M-00 Death occurred
Has any member of this household passed away in the last 12 months (between 9 October 2010 and 9 October 2011)?
Mark the appropriate circle with an X.
1. Yes
2. No
3. Do not know
If 2 or 3, Questionnaire completed
M-00a Number of deaths
How many members of the household passed away in the last 12 months (between 9
October 2010 and 9 October 2011)?
_ _
11. Section I: Mortality (remember to follow instructions)
Purpose: Provides an estimation of mortality in the country which helps in population projections.
This section must be completed for every household.