Questionnaire Text

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Form B household questionnaire part 3

Particulars of birth in the last 12 months to women aged 15-49
[Questions 7-9 of this section are to be completed by women aged 15-49 only]

7. Any child born alive to the woman during the last 12 months?

Give actual number like 1, 2 under the appropriate column. If none write 0. If no child was born to the woman in the last 12 months, skip to part 4.

_ _ 7a. Male
_ _ 7b. Female