Questionnaire Text

Questionnaire form view entire document: text image

6. Resident characteristics

Fertility
For women aged 10 years or more
[Questions 6.63 to 6.69 were asked for women aged 10 years or more]

6.68 What was the month and year that this child died?

[] 1 Know year and month or year or month only

6.681 Month _ _
6.682 Year _ _ _ _

[] 2 Not known

Questionnaire instructions view entire document: text image

Fertility

For female residents 10 years of age or older

6.68 - What was the month and year that this child died?
1 - Knows year and month or year only

____ Month
____ Year

2 - Do not know

Record the month and year of death. If the respondent does not know the month, record the year. If the respondent does not know the year, record 2 - Do not know.