Questionnaire Text

Questionnaire form view entire document:  text  image

Only for women 15 years of age and older:
[Applies to questions 5 - 6]


5. How many living children have you had?

[] 00 None
____ Children
[] YY Unknown

Questionnaire instructions view entire document:  text  image

12.- Question No. 5.- Children born alive

All women 15 years old or older should be asked, how many children born alive have you had?

For this the following definition should be taken into account:


Child born alive: is a child who when born breathes, cries and moves. If any of these signs of life manifested themselves and later the child died, it is born alive.

[p. 41]

If when being born the child shows none of the signs mentioned previously, it is a still birth.

It should be kept in mind that generally a woman tends to omit those children who where born alive and died later or at the time of birth, declaring only those that currently are alive, you should insist on this in order to avoid that some children who were born alive do not get written down.

Once the number of children born alive is assured, the name should be written down in the corresponding space. When there are no children born alive mark the circle "None".

When the woman does not know the number of children born alive mark an X in the circle corresponding to "Not Known".

In the case of women 14 years old or less, and for all men, because of not being asked the question, cross out the corresponding box with a big X.