Questionnaire Text

Questionnaire form view entire document:  text  image

For all females aged 12 years and older


How many children has this woman given birth to, who were born alive and who have died?

q. Boys ____
r. Girls ____

Questionnaire instructions view entire document:  text  image

The questions in columns (m) to (u) apply to all women and girls aged twelve years and over.

124. Answers are required for all women in this category. It does not matter whether or not they are married, single, divorced or separated; whether or not they are still attending school; whether or not you think they have or have not borne children; or what their relationship to the head of the household -- you must ask the questions of all women and girls aged twelve and over.

125. For males and for girls under twelve years of age, write 'n/a' in column (m) and leave the rest blank.

126. Many women do not like answering questions about their children. There are various reasons for this, but it is your job to obtain the answers. It will require firmness and tact.


136. Then ask,
'Of the children she has borne alive, how many have died?'

137. Many people do not talk of the dead and many others find it painful to talk about their dead children. It is best to ask this question in a matter of fact way and without embarrassment.

138. Write the number of boys who have died in column (q) and the number of girls in column (r). If none of the boys and girls she has borne has died, write '0' in the appropriate column.

139. If, in spite of your best efforts, you cannot obtain this information about the children who have died, write 'refuses' in columns (q) and (r). Do not leave these, or any other columns, blank.

140. You have recorded in columns (m) to (r) details of all the children the woman has borne alive. You are next required to record particulars of her most recent birth, that is the particulars relating to the birth of her last borne child.