Questionnaire Text

Questionnaire form view entire document:  text  image

For all females aged 12 years and older

Particulars of her last birth:

When was her last child borne?
s. Year ____
t. Month ____
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.


141. Ask,
'In what year was her last child borne?'

142. Record the year of birth in column (s). For the years 1960 to 1979 state the year, but if the child was borne before 1960 and the exact year is not known you may write '1959'.

143. If the child was born in 1975, 1976, 1977, 1978 or 1979, ask,
'In what month of the year was it borne?'

144. Record the month in column (t). If the child was born in 1974 or before you need not record the month of birth.

145. Then ask,
'Was it a boy or a girl?'

146. Record the sex of the last borne child in column (u). Write 'M' for males and 'F' for females. If they were male twins, write '2M'; if female twins, write '2F'; if twins with one of each sex, write 'MF' and so on.

147. If the last borne child is alive and is living with the mother in the household, check that the year of birth agrees with the age of the child which you have recorded in column (d). If the dates do not agree, find out what has gone wrong and make any correction that is necessary.