Questionnaire Text

Questionnaire form view entire document:  text  image
E. Females aged 12 years and above
[Questions 28-32 were asked of females aged 12+]

Fertility in the last 12 months for women aged 12 to 49 years

32. How many of the male/female children born alive in the last 12 months are still alive?

_ Male
_ Female

If there is no child surviving, write and shade '0'.
Questionnaire instructions view entire document:  text  image
Question 28 to 32 aims to understand the fertility trends in our communities, including child born alive but died [i.e., stillbirth and neonatal or perinatal deaths], and children born alive in the past twelve months and whether they're still alive.

Explanation/clarification of the question: The purpose of these questions is to get the fertility rate in the country.