Questionnaire Text

Questionnaire form view entire document:  text  image

For all women 15 years of age and older


15. How many living children have you given birth to?

1 ____
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 ____
11 ____
12 ____
13 ____
14 or more ____

Questionnaire instructions view entire document:  text  image

15. To how many children born alive have you given birth?

Inquire about the total number of children born alive and fill in the oval corresponding to the number of children reported to you.

[The above directions refer to a picture of question 15 in this section of the enumeration form.]