Questionnaire Text

Questionnaire form view entire document: text image

Section IV. Population information

6. Is your mother alive?

[] 1 Alive
[] 2 Dead
[] 3 Doesn't know

Questionnaire instructions view entire document: text image

Question 6: Is the mother of [the respondent] alive?

Specify that this refers to the mother of the person being interviewed and not only to the mother of the head of household.

6. Is the mother of [the respondent] alive?

[] 1 Alive
[x] 2 Dead
[] 3 Does not know