Questionnaire Text

Questionnaire form view entire document:  text  image
Part 1. Information on household members

KT6. Check Q3, Q4, and Q5 to define women aged from 10 to 49 (born since April 1969 to March 2009) then go to Q34; otherwise next person.

34. Have you ever given birth?

(Given birth: only count on live births)

[] 1 Given birth
[] 2 Not given birth (proceed to next person)

37. Were there any instances where you gave birth to a living child but they later died? If yes, what is the number of sons and daughters who died?

_ _ No. of sons
_ _ No. of daughters
Questionnaire instructions view entire document:  text  image
Part V: Instructions on how to question and record information on the census form

Part 1: Information about members of the household
Part 1 of the Census form consists of 41 questions, numbered sequentially from Question 1 to Question 41.

The respondent is the head of the household or a person knowledgeable about members of the household. For information on employment and birth history of women, DTV needs to interview DTDT face-to-face and collect information. In addition, for other information about members of the household, if the head of the household or the information provider is not knowledgeable, DTV also needs to interview DTDT face-to-face and record the information.

Test 6 (KT6)
The test question is intended to identify female members of the household from 10 to 49 years old (female, born from April 1969 to March 2009) to ask Question 34; for the remaining cases, DTV asks the next person.

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In case the month of birth cannot be identified (the month of birth in Question 4 is recorded as "98"), DTV proceeds to Question 34 for women born between 1970 and 2009.

Question 37: Did you have any children born alive but then deceased? IF SO: give the number of deceased sons and daughters.
DTV asks about the children born alive to DTDT but passed away before the time of the census. This is a sensitive question, DTV needs to interview slowly and carefully, especially in cases where the DTDT's children were born alive but passed away at an early age.

DTV records DTDT's answer in the blank box. If there is no son or daughter born alive to DTDT but deceased before the time of the census, DTV records "00" in two corresponding boxes (for electronic form, record "0").

DTV must not leave a blank in any of the large boxes in the response sections of Questions 35, 36, and 37.