Population and Housing Census 2001 -- Jamaica

PC01A

Parish _ _
Constituency _ _
Enumeration district _ _ _
Housing unit _ _ _ _
Dwelling _ _
Household _ _

Section 1: Identification

All persons

Ask only of the head of household or any other responsible adult.

Please give me the names of all the persons who are usual residents of this household. By that I mean persons who reside here all or most of the time even if they are temporarily away. Please remember to include yourself. Please give me the name of the head of the household first.

[The head of household can enter up to ten people's last names and first names.]

____Last name
____First name
_ _ _Number of persons enumerated
_ _ _Male
_ _ _Female
_ _ _18 years and over

Section 2: Characteristics of housing unit
[Questions 2.1 - 2.3 for all households]

2.1 What type of housing unit is this?

[] 1 Separate house-detached
[] 2 Attached
[] 3 Part of commercial building
[] 4 Improvised housing unit
[] 5 Other
[] 9 Not stated

2.2 What is the main type of material used in constructing the outer walls?

[] 1 Concrete and blocks
[] 2 Stone and brick
[] 3 Nog
[] 4 Wattle/adobe
[] 5 Wood
[] 6 Wood and concrete
[] 7 Wood and brick
[] 8 Other
[] 9 Not stated

2.3 What is the main type of material used in constructing the roof?

[] 1 Metal sheeting
[] 2 Shingle, wood
[] 3 Shingle, other
[] 4 Tile
[] 5 Concrete
[] 6 Other
[] 9 Not stated

Section 3: Characteristics of household
[Questions 3.1 - 3.17 were asked of all households]

3.1 Does any member of this household own, rent or lease this dwelling?

[] 1 Owned
[] 2 Leased
[] 3 Rented
[] 4 Rent-free
[] 5 Squatted
[] 6 Other
[] 9 Not stated

3.2 What about the land: is it owned or leased etc. by any member of this household?

Ask only if separate-detached [from the dwelling referenced in question 3.1]

[] 1 Owned
[] 2 Leased
[] 3 Rented
[] 4 Rent-free
[] 5 Squatted
[] 6 Other
[] 9 Not stated

3.3 How many rooms does this household occupy?

_ _
[] Not stated

3.4 How many rooms are used mainly for sleeping?

_ _
[] Not stated

3.5 Does this household have the use of a kitchen or kitchenette?

[] 1 Yes, for exclusive use of this household
[] 2 Yes, shared with another household
[] 3 No (go to question 3.7)
[] 9 Not stated

3.6 Does it (kitchen or kitchenette) have a sink permanently connected to a water supply and waste pipe?

[] 1 Yes
[] 2 No
[] 9 Not stated

3.7 Does this household have the use of a bathroom?

[] 1 Yes, for exclusive use of this household
[] 2 Yes, shared with another household
[] 3 No (go to question 3.9)
[] 9 Not stated

3.8 Does the bathroom have a fixed bath or shower?

[] 1 Yes
[] 2 No
[] 9 Not stated

3.9 What is the main method of garbage disposal for this household?

[] 1 Regular public collection system
[] 2 Irregular public collection system
[] 3 Private collection system
[] 4 Burn
[] 5 Bury
[] 6 Dumping in sea/river/pond/gully
[] 7 Dumping in own yard
[] 8 Dumping at municipal site
[] 9 Other dumping
[] 10 Other method of disposal
[] 99 Not stated

3.10 What type of toilet facilities does this household have?

[] 1 WC linked to sewer
[] 2 WC not linked to sewer
[] 3 Pit
[] 4 None (go to question 3.12)
[] 9 Not stated

3.11 Are the facilities shared with another household?

[] 1 Shared
[] 2 Not shared
[] 9 Not stated

3.12 What is the main source for lighting?

[] 1 Electricity
[] 2 Kerosene
[] 3 Other
[] 9 Not stated

3.13 What type of fuel does the household use most for cooking?

[] 0 Gas
[] 1 Electric
[] 2 Wood
[] 3 Charcoal
[] 4 Kerosene
[] 5 Biogas
[] 6 Solar energy
[] 7 Other
[] 8 No cooking done
[] 9 Not stated

3.14 What is the main source of domestic water supply for the household?

[] 1 Public piped into dwelling
[] 2 Public piped into yard
[] 3 Private piped into dwelling
[] 4 Private catchment, not piped
[] 5 Public standpipe
[] 6 Public catchment
[] 7 Spring or river
[] 8 Other
[] 9 Not stated

3.15 Is there a personal computer in this household?

[] 1 Yes
[] 2 No (go to question 3.17)
[] 9 Not stated

3.16 Is there an internet connection to this computer?

[] 1 Yes
[] 2 No
[] 9 Not stated

3.17 Does this household have access to a telephone?

One answer only

[] 1 Yes, in dwelling (not cellular)
[] 2 Yes, cellular
[] 3 Yes, neighbor's facility
[] 4 No
[] 9 Not stated

Section 4: Crime and violence
[Questions 4.1 - 4.3 for all household]

4.1 Has any member of this household been the victim of any of the following crimes during the last 12 months? (Read categories)

If "No" or "Don't know" to all, go to question 5.1. If "Yes" to any, continue.

Murder

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Shooting

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Rape and abuse

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Robbery

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Wounding

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Praedial larceny

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

4.2 Was/were the crime(s) reported to the police?

[] 1 Yes (go to question 5.1)
[] 2 No
[] 3 Don't know (go to question 5.1)
[] 9 Not stated

4.3 Why was/were the crime(s) not reported?

[] 1 No confidence in the administration of justice
[] 2 Afraid of perpetrator
[] 3 Perpetrator was household member/relative/friend
[] 4 Not serious enough
[] 5 Other
[] 9 Not stated

Section 5: Migration and mortality
[Questions 5.1 - 5.4 for all households]

5.1 Did anyone from this household go to live abroad during the year 2000?

[] 1 Yes
[] 2 No (go to question 5.3)
[] 9 Not stated

5.2 Please give me the number of persons from this household who went to live abroad during the year 2000 and the sex and age of each.

If not stated, record 99

Number of persons _ _

Person number 1

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _

Person number 2

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _

Person number 3

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _

Person number 4

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _

5.3 Did any member of this household die during the past 12 months?

[] 1 Yes
[] 2 No (go to question 6.1)
[] 9 Not stated

5.4 Please give me the number of persons who died during the last 12 months and the sex and age of each.

If not stated, record 99.

Number of persons _ _

Person number 1

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _

Person number 2

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _

Person number 3

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _

Section 6: Business activity
[Questions 6.1 - 6.2 for all households]

6.1 Is there a business operating within this household?

[] 1 Yes
[] 2 No (go to individual questionnaire [PC01B])
[] 9 Not stated

6.2 What is the type of business activity?

________
_ _ _ _
_ _ _ _
_ _ _ _
[] Not stated

PC01B
Parish _ _
Constituency _ _
Enumeration district _ _ _
Housing unit _ _ _
Dwelling _ _
Household _ _

Section 1: Characteristics
[Questions 1.1 - 1.16]

All persons

First name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Last name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Individual number _ _

[Questions 1.1 - 1.5 for all persons]

1.1 Is [the respondent] male or female?

[] 1 Male
[] 2 Female

1.2

a. What is your/ [the respondent's] date of birth?

Year _ _ _ _
Month _ _
Day _ _
[] Not stated

b. What was your/ [the respondent's] age at September 10th, 2001?

_ _
[] Not stated

1.3 What is your/ [the respondent's] relationship to the head of the household?

[] 1 Head
[] 2 Wife/husband of head
[] 3 Common law partner of head
[] 4 Child of head and spouse/partner
[] 5 Child of head only
[] 6 Child of spouse/partner only
[] 7 Spouse/partner of child
[] 8 Grandchild of head/spouse/partner
[] 9 Parent of head/spouse/partner
[] 10 Brother/sister of head/spouse/partner
[] 11 Other relative of head/spouse/partner
[] 12 Domestic employee
[] 13 Other non-relative
[] 99 Not stated

1.4 To which race or ethnic group would you say you/ [the respondent] belong(s)? (Read categories)

[] 1 Black
[] 2 Chinese
[] 3 Mixed
[] 4 East Indian
[] 5 White
[] 6 Other
[] 9 Not stated

1.5 What is your/ [the respondent's] religious affiliation or denomination?

[] 1 Anglican
[] 2 Baptist
[] 3 Brethren
[] 4 Church of God in Jamaica
[] 5 Church of God of Prophecy
[] 6 Jehovah's Witness
[] 7 Judaism
[] 8 Methodist
[] 9 Moravian
[] 10 New Testament Church of God
[] 11 Other church of God
[] 12 Pentecostal
[] 13 Roman Catholic
[] 14 Seventh Day Adventist
[] 15 United Church
[] 16 Baha'i
[] 17 Hinduism
[] 18 Islam
[] 19 Rastafarian
[] 20 Other
[] 21 None
[] 99 Not stated

[Questions 1.6-1.8 for persons 16 years old and older only]

1.6 What is your/ [the respondent's] legal marital status? For example, are you/is [the respondent] married, divorced, widowed or never married?

[] 1 Married
[] 2 Divorced (go to question 1.8)
[] 3 Widowed (go to question 1.8)
[] 4 Legally separated (go to question 1.8)
[] 5 Never married (go to question 1.8)
[] 9 Not stated

1.7 Are you/is [the respondent] currently living with your/his/her husband/wife?

[] 1 Yes (go to question 1.9)
[] 2 No
[] 9 Not stated

1.8 Are you/is [the respondent] currently living with a common-law partner?

[] 1 Yes
[] 2 No
[] 9 Not stated

[Questions 1.9 - 1.13 were asked of all persons]

1.9 Do you/does [the respondent] suffer from any long standing illness?

[] 1 Yes
[] 2 No (go to question 1.11)
[] 9 Not stated

1.10 Which of the following is the main illness? (Read categories)

[] 0 Arthritis
[] 1 Asthma
[] 2 Diabetes
[] 3 Hypertension
[] 4 Heart disease
[] 5 Kidney disease
[] 6 Glaucoma
[] 7 Sickle cell disease
[] 8 None of the above, other
[] 9 Not stated

1.11 Do you/does [the respondent] suffer from any disability or infirmity?

[] 1 Yes
[] 2 No (go to question 1.14)
[] 9 Not stated

1.12 Does the disability limit your/ [the respondent's] activities compared with most people of the same age?

[] 1 Yes
[] 2 No (go to question 1.14)
[] 9 Not stated

1.13 What type of disability do you/does [the respondent] have?

[] 0 Sight only
[] 1 Hearing only
[] 2 Speech only
[] 3 Physical disability only
[] 4 Multiple disability
[] 5 Slowness of learning
[] 6 Mental retardation
[] 7 Mental illness
[] 8 Other
[] 9 Not stated

1.14 Are you/is [the respondent] currently attending school or registered in an educational program?

[For persons age 4 and older. [For] children under 4 years old, mark "No" on question 1.14]

[] 1 Yes at school or other institution/HEART (go to question 1.16)
[] 2 Yes private study (go to question 1.16)
[] 3 No
[] 4 Not stated

1.15 Why are you not attending school?

[For persons between the ages of 4 and 13]

[] 1 Parent(s) cannot afford it
[] 2 Poor in studies/not interested in school
[] 3 Illness/disability
[] 4 To help with household chores
[] 5 To help in household business
[] 6 To work for wages/salaries
[] 7 Other
[] 9 Not stated

1.16 What is the highest level of education that you have/ [the respondent] has attained? (Read categories)

[For all persons 4 years old and older]

[] 1 None
[] 2 Pre-primary
[] 3 Primary
[] 4 Secondary
[] 5 University
[] 6 Other tertiary
[] 7 Special school
[] 8 Other
[] 9 Not stated

Section 2: Birthplace and residence
[Questions 2.1-2.10]

[Questions 2.1 and 2.2 were asked of all persons]

2.1 Do you/does [the respondent] live in this household all or most of the time?

[] 1 Yes (go to question 2.3)
[] 2 No
[] 9 Not stated

2.2 Where do you/does [the respondent] usually live?

[After this question,] end interview if not usual resident of household.

[] 0 Another household in this parish
[] Elsewhere in the country:

[] 1 Kingston
[] 2 St. Andrew
[] 3 St. Thomas
[] 4 Portland
[] 5 St. Mary
[] 6 St. Ann
[] 7 Trelawny
[] 8 St. James
[] 9 Hanover
[] 10 Westmoreland
[] 11 St. Elizabeth
[] 12 Manchester
[] 13 Clarendon
[] 14 St. Catherine

[] 15 Abroad
[] 99 Not stated

[Questions 2.3 - 2.10 are for all persons who are usual residents of the household. If not usual resident of household, interview ended at questions 2.2]

2.3 Where were you/was [the respondent] born? By that I mean the place where your/his/her mother was residing at the time?

[After this question] end interview if not usual resident of household.

a. Parish in Jamaica (score Parish, and continue to question 2.5)

b. Abroad

[] 15 U.S.A.
[] 16 U.K.
[] 17 Canada
[] 18 Caribbean country
[] 19 India
[] 20 South East Asia
[] 21 Other
[] 29 Not stated

2.4 In what year did you/did [the respondent] come to live in Jamaica?

_ _ _ _ (go to section 3)
[] Not stated

2.5 In what year did you/did [the respondent] come to live in this parish?

_ _ _ _
[] Not stated

2.6 In what parish did you/did [the respondent] last live?

2.7 Have you/has [the respondent] ever lived outside of Jamaica for five years or more continuously?

[] 1 Yes
[] 2 No (go to section 3)
[] 9 Not stated

2.8 In what country did you/did [the respondent] last live?

[] 1 U.S.A.
[] 2 U.K.
[] 3 Canada
[] 4 Caribbean country
[] 5 Other
[] 9 Not stated

2.9 In what year did you/did [the respondent] return to live in Jamaica?

_ _ _ _
[] Not stated

2.10 What is the main reason why you/why [the respondent] returned to live in Jamaica?

[] 0 Retirement
[] 1 Jamaica is home
[] 2 Health reasons
[] 3 Achieved objective abroad
[] 4 Involuntary return
[] 5 Employment
[] 6 Weather
[] 7 Other
[] 9 Not stated

Section 3: Education and training
[Questions 3.1 - 3.13]

[Questions 3.1 and 3.2 for persons age 4 and older]

3.1 What is the highest examination that you have/that [the respondent] has passed?

[] 0 None
[] 1 CXC basic, JHSC, JSC or JSCE or 3rd JLCL, SSC, JC
[] 2 GCE "O" 1-3, CXC General 1-3, AEB, 1-3
[] 3 GCE "O" 4+, CXC General 4+, AEB 4+, SC
[] 4 GCE "A" 1+, HSC, CAPE 1+
[] 5 College Certification/Diploma
[] 6 Associate degree/other certificates and diplomas
[] 7 Degrees and professional qualifications
[] 8 Other
[] 9 Not stated

3.2 How many years of schooling have you/has [the respondent] had?

[After this question,] if age under 14 years [old], end interview.

_ _
[] Not stated

[Questions 3.3 - 3.13 for persons age 14 and older]

3.3 Are you/is [the respondent] currently being trained for any specific job or occupation?

[] 1 Yes
[] 2 No (go to question 3.8)
[] 9 Not stated

3.4 For what job or occupation are you/is [the respondent] being trained?

________
_ _ _ _
[] Not stated

3.5 How is this training being received?

HEART programs

[] 1 Vocational training center/academy
[] 2 Vocational Training Development Institute
[] 3 Other HEART program
[] 99 Not stated

Other programs

[] 4 University of the West Indies
[] 5 Northern Caribbean University
[] 6 Community College
[] 7 Teacher's college, College of Agriculture, Science and Education
[] 8 Other tertiary
[] 9 Technical school
[] 10 Secretarial/commercial college
[] 11 Police Training School/Jamaica Police Academy
[] 12 University of Technology, Jamaica
[] 13 Nursing school
[] 14 Apprenticeship
[] 15 On the job training
[] 16 Other
[] 19 Not stated

3.6 How long is the period of training?

[] 1 Under 6 months
[] 2 6 months - under 1 year
[] 3 1 year - under 2 years
[] 4 2 years - under 3 years
[] 5 3 years and over
[] 9 Not stated

3.7 What qualification will you/will [the respondent] receive on completion of training?

[] 1 None
[] 2 Certificate
[] 3 Associate degree
[] 4 Diploma
[] 5 Under graduate degree
[] 6 Professional qualification
[] 7 Graduate degree
[] 8 Other
[] 9 Not stated

3.8 Have you ever/has [the respondent] ever been trained for a specific job or occupation in the past?

[] 1 Yes
[] 2 No (go to section 4)
[] 9 Not stated

3.9 For what job or occupation were you/was [the respondent] trained?

________
_ _ _ _
[] Not stated

3.10 How was this training received?

HEART programs

[] 1 Vocational training centre/academy
[] 2 Vocational Training Development Institute
[] 3 Other HEART program
[] 99 Not stated

Other programs

[] 4 University of the West Indies
[] 5 Northern Caribbean University
[] 6 Community college
[] 7 Teacher's College, College of Agriculture, Science and Education
[] 8 Other tertiary
[] 9 Technical school
[] 10 Secretarial/commercial college
[] 11 Police Training School/Jamaica Police Academy
[] 12 College of Arts, Science and Technology /University of Technology, Jamaica
[] 13 Nursing school
[] 14 Apprenticeship
[] 15 On the job training
[] 16 Other
[] 19 Not stated

3.11 How long was the period of training?

[] 1 Under 6 months
[] 2 6 months - under 1 year
[] 3 1 year - under 2 years
[] 4 2 years - under 3 years
[] 5 3 years and over
[] 9 Not stated

3.12 What qualification did you/did [the respondent] receive on completion of training?

[] 1 None
[] 2 Certificate
[] 3 Associate degree
[] 4 Diploma
[] 5 Under graduate degree
[] 6 Professional qualification
[] 7 Graduate degree
[] 8 Other
[] 9 Not stated

3.13 Are you/is [the respondent] currently working in the job or occupation for which you were/he/she was trained?

Ask question 3.13 only of persons who have had training in the past.

[] 1 Yes
[] 2 No
[] 9 Not stated

Section 4: Economic activity
[Questions 4.1 - 4.20]

[Questions 4.1 - 4.8 for persons age 14 and older]

4.1 Did you/did [the respondent] work for at least one hour during the first week of September 2001?

[] 1 Yes (go to question 4.5)
[] 2 No
[] 9 Not stated

4.2 Did you/did [the respondent] do anything like farming, buying and selling during the first week of September 2001?

[] 1 Yes (go to question 4.5)
[] 2 No
[] 9 Not stated

4.3 Did you/did [the respondent] do any type of odd job or hustling during the first week of September 2001?

[] 1 Yes (go to question 4.5)
[] 2 No
[] 9 Not stated

4.4 What were you/was [the respondent] doing for most of the time during the first week of September 2001?

Read categories

[] 1 Working in agriculture or in any other business without pay
[] 2 With job, but not working (go to question 4.6)
[] 3 Seeking first job (go to question 4.15)
[] 4 Seeking a job, which was not the first (go to question 4.7)
[] 5 Did not seek work, but wanted work and was available (go to question 4.7)
[] 6 Student (go to question 4.14)
[] 7 Did home duties (go to question 4.14)
[] 8 Retired, did not work (go to question 4.14)
[] 9 Disabled, unable to work (go to question 4.14)
[] 10 Not interested in work (go to question 4.14)
[] 11 Other (go to question 4.14)
[] 99 Not stated

4.5 How many hours did you/did [the respondent] work during the first week of September 2001?

_ _
[] Not stated

4.6 Which of the following categories best describes your/the respondent's] main employment?

Read categories

[] 1 Paid government employee
[] 2 Paid employee in a private enterprise
[] 3 Paid employee in a private home
[] 4 Unpaid employee in agriculture or in any other type of business
[] 5 Self-employed with employees
[] 6 Self-employed without employees
[] 7 Other
[] 9 Not stated

4.7 What kind of work do you do/does [the respondent] do/did you last do/did [the respondent] last do?

________
_ _ _ _
[] Never worked (go to question 4.19)
[] Not stated

4.8 What type of business is/was carried on at the work place?

________
_ _ _ _
[] Not stated

[Questions 4.9 - 4.13 were asked of persons who were employed at the time of the interview, and were age 14 and older]

4.9 Where is your/is [the respondent's] place of work located?

[] 1 In own home or yard
[] 2 In another home or yard
[] 3 Not in a private home
[] 4 On a farm
[] 9 Not stated

4.10 In which parish do you/does [the respondent] work?

4.11 How many persons including yourself/ [the respondent] are working in the business or at the work place?

[] 1 1 person
[] 2 2-4 persons
[] 3 5-9 persons
[] 4 10-19 persons
[] 5 20+ persons
[] 9 Not stated

4.12 What is the name and address of the business establishment where you/ [the respondent] work(s)?

________
[] Don't know
[] Not stated

4.13 What is your/is [the respondent's] weekly, monthly or annual income from all employment (in JA dollars)?

[JA dollars refers to Jamaican currency]

[] 99 Not stated
Weekly

[] 1 Less than 1,000
[] 2 1,000-1,499
[] 3 1,500-5,999
[] 4 6,000-9,999
[] 5 10,000-19,999
[] 6 20,000-29,999
[] 7 30,000-59,999
[] 8 60,000 and over

Monthly

[] 9 Less than 3,500
[] 10 3,500-5,999
[] 11 6,000-24,999
[] 12 25,000-39,999
[] 13 40,000-79,999
[] 14 80,000-129,999
[] 15 130,000-249,999
[] 16 250,000 and over

Annually

[] 17 Less than 40,000
[] 18 40,000-79,999
[] 19 80,000-299,999
[] 20 300,000-499,999
[] 21 500,000-999,999
[] 22 1,000,000-1,499,999
[] 23 1.5 million-2,999,999
[] 24 3 million and over

[Go to question 4.15]
4.14 When was the last time that you/that [the respondent] worked?

[For those who were unemployed at the time of the interview, and age 14 and older]

Year _ _ _ _
Month _ _
[] Never worked (go to question 4.19)
[] Not stated

[Questions 4.15 - 4.18 for persons age 14 and older]

4.15 What did you/did [the respondent] do most during the past twelve months?

[] 0 Worked or had a job
[] 1 Looked for first job (go to section 5)
[] 2 Looked for work, which was not the first (go to question 4.17)
[] 3 Student (go to question 4.17)
[] 4 Home duties (go to question 4.17)
[] 5 Retired did not work (go to question 4.17)
[] 6 Disabled unable to work (go to question 4.17)
[] 7 Not interested in work (go to question 4.17)
[] 8 Other (go to question 4.17)
[] 9 Not stated

4.16 How many months did you/did [the respondent] work?

_ _
[] Not stated

4.17 Have you/has [the respondent] ever been laid off permanently or made redundant during the past 5 years?

[] 1 Yes
[] 2 No (go to question 4.19)
[] 9 Not stated

4.18 In what industry were you/was [the respondent] working at the time of lay-off or redundancy?

________
_ _ _ _
[] Not stated

[Questions 4.19 and 4.20 are for persons age 60 and older. If under 60 years old, go to Section 5]

4.19 Do you/does [the respondent] currently receive any social welfare benefits or pension?

[] 1 Yes
[] 2 No (end interview)
[] 9 Not stated

4.20 What benefits or pension?

Check all that apply

[] 1 Employment-related pension
[] 2 National insurance
[] 3 Food stamps
[] 4 Other public assistance/poor relief
[] 5 Other
[] 9 Not stated

Section 5: Fertility
[Questions 5.1-5.11. for females ages 14-49]

5.1 Have you/has [the respondent] ever had live born children?

[] 1 Yes
[] 2 No (end interview)
[] 9 Not stated

5.2 How many live born children and of what sex?

If not stated, record 99 [for total]

Total_ _
Male_ _
Female_ _

5.3 How many live born children are still alive?

If not stated, record 99 [for total]

Total_ _
Male_ _
Female_ _

5.4 How old were you/was [the respondent] when you had your/she had her first live born child?

_ _
[] Not stated

5.5 How old were you/was [the respondent] when you had your/she had her last live born child?

_ _
[] Not stated

5.6 Did you/did [the respondent] have any live births during the past 12 months?

[] 1 Yes
[] 2 No (end interview)
[] 9 Not stated

5.7 How many live births did you/did [the respondent] have in the past 12 months?

Total _ _

[] 1 One birth
[] 2 Two separate births
[] 3 Twins
[] 4 Not stated
[] 5 More than two births
[] 9 Not stated

5.8 Of what sex were the children who were born in the past 12 months and were the births registered?

Child number 1

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Registered

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Child number 2

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Registered

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Child number 3

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Registered

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

5.9 Have any of the children who were born during the past 12 months died?

[] 1 Yes
[] 2 No (end interview)
[] 9 Not stated

5.10 How many of the children who were born in the past 12 months have died?

If not stated, record 99

Total_ _
Male_ _
Female_ _

5.11 Of what sex and age (in months) were the children who died and were the deaths registered?

If not stated, record 99

Child number 1

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _
Registered

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Child number 2

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _
Registered

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

Child number 3

Sex

[] 1 Male
[] 2 Female
[] 9 Not stated

Age _ _
Registered

[] 1 Yes
[] 2 No
[] 3 Don't know
[] 9 Not stated

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