Questionnaire Text

Questionnaire form view entire document: text image

M2. Specify the sex and age of the deceased

Death no. ____

Questionnaire instructions view entire document: text image

Deaths in the household in the last 12 months
Regarding the number of people who died in the household in the last 12 months. Do not forget children (younger than one year old, July 2007 to June 2008).

You should be very careful on how to phrase the question. Example: "Is there any usual member of the household who died during the last 12 months, i.e. since July 2007?"

M1. Deaths that occurred in the household
If there are deaths that occurred within the last 12 months (since July 2007), shade 1 for "Yes" and proceed to ask question M2. If there are no deaths, skip to section MM.