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FEMALE GENITAL CUTTING FOR WOMAN'S QUESTIONNAIRE*

GC1) Have you ever heard of female circumcision?**

YES 1 (GO TO GC3)
NO 2

GC2) In some countries, there is a practice in which a girl may have part of her genitals cut. Have you ever heard about his practice?

YES 1
NO 2 (GO TO NEXT SECTION)

GC3) Have you yourself ever been circumcised?

YES 1
NO 2 (GO TO GC9)

GC4) Now I would like to ask you what was done to you at this time. Was any flesh removed from the genital area?

YES 1 (GO TO GC6)
NO 2
DK 8

GC5) Was the genital area just nicked without removing any flesh?

YES 1
NO 2
DK 8

GC6) Was your genital area sewn closed? ***

YES 1
NO 2
DK 8

GC7) How old where you when you were circumcised?

IF THE RESPONDENT DOES NOT KNOW THE EXACT AGE, PROBE TO GET AN ESTIMATE.

AGE IN COMPLETED YEAR: ___
AS A BABY/DURING INFANCY 95
DK 98

GC8) Who performed the circumcision?****

TRADITIONAL
TRAD. CIRCUMCISER 11
TRAD. BIRTH ATTENDANT 12
OTHER TRADITIONAL (SPECIFY): _____ 16
HEALTH PROFESSIONAL
DOCTOR 21
NURSE/MIDWIFE 22
OTHER HEALTH PROFESSIONAL (SPECIFY): _____ 26
DK 98

GC9) CHECK 213, 215 AND 216:

HAS ONE OR MORE LIVING DAUGHTERS BORN IN 1995 OR LATER: ___
HAS NO LIVING DAUGHTERS BORN IN 1995 OR LATER***** ___ (GO TO GC16)

CHECK 213, 215 AND 216: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER AND NAME OF EACH LIVING DAUGHTER BORN IN 1995 OR LATER. ASK THE QUESTIONS OF ALL THESE DAUGHTERS. BEGIN WITH THE YOUNGEST DAUGHTER. (IF THERE ARE MORE THAN 3 DAUGHTERS, USE ADDITIONAL QUESTIONNAIRES).

(NOTE: Data is formatted in a table, with 'youngest living daughter', 'next to youngest living daughter', and 'second to youngest living daughter')

Now I would like to ask you some questions about your daughter/daughters.

GC10) Birth history number and name of each living daughter born in 1995***** or later.

BIRTH HISTORY NUMBER: ___
NAME: ________

GC11) Is (NAME OF DAUGHTER) circumcised?

YES 1
NO 2 (GO TO GC11 FOR NEXT DAUGHTER, OR IF NO MORE DAUGHTERS, GO TO GC16)

GC12) How old was (NAME OF DAUGHTER) when she was circumcised?

IF RESPONDENT DOES NOT KNOW AGE, PROBE TO GET AN ESTIMATE.

AGE IN COMPLETED YEARS: ___
DK 98

GC13) Was her genital area sewn closed?***

YES 1
NO 2
DK 8

GC14) Who performed the circumcision?****

TRADITIONAL
TRADITIONAL CIRCUMCISER 11
TRAD. BIRTH ATTENDANT 12
OTHER TRADITIONAL (SPECIFY) _______ 16
HEALTH PROFESSIONAL
DOCTOR 21
NURSE/MIDWIFE 22
OTHER HEALTH PROFESSIONAL (SPECIFY): ______ 26
DK 98

GC15) GO BACK TO GC11 FOR NEXT DAUGHTER, OR IF NO MORE DAUGHTERS, GO TO GC16.

GC16) Do you believe that female circumcision** is required by your religion?

YES 1
NO 2
NO RELIGION 3
DK 8

GC17) Do you think that female circumcision should be continued, or should it be stopped?

CONTINUED 1
STOPPED 2
DEPENDS 3
DK 8

* Female genital cutting module can be inserted into the woman's questionnaire wherever it is appropriate, and questions should be renumbered accordingly.

** Use local term for female circumcision.

*** This question should be adapted to reflect country-specific methods of infibulation (that is, ways in which the vaginal orifice is narrowed or "closed").

**** Coding categories to be developed locally and revised based on information collected before the survey and on the pretest; however, the broad categories must be maintained. The detailed coding categories for "health professional" are relevant in the countries where health professionals perform a large number of circumcisions.

***** Year of fieldwork is assumed to be 2010. For fieldwork beginning in 2011 or 2012, the year should be 1996 or 1997, respectively.