Questionnaire Text

Questionnaire form view entire document: text image

Only for women 15 years of age and older

19. What was the date of birth of your last child born alive?

Date: ____ Month
19_ _ Year

Questionnaire instructions view entire document: text image

Questions 17, 18, 19 and 20, which refer to fertility and death characteristics, should be asked only of women 15 years of age and older.

Question 19. On what date did you have your last child born alive?

Record the month and year in which the last child of the person being interviewed was born. If she doesn't remember the month, record only the year.