Questionnaire Text

Questionnaire form view entire document:  text  image
For women aged between 15 and 50.
[Questions 25 and 26.]

26. Fertility between November 1st, 1999 and October 31st, 2000

[] 1 Never pregnant and never give birth
[] 2 Had given birth(s) before, please provide the date of the babies are born and the gender of the baby. ____
If more than one pregnancy occurred during this period, please provide the date of the birth due to the 2nd pregnancy and the gender of the baby. ____
Questionnaire instructions view entire document:  text  image
Part One. Personal Records

R25 and R26 only apply to female between age 15 and 50.

R26. Fertility between Nov 1, 1999 and Oct 31, 2000
This question asks if the female respondents have given birth to children during the 12 months before the census.

No birth.
If the respondent has given birth during the 12 month period, record the months of birth and the gender of the children. Those who gave birth twice or to twins, record information of the second child to the right. The census does not record information for the third or later children.