Questionnaire Text

Questionnaire form view entire document: text image

For women age 14 or older
[Questions 19-25 were asked of women age 14 or older]

22. What is the date of birth of the woman's last live-born child (day/month/year)? _ _ / _ _ / _ _

Questionnaire instructions view entire document: text image

Questions only for women who are age 14 or older
This series of questions will only be asked of women age 14 or older. For the case of all of the females younger than 14 and all males of any age, you will annul the questions from 19 to 25 by making a diagonal line through each of the boxes.

Question 22: What is the date of birth of the woman's last live-born child?
You should note, in numerical format, the day, month, and year in which the last child was born alive whether or not the child is alive or has died.

For example, if the child was born on the 28 of October, 1958, you will note it like this: 28/10/58

In regard to the year, you will only note the last two digits.

Note: In this question, the informant can confuse the youngest son or daughter that is currently alive. You should clearly make the distinction that this is the date of the last child that was born alive even if this child is deceased.