Questionnaire Text

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Section I. Deaths of household members during past 12 months (Since April 2005)

67. Did death occur in the household since April 2005?

[] 1 Yes
[] 2 No [If no, go to next household.]
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Part I of the questionnaire
Deaths of the Household Members during the Past 12 Months, Since April 2005

136. State the name, sex, age, and cause of death of all the members of the household that died in the past 12 months, that is since April 2005