Questionnaire Text

Questionnaire form view entire document:  text  image

1. From January 1, 2004 until now, did any member of this household die? Do not forget to note the deaths of any newborns or elderly persons.
[] 1 Yes

How many? _ _

56[] 2 No (continue to section VI-A)
Questionnaire instructions view entire document:  text  image

Question 1. From January 1, 2004 until now, did any member of this household die?

Remember to write the deaths of newborns and the elderly.

Mark an "X" next to the option stated by the informant.

If the answer is "Yes", ask "How many?" Write the number and continue the interview.

If the answer is "No", go to section VI-A, "List of persons who make up the household".

You must respect the reference period defined in the question;

It doesn't matter if the death occurred in the dwelling, in a hospital or any other place, including another municipality or country.