Questionnaire Text

Questionnaire form view entire document: text image

F 4. Ask these questions of all women who are twelve years old or more.

43. In what year was your last child born (live birth)?

19 _ _ year of birth

[] 1 January
[] 2 February
[] 3 March
[] 4 April
[] 5 May
[] 6 June
[] 7 July
[] 8 August
[] 9 September
[] 10 October
[] 11 November
[] 12 December

Questionnaire instructions view entire document: text image

F4. Ask these questions to all women 12 years old or older

43. In what year and month did [the respondent] have her last child born alive?

Write in the box "year of birth" the last two digits of the year in which this last son or daughter was born and mark with "x" the month of birth.