Questionnaire Text

Questionnaire form view entire document:  text  image

The following questions are only for women 15 years and older
[Applies to questions 50 - 57]


56./57. Month and year of birth of last child born alive

month _ _
year 1 _ _ _

Questionnaire instructions view entire document:  text  image

The following questions will be filled out only for women age 15 or over, that is, those born before September 1, 1965.
[Applies to questions 50 - 57]


Questions 56/57 - Month and year of birth of the last child born alive

Record the month and the year when the respondent had her last child born alive. Do not record the day.
If the month being expressed has only one digit, complete with one zero to the left. Record only the last three digits in the information regarding the year.
If the person does not know the date of birth, make an estimate for the year and record 20 in the boxes referring to the month.
If the respondent has not had any children born alive, record zeros in all the boxes of these questions.