Questionnaire Text

Questionnaire form view entire document:  text  image
[Only for females age 10 and over]
Those born dead should not be included.

21. How many children have you ever born alive?

Number of children: _ _

Questionnaire instructions view entire document:  text  image
Question 21 "How many children have you ever born alive?" Question to ask only from females. Do not include stillborn. This question will be asked of all females 10 years and over, regardless of their marital status (unmarried, married, widowed, divorced, etc.). In the first sections of the question, you will write the number of children has given birth until today. If a woman has not given birth to children, she enters "00" in the boxes corresponding to the "number of children". In the following questions will be completed the year of birth of her first child and the birth of the last child.