Questionnaire Text

Questionnaire form view entire document:  text  image

24. In what month and year was your last live-born child born?
Month _ _
Year _ _ _ _
Questionnaire instructions view entire document:  text  image

For women aged 12 and older
[Applies to questions 22-25]


Question 24: In what month and year was your last live-born child born?
The information corresponding to month should be recorded using one or two digits, as appropriate.
The information corresponding to the year should be recorded using four digits.
Reminder
Number the months as follows:

[] 1 January
[] 2 February
[] 3 March
[] 4 April
[] 5 May
[] 6 June
[] 7 July
[] 8 August
[] 9 September
[] 10 October
[] 11 November
[] 12 December