| | Original question | Modified/added question |
| | Item A.3: Has he spent or lost money irrationally due to his illness? | Modified: Has the family spent extra money due to his illness, such as settling debts, purchasing over the counter medications, paying out of pocket, paying extra on water bill, electricity bill, buying cleaning agents and items used for cleaning, renting separate apartment for patient? |
| | How much has been spent on other treatments such as temples and native healers | How much has been spent on other treatments such as visiting herbalists, spiritualists, priests, and any other alternative practitioners |
| | Item A.6: Any other planned activity put off because of the financial pressure of the patient’s illness: (for instance, postponing a marriage, a journey or a religious rite. How far is the family affected?) | Modified: Any other planned activity put off because of the financial pressure of the patient’s illness. (For instance, performing a religious rite, postponing a marriage, a journey, purchasing piece of land for development, building a house, training other siblings. How far is the family affected?) |
| | Item B.4: | Added: Patient requesting someone to help in the area of self care and other activities of daily living? |
| | Item B.5: Is any other member missing school, meals, and so forth.? | Modified: Is any other member missing or being late for school, work, and meals, and so forth? |
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