Questionnaire Text

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(5) For women 16 years of age or older: How many children have you given birth to?
[Question 5 was asked only of women age 16+.]
(a) The total number of all live births also includes those children who live elsewhere or have since died:

____ Total number
[] no live births

(b) Birth dates of the first four children born to you:

1. Child

Day _ _
Month _ _
Year _ _ _ _

2. Child

Day _ _
Month _ _
Year _ _ _ _

3. Child

Day _ _
Month _ _
Year _ _ _ _

4. Child

Day _ _
Month _ _
Year _ _ _ _