Questionnaire Text

Questionnaire form view entire document:  text  image

For women 12 years of age and older
[Questions 26-30 were asked of female aged 12 years or older]


29. How many children born alive have you had?

____ Total
____ Male
____ Female

Questionnaire instructions view entire document:  text  image
29. How many children born alive have you had?
Record the total number of children, along with the number of boys and number of girls.