Questionnaire Text

Questionnaire form view entire document:  text  image
D1. Did a death occur in this household in the last 12 months?

[] 1 Yes (answer questions D2, D3, D4 and D5)
[] 2 No
[] 3 Don't know
Questionnaire instructions view entire document:  text  image
Section 5 -- Deaths in the household

189. Questions D1 to D5 are asking about deaths of a usual member of the household, which took place in the 12 months prior to the Census night, i.e. those that occurred after 4th December, 2003. This is irrespective of whether the person died in that household, in another household or in a health institution. Include children who died when they were very young but exclude stillbirths.

D1 - Occurrence of death in the last 12 months
190. Ask: "Did a usual household member die in the last 12 months?" Record the appropriate code in the box provided. If a death occurred in the household, record "1" in the box, and then ask [questions] D2, D3, D4 and D5.

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191. If nobody died in the household, record "2", end the interview and check your work properly, particularly to ensure that all questions have been asked and answers recorded.

192. If the answer is "Don't know", record "3", end the interview and check your work properly, particularly to ensure that all questions have been asked and answers recorded.

193. It is important that you know that the question you are asking the person is very sensitive. You should know how to handle the person who has lost somebody by sympathizing with him or her and at the same time informing him or her that the information you are collecting is necessary for the census.

D2 -- Name of deceased
194. Ask for and record the names of the deceased persons in the space provided.

195. In cases where babies die before they are given a name, record as "Baby boy" or "Baby girl".


Section 5: Deaths in the household

D1 Did a death occur in this household in the last 12 months?

[] 1 Yes answer questions D2, D3, D4, and D5)
[] 2 No
[] 3 Don't know