Questionnaire Text

Questionnaire form view entire document:  text  image

Questions 15-17 are only for women 12 years of age and older


16. Of the total children born alive, how many are currently alive?

____ Currently alive
[] None

Questionnaire instructions view entire document:  text  image

Questions 15-17 are only for women 12 yrs of age and older


Question No.16

[Children currently alive]
[The instructions refer to a graphic of section VI, question 16 on the census form.]

-- Write down, in the space provided, the number of children that are alive currently.

-- If the answer is none, fill in the appropriate cell.