Questionnaire Text

Questionnaire form view entire document: text image

IV. Deaths in last 12 months (not including collective households)

D1. Were there any deaths in this household in the last 12 months (circle the number corresponding to the response).

[] 1 Yes
[] 2 No

If yes, get the name of each of the deceased in the household in D3, circle their sex in D4, record their date of birth in D5, their date of death in D6, and their age at death in D7. For the women deceased between ages 12 and 49, ask questions D8 to D10.

Questionnaire instructions view entire document: text image

6.2.4.1 Deaths in the last 12 months (D1)
The enumerator asks the question "Have there been any deaths in your household in the last twelve (12) months? That is to say, since [date] 2008. "

[Omitted example]

Based on the answer given, circle the appropriate code.

a. If the answer to the question is "No," circle "2" and put a line through the table related to deaths in the last twelve months, following the diagonal line and go to the section V (emigration).
b. If the answer to the question is "Yes," circle "1" and continue with the questions. But before completing this table, be sure that the death did in fact occur during the period of twelve months prior to your visit in the household.

Instructions: In the situation where the CM is illiterate, the agent can refer to the lunar month corresponding to the month of the Muslim calendar.

[Pg. 35]

Caution: Avoid attaching the same death in several households. A death must be registered once and in a single household.