Questionnaire Text

Questionnaire form view entire document:  text  image
[I] Answer question 24 if this person is female and 15-50 years old. Otherwise, skip to question 25a.

24. Has this person given birth to any children in the past 12 months?

[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Answer person question 24 if this person is female and is 15-50 years old.

24. Mark the "Yes" box if the person has given birth to at least one child born alive in the past 12 months, even if the child died or no longer lives with the mother. Do not consider miscarriages, or stillborn children, or any adopted, foster, or stepchildren.