Questionnaire Text

Questionnaire form view entire document: text image

Female residents of age 12 years and over
[Question 36 to 38 were asked of female residents age 12+.]

36. Total number of live-born children

Ask the question: How many live births have you had in your life? Ask the number of boys and girls. Record the number of boys in the "male" box and the number of girls in the "female" box.

_ _ Male
_ _ Female

Questionnaire instructions view entire document: text image

Note: Questions 36, 37, and 38 relate exclusively to women, whether present or absent, who reside in the household and are 12 years of age or older.
For male residents 12 years of age or older, you must draw a slash through column 36 and the columns that follow.

Questions 36, 37, and 38 pertain to live births. Thus the questions must be asked of all female residents 12 years of age or older. By live birth, we mean all children born alive, that is, any product of conception that has manifested any sign of life (screams, crying, breathing, heartbeat, etc.) after complete extraction of the body from the mother. Stillborn children, however, which should not be counted for these purposes, are children who died before the complete extraction of the body from the mother (dead fetus), called stillbirths.

Question 36: Total number of children born alive
Ask the questions: Since you started having children, how many children have you had who were born alive? How many boys? How many girls?

Write the number of boys in the male grid and the number of girls in the female grid. These numbers are expressed using two digits, like this: [example omitted.]