## Questionnaire Text

Questionnaire form view entire document:  text  image
For Females 12 Years and Older ? Fertility
(Own children ever born alive)

27. Of the children born to you alive:
a. How many are still living with you? How many of these are male and how many are female?

Total: _____
Male:____
Female:_____

b. how many are living elsewhere in some other household? How many of these are male and how many are female?

Total: _____
Male:____
Female:_____

c. how many died? How many of these are male and how many are female?

Total: _____
Male:____
Female:_____
Questionnaire instructions view entire document:  text  image
5.8 Fertility: for females 12 years and older

You are about to start a new topic so you have to prepare the respondent by informing her that you are now going to ask her questions about children and child bearing. Remember these are questions to be asked of female adults and not for husbands to answer for their wives, except where it is inevitable. Questions on fertility are to be asked only of those females who are 12 years and older and they involve only their own children.

P29: Live Births
This is a child who, after being delivered showed signs of life, like crying, movement by involuntary reflexes, etc. If a child never showed any of these actions when it was born, then it was not a live birth. Married females tend to leave out children from earlier marriages. These are also supposed to be included for all the questions. Shade first box for YES and the second for No. If the answer is NO, skip to Question P-33.

P30: Of The Children Born To You Alive How Many....?
The number of male and female children ever born alive to this female is to be recorded separately in three different categories. These are

a. Still living and still at home with the respondent (i.e staying in the same household with the respondent);
b. Still living but staying with some other households" e.g other relatives, married off, in institutions etc.; and
c. Those who have since died (regardless of whether the death took place just after or much later in life).

If a woman is visiting, then the question of "still living with you" should be asked with respect to her usual place of residence. That is about children she normally stays with. Enter the number of children as reported by sex in two digits e.g. if 1 male child is living with her shade 0 in the first column and I in the second column under male. If the answer is none, enter 00 and shade the 2 zeros in the two columns. Never leave a column blank.