Questionnaire Text

Questionnaire form view entire document:  text  image

E. Marriage and fertility
Ask of all ever-married women. Ask questions person by person.
[Questions E1-E11]


For currently married women (A5=code 2 or 5) who are 50 years of age or under.
[Questions E12-E19.]

E14-E15. Knowledge of method of family planning


[Questions E15-E16 was asked of women age 50 or younger who are currently married and know of specific family planning methods, per question E14.]


E15. What methods do you know? (probe) Any others?

If yes (code Y) in E14.

Circle code numbers of all methods known. To interviewer: Do not read methods aloud to the respondent.

[] 1 Pill
[] 2 I. U. D.
[] 3 Condom
[] 4 Withdrawal
[] 5 Sterilization (female)
[] 6 Rhythm
[] 7 Abstinence
[] 8 Sterilization (male)
[] 9 Other (jamu, massage, douche, etc.)

Questionnaire instructions view entire document:  text  image

E. Information on mother's fertility
Ask these questions to women who have ever been married, that is, currently married, widowed or divorced

This part of the questionnaire contains questions about marriage (how many times married), number of children, and some questions about family planning.


Questions E13 through E19 are questions about family planning and are asked only to women who are currently married and are age 50 or younger


Column (4) Known methods to regulate pregnancy if the woman knows about these methods (column 3 code "Y")
If the respondent answers that she knows methods to regulate pregnancies, then ask:

"Which methods do you know?"


Here all methods that she knows should be mentioned. After a respondent has mentioned several methods, asks her if there any others that she knows.
"Are there any other methods that you know?"


In this way all the methods that she knows will be mentioned.

The enumerator should not ever mention the name of any method or explain a method that was not mentioned by the respondent, but should try to get the respondent to recall any other methods that she knows by asking the following:
"Are there any other methods that you know?"
- Circle the code for each method that the respondent knows.

- More than one code can be circled since all methods that the respondent knows should be circled.