Questionnaire Text

Questionnaire form view entire document:  text  image

Part IV: Questions on personal characteristics


Fertility
(Ask married, widowed and divorced females age 12 or older)
[Questions 30-33 were asked of ever married females age 12 or older]


30. Number of children alive or dead you have given birth to whether male or female ____

Questionnaire instructions view entire document:  text  image

Section IV: Questions regarding individual characteristics (11-42)
This section includes questions (questions 11-42) about the population's social and economic characteristics. In this section, only write the characteristics of those people present at the time and place where the census is being conducted.
Whether or not the household head is at home, be absolutely sure to begin by first writing his/her name and surname on the first line of Section IV, together with all of his/her characteristics (from question 11 to question 42). Take care that the household head's name and surname entered in this section is identical to the one written in in the first line of Section III.
After writing down all of the characteristics of the household head, whether he/she is at home or not, also write down all the characteristics of the other household members at home, beginning from the oldest and proceeding in order of age, from oldest to youngest. After the household members, write onto the dotted line in printed letters, in order of their ages, the names surnames and all the characteristics of those, who, while being present at home, are not household members. Answer questions with a box, by placing an "X" into it.


(Questions 29-42 are for persons age 12 or older)


Fertility status (30 - 33)
(Married, widowed, or divorced women age 12 or older)


Question 30: How many girls or boys have you given live birth to, whether they remain alive or dead to this day?

Write in numeric form into the space for the answer, the number of the woman's live male and female births until the moment of the census, whether they are still alive or dead at that time. Write "0" for women who did not experience any live births.

Live birth: Showing a sign of life by taking in at least one breath at the moment of birth.