Questionnaire Text
Questionnaire form
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5. Is your mother alive?
[] 1 Yes
[] 2 No
[] 3 Doesn't know
Questionnaire instructions
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Question Number 5: Is your mother alive?
Mark with an "X" the corresponding circle without considering if the mother lives in the same dwelling of the person being enumerated or not. For adopted children or those raised there, this question refers to the mother who gave birth to them.