) 1 a b डाक्टयको सल्राह अनुसाय गनुि दठक हुधछ (It’s sensible to do exactly what the doctors advise) याम्रो स्र्वास््म हुनु बनेको जीर्वनको सफैबधदा ठू रो कयो ु हो (To have good health is the most important thing in life) स्र्वास््म बनेको बाग्मको कयो हो (Generally health is a ु matter of luck) स्र्वास््मको फाये भा जतत धेयै सोच्मो त्मततनै धेयै वफयाभी ऩरयधछ (If you think too much about your health, you are more likely to be ill) योग राग्नु बनेको दै र्वको खेर हो (Suffering sometimes has a divine purpose) तसदकस्त वफयातभ नबैकन भ डाक्टयकोभा जाधन (I have to be very ill before I’ll go to the doctor) भाधछे राई स्र्वास््मको फाये भा सोच्ने पसिदै कहाॉ छ ु (People don’t really have time to think about their health) सहभत (Agree) 2 थाहा छै न / असहभत ऩूणि अरुभा कयाभा (Disagree) असहभत ु (Strongly बय ऩछि (All 4 disagree) depends / 5 Don’t know) 3 c d e f g 6 Any information provided in the questionnaire will be strictly confidential मो सर्वेऺणभा ददईएका सफै जानकायी अतत गोप्म यहनेछन ् 39. वफयाभी हुनबमो बने , तऩाईं ऩदहरे क गनुहुधछ? (सफै बधदा ऩदहरे गने कयाराई १, दोश्रो गनेराई २, गदै ु े ि ु नॊफय ददनुहोस ्) (If you get ill, what would you do first?, prioritize: 1 for the thing that you will do first, 2 for the second option, 3 for 3rd option and so on) प्राथतभकता Priority (1 – 5) ु साथी र्वा ऩरयर्वायको भाधछे सॊग उऩचायको सल्राह भाग्छ (Ask a friend or family for medical advice) ु आॉप औषधी (डाक्टयी दर्वाई) खाधछ (Self medication / using western medicine) ै (Use Alternative medicine (Ayurvedic, acupuncture, Chinese medicine etc.)) ु डाक्टयकहाॉ जाधछ (See a physician / doctor) _____ _____ ु औषधी ऩसरे (पाभाितसस्ट) सॊग सल्राह तरधछ (See a pharmacist) _____ _____ _____ ु डाक्टयी बधदा अधम उऩचाय (आमुर्वददक, अकऩङ्चय, तचतनमा उऩचाय आदद ) गयाउॉ छ े ु 40 तऩाईंराई UK भा राग्ने भुख्म सभस्मा /तचधताको वर्वषम क हो ? (सफबधदा भुख्मभा तचधह रगाउनुस ् ) े (What is your main concern/worry in the UK?, tick most important one only). साभाजीक सहमोगको अबार्व (Lack of social support) आथॉक सभस्मा/कदठनाइ (Economic hardship) भेतसन जस्तो काभ गनुि ऩने , आफ्नो ऩयॊ ऩयागत जीर्वन शैरी हयाउॉ दै गमो (Mechanistic lifestyle and loss of traditional living) भौसभ (Climate) आॉपराई भनऩने खानेकया नऩाइनु य चाडफाड बनेजस्तो भनाउन नऩाउनु ु ु traditional food and celebrations) अध्मागभन/बीसाको सभस्मा (Immigration status/Visa status) अधम (खुराउनुस ्) Other specify: …………………………… (Lack of 1 2 3 4 5 6  41 क तऩाईं नेऩारी सभाज , सॊगठन, साॊस्िीततक सभूह आददसॊग सॊफन्धध त हुनहुधछ? (Are you associated े ु with any communities (social organization/ cultural associations/ etc.) made up by people from your country?) छ (Yes): ु 1 छै न (No): 2 तऩाईंको अभूल्म सहमोगका रातग धेयै धेयै धधमर्वाद। दिऩमा मसराई भेयो ठे गानाभा htL ;Sbf] l56f] ऩठाईददनु होरा। (Thank you very much for your support and help. Please return the completed questionnaire to my address as soon as possible: Pratik Adhikary, Dept. of Public Health, University of Aberdeen, Aberdeen, AB25 2ZD Scotland, UK 7

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