Questionnaire Text

Questionnaire form view entire document:  text  image
Section D
[Deaths]

Since Independence Day 1990, has any member of this household died? (In "yes", ask for sex and age)

1. Serial number

____
Questionnaire instructions view entire document:  text  image
Columns D1, D2 and D3: Deaths in the Household

Since Independence Day 1990, has any member of this household died?

In general people are not happy to talk about deaths, especially recent ones, so be careful when asking this question. We are interested in recording information about any deaths since last Independence Day, September 30th, 1990, of anyone who had, up until their death, been a member of this household. The relevant portion of the sample questionnaire on page 15 is shown below:

[Diagram on page 44 omitted]

If there was any such death, enter the details under columns D1 to D3. Start with the serial number in D1. The first death should be given the serial number 01, the second death 02, etc. Record also the sex of the deceased in column D2 and his/her age at death in column D3.

If the person was under 1 year at death enter 00.

If there were more thanĀ· three deaths in the household, write "continued" in the comments box and enter the particulars of these other deaths in Part D of the next questionnaire form, starting with serial number 04. You will also have to fill in all the geographical identity codes on the next page (district, EA, locality, lolwapa/house and household numbers).

If there were no deaths, enter dashes in the spaces provided for answer codes in the first line only.

In the sample questionnaire, there was one death in the household since Independence Day last year. The son of James and Anne died in a car accident; his serial number is 01 (D1), his sex was 1 (D2) and his age at the time of death was 17 (D3).