Questionnaire Text

Questionnaire form view entire document:  text  image
Part C: Anyone 15 years and older is requested to fill-in both pages


[Questions 14-38 were asked of people 15 years or older.]


20. Did you bear any children?

For women only; men should proceed to question 21.
[Question 20 was asked of women age 15+]

Please include any children born alive, even if they are no longer alive.

[] 1. I did not bear any children
[] 2. I had children. Please specify the number of children: _ _

Questionnaire instructions view entire document:  text  image
10. Question 20

20. Did you bear any children?

For women only -- Men should proceed to question 21

Include children born alive even if they are no longer alive.

[] 1 I did not bear any children
[] 2 Yes, I did bear children > Write the number of children _ _

The question is for women only. Number of children means all the children the woman gave birth to, including children from previous marriage, and children who died. Do not include abortion and stillborn.