Questionnaire Text

Questionnaire form view entire document:  text  image

6. During the last 12 months was there any deaths occurred in this HH?
[] 1 Yes
[] 2 No (go to Individual Information)


7. If yes, give the description of deceased persons.
[Question 7 was asked of households that had deaths in the household during the last 12 months, per question 6.]

Sex

[] 1 Male
[] 2 Female