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VN1999A_DEATHMO3
Month of death of deceased 3
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Questionnaire Text

Questionnaire form view entire document:  text  image

No. of deceased in household from Mau Dan year 30th tet day (27/1/1998) to now


About deceased in household [There are columns for up to 3 deceased persons]


4. In what solar calendar month and year did (Name) die?

_ _ Month
199_ Year

Questionnaire instructions view entire document:  text  image

The number of people who died in the household since the 30th of Chinese new year last year (1/27/1998) until now (question 1 to 6)

This item is asked generally for the whole household. The form was designed to record up to a maximum of eight deceased members per household. In cases where a household has nine deceased members or more, the investigator has to use a second form to continue to record. If the whole household died, write "The whole household is deceased" on the cover of the form, under "Investigation Form".

In order to accurately collect the information concerning the number of household members who have died, the investigator needs to directly ask the question to the head of the household or the representative of the household: "Since the 30th of the Chinese New Year last year (on 1/27/1998 of the Gregorian calendar) until now, did anyone or any child die in the household?"

Death information of the population is usually hard to collect, especially information about deceased or stillborn children. Therefore, in order to collect this information fully and accurately, the investigator needs to ask the questions skillfully to obtain the necessary information.


Question 4: The date when (name) passed away, in the Gregorian calendar?
The investigator writes down the month that person died as two digits in the appropriate boxes, using 0 in the left box for the first nine months. Write the last digit of the year in the appropriate box (8 or 9).