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]


30. Out of those born alive

a) How many have passed away?

____ Total
____ Male
____ Female


b) How many are currently alive?

____ Total
____ Male
____ Female

Questionnaire instructions view entire document:  text  image
30. Of those children born alive:

a) How many have passed away?
Record the total number of children who have passed away, along with the number of boys and number of girls.

[p. 58]

b) How many are currently alive?
If there are children still alive, write down the total number of children currently alive, along with the number of boys and number of girls.