Questionnaire Text

Questionnaire form view entire document:  text  image
Section V. Characteristics of the population (continued)

29. In what month and year was your last live-born child born?

Month _ _
Year _ _ _ _
Questionnaire instructions view entire document:  text  image
For women of 12 years of age and older
[Questions 27 to 29 are asked of women age 12 or older]

Question 29: In what month and year was your last live-born child born?

The month information should be entered with one or two digits as appropriate.

The year information must be entered in four digits.

The numbering of the months is as follows:

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