Questionnaire Text

Questionnaire form view entire document: text image

E. Fertility
For women 15 years and older.
[Questions 22-25 were asked of women 15 years of age and older.]

23. Date of last birth: Indicate the date of last live birth, even if the child is no longer alive.

Date_ _
Month _ _
Year _ _ _ _

Questionnaire instructions view entire document: text image

E) Fertility

[Questions 22-25.]

Questions 22 to 25 are given exclusively to women ages 15 and older.

Question 23: Date of birth
84. If the answer is "yes" to question 22, ask for the date of birth of the last child born alive, even if he is no longer alive, and record the day, the month and the year of birth in the place indicated on the questionnaire.