Questionnaire Text

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D. Fertility characteristics (only for females fifteen years old or more)
[Applies to questions 20 -22]


22. When did you have your last child (live birth)?

(Only for women who are 15 to 49)

Month____
Year: 19 __ __

Questionnaire instructions view entire document:  text  image

Section D. Fertility characteristics

These questions will be asked to all women 15 years old or older. It does not matter if they are single, married, united, widowed or separated.
[Applies to questions 20 -22]


Question No. 22. Date of birth of the last child

This question will be asked to all women, understood to be between 15 and 49 years of age, it does not matter if they are single, married, united, widowed or separated.

[Below the text is a form.]

Write down the number of the month and year in which the woman had her last child born alive, in the corresponding spaces.

When the woman has not had children or is older than 50 years, leave the corresponding spaces blank.