Questionnaire Text

Questionnaire form view entire document:  text  image
Deaths occurred during the last 12 months
[Columns D02 - D09 were asked of households that answered "Yes" in D01A.]

(D01A) Has there been any deaths in the household during the last 12 months?

Circle the appropriate code and record in the right-hand box.

[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
E- Deaths occurring in last 12 months

Question D01A: Have there been any deaths in the household in the last 12 months?

Pose the following question: - "Have there been any deaths in the household in the last 12 months? (since November 1st, 2009)?"

- If the response to this question is no, circle code 2 and record it in the corresponding box. To the question D01B put a dash in the corresponding box. Then put a big dash on the rest of the page and go to the part "characteristics of the habitat" on the last page of the questionnaire.

- If the response to this question is yes, circle code 1 and record it in the corresponding box then pass to the following question (D01B).