Questionnaire Text

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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]


[Questions 32-33 were asked of ever married females ages 12-49 who ever gave birth.]


33. Did you have children who died before reaching 1 year of age in the preceding year? If any, how many?

(Since 20 October, 1984 -- i.e., since last autumn)

_____

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)


(Ask questions 31-33 to women who experienced a live birth [according to] question 30)


(Ask questions 32-33 to "Married", "Widowed", and "Divorced" women age 12-49)


Question 33: During the last year did you have any children that died before they reached the age of one, and if so how many?

Write in numeric form into the space for the answer, the number of children (girl, boy) the woman being administered the census had from last autumn (October 20, 1984) to the present, who died before reaching 1 year.

If more than one had died during the last year (including twins and triplets), write the number the same way. If the woman to whom the census is administrated had no child who had died before reaching one year of age during the last year, enter "0" for this question.