Questionnaire Text

Questionnaire form view entire document:  text  image
Chapter C. Household information

24. In which month did that person die?

____ Month
Questionnaire instructions view entire document:  text  image
C. Information about the household

Questions 23, 24, 25 26, 27: General and maternal mortality.

These questions permit us to capture the deaths occurred in the household, especially maternal deaths and their characteristics in the period considered.

24. In what month did this person die?

You should complete this box with numbers. If the month is August, you should write "08".