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.]

(D01B) Number of deaths

If yes, how many? _

If not, put a dash in the box above, delete the rest of the page and go to H01 (Habitation)
Questionnaire instructions view entire document:  text  image
E- Deaths occurring in last 12 months

Question D01B: Number of deaths

Pose the question: "How many deaths have there been in the household in the last 12 months?"

Record the number of deaths in the corresponding box. In this case columns D02 to
D08 are to be completed.