Questionnaire Text

Questionnaire form view entire document:  text  image

V. Information on members of the household


1. All persons


6. Is your mother alive?

[] 1 Yes
[] 2 No
[] 3 Unknown

Questionnaire instructions view entire document:  text  image

6. Information about the mother of the family
Is the mother of the family alive?
The existence of the mother of the family should be investigated, no matter where she lives, whether she lives in the household enumerated or in another place within or outside the country.