Questionnaire Text

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IV. Population information

5. Only for women fifteen years of age and older:

How many have died?

____ Deceased
[] 00 None
[] 99 Unknown
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IV. Information about the Population


5. Fertility
These questions will be asked only of the women who are 15 years old and more, whatever her marital status (single, married, consensual union, widows, or separated).

You should note the total of children born alive that each woman 15 years old and more has had.
* Children born alive: These are the ones that at birth gave some sign of life, even if it was momentary (breathe, cry, move). You should note all of the children born alive, whether they were legitimate, illegitimate or natural, those born within the current marriage or union of the enumerated woman; those born in previous unions or marriages.

Also ask and note:

- How many of your children live in this house?
- How many live elsewhere?
- How many have died?


The sums of these three bits of information should be equal to the total of children born alive that the informant has declared. If it is different, try to determine the cause and correct the error.

In addition ask, what is the month and year of the birth of the last child born alive and if this child is currently alive.

These questions, whenever possible, should be done in private form and of each woman individually. Do not forget to ask these questions even of the unmarried women, even if you can suppose that they have not had children.

5. Only for women who are fifteen years old and more

How many children have you had who were born alive?

Of these:

How many live in this house?
How many live elsewhere?
How many have died?
When was your last child born?
Is this child still alive?

(Women fifteen years old and more)
Total of children ___ / [] 00 None / [] 99 Not known
In this house ___ / [] 00 None / [] 99 Not known
Elsewhere ___ / [] 00 None / [] 99 Not known
Dead ___ / [] 00 None / [] 99 Not known

Last child: Month ____ Year ____
Alive? [] 1 Yes / [] 2 No