Survey Text

Afghanistan 2015 Ethiopia 2016 Mali 1987 Senegal 1986
Angola 2015 Ghana 1988 Mali 1995 Senegal 1992
Bangladesh 1994 Ghana 1993 Mali 2001 Senegal 1997
Bangladesh 1997 Ghana 1998 Mali 2006 Senegal 2005
Bangladesh 2000 Ghana 2003 Mali 2012 Senegal 2010
Bangladesh 2004 Ghana 2008 Morocco 1987 Senegal 2012
Bangladesh 2007 Ghana 2014 Morocco 1992 Senegal 2014
Bangladesh 2011 Guinea 1999 Morocco 2003 Senegal 2015
Bangladesh 2014 Guinea 2005 Mozambique 1997 Senegal 2016
Benin 1996 Guinea 2012 Mozambique 2003 Senegal 2017
Benin 2001 India 1992 Mozambique 2011 South Africa 1998
Benin 2006 India 1998 Myanmar 2015 South Africa 2016
Benin 2011 India 2005 Namibia 1992 Sudan 1989
Burkina Faso 1993 India 2015 Namibia 2000 Tanzania 1991
Burkina Faso 1998 Jordan 1990 Namibia 2006 Tanzania 1996
Burkina Faso 2003 Jordan 1997 Namibia 2013 Tanzania 1999
Burkina Faso 2010 Jordan 2002 Nepal 1996 Tanzania 2004
Burundi 1987 Jordan 2007 Nepal 2001 Tanzania 2010
Burundi 2010 Jordan 2009 Nepal 2006 Tanzania 2015
Burundi 2016 Jordan 2012 Nepal 2011 Tunisia 1988
Cameroon 1991 Jordan 2017 Nepal 2016 Uganda 1988
Cameroon 1998 Kenya 1989 Niger 1992 Uganda 1995
Cameroon 2004 Kenya 1993 Niger 1998 Uganda 2001
Cameroon 2011 Kenya 1998 Niger 2006 Uganda 2006
Congo (Democratic Republic) 2007 Kenya 2003 Niger 2012 Uganda 2011
Congo (Democratic Republic) 2013 Kenya 2008 Nigeria 1990 Uganda 2016
Cote d'Ivoire 1994 Kenya 2014 Nigeria 1999 Yemen 1991
Cote d'Ivoire 1998 Lesotho 2004 Nigeria 2003 Yemen 2013
Cote d'Ivoire 2011 Lesotho 2009 Nigeria 2008 Zambia 1992
Egypt 1988 Lesotho 2014 Nigeria 2013 Zambia 1996
Egypt 1992 Madagascar 1992 Pakistan 1991 Zambia 2001
Egypt 1995 Madagascar 1997 Pakistan 2006 Zambia 2007
Egypt 2000 Madagascar 2003 Pakistan 2012 Zambia 2013
Egypt 2005 Madagascar 2008 Pakistan 2017 Zimbabwe 1988
Egypt 2008 Malawi 1992 Rwanda 1992 Zimbabwe 1994
Egypt 2014 Malawi 2000 Rwanda 2000 Zimbabwe 1999
Ethiopia 2000 Malawi 2004 Rwanda 2005 Zimbabwe 2005
Ethiopia 2005 Malawi 2010 Rwanda 2010 Zimbabwe 2010
Ethiopia 2011 Malawi 2016 Rwanda 2014 Zimbabwe 2015
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Afghanistan 2015
Survey form view entire document:  text 

215. In what month and years was (NAME) born? PROBE: When is his/her birthday?

MONTH___
YEAR______

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Angola 2015
Survey form view entire document:  text 

215) In what day, month and year was (NAME) born?

DAY ____
MONTH____
YEAR____

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Bangladesh 1994

No questionnaire text is available for this sample.


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Bangladesh 1997
Survey form view entire document:  text 

212. What name was given to your (first or next) baby?

NAME ___

215. In what month and year was (NAME) born?
WRITE IN EITHER BENGAL OR ENGLISH DATES, BUT NOT BOTH.
USE CODES AT THE BOTTOM OF THE PAGE FOR MONTHS.

BENGALI 1

MONTH __
YEAR 1___
01 BAISHAK
02 JAISTHA
03 ASHAR
04 SRABAN
05 BADHRA
06 ASHWIN
07 KARTIK
08 AGRAHAYAN
09 POUSH
10 MAGH
11 FALGUN
12 CHOITRA

ENGLISH 2

MONTH __
YEAR 19__
01 JANUARY
02 FEBRUARY
03 MARCH
04 APRIL
05 MAY
06 JUNE
07 JULY
08 AUGUST
09 SEPTEMBER
10 OCTOBER
11 NOVEMBER
12 DECEMBER

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Bangladesh 2000
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211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

212) What name was given to your (first/next) baby?

NAME___

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Bangladesh 2004
Survey form view entire document:  text 

211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.


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Bangladesh 2007
Survey form view entire document:  text 

215) In what month and year was (NAME) born? PROBE: What is his/her birthday?

MONTH____
YEAR____

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Bangladesh 2011
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: When is his/her birthday?

MONTH ________
YEAR _________

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Bangladesh 2014
Survey form view entire document:  text 

212. What name was given to your (first/next) baby?
RECORD NAME. BIRTH HISTORY NUMBER

NAME __________
BIRTH HISTORY NUMBER _____

215. In what month and year was (NAME) born?
PROBE: When is his/her birthday?

MONTH _____
YEAR _____

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Benin 1996
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Benin 2001
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Benin 2006
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Benin 2011
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH ______
YEAR_____

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Burkina Faso 1993
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: What season was (NAME) born in?
IF MONTH/SEASON UNKNOWN, RECORD '98'.

MONTH _____
DOESN'T KNOW 98
YEAR _____
DOESN'T KNOW 98

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Burkina Faso 1998
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Burkina Faso 2003
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Burkina Faso 2010
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Burundi 1987
Survey form view entire document:  text 

214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Burundi 2010
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Burundi 2016
Survey form view entire document:  text 

215) In what month and year was (name) born? PROBE: What is his/her birthday?

MONTH___
YEAR_____

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Cameroon 1991
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Cameroon 1998
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Cameroon 2004
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Cameroon 2011
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Congo (Democratic Republic) 2007
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Congo (Democratic Republic) 2013
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Cote d'Ivoire 1994
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Cote d'Ivoire 1998
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Cote d'Ivoire 2011
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Egypt 1988
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214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Egypt 1992
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH ___
YEAR ___

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Egypt 1995
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215) In what month and year was (NAME) born?
PROBE: What is his/her birthday? Or: In what season was he/she born?

MONTH ______
YEAR _____

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Egypt 2000
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season was he/she born?

MONTH____
YEAR_____

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Egypt 2005
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?
In what season was (NAME) born?

MONTH __ __
YEAR __ __ __ __

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Egypt 2008
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Egypt 2014
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: What is his/her birthday?
In what season was (NAME) born?

MONTH __ __
YEAR __ __ __ __

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Ethiopia 2000
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Ethiopia 2005
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Ethiopia 2011
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Ethiopia 2016
Survey form view entire document:  text 

215. On what day, month, and year was (NAME) born?

DAY ___
MONTH ___
YEAR ___

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Ghana 1988
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214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Ghana 1993
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Ghana 1998
Survey form view entire document:  text 

220. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season/significant event was he/she born?

MONTH ___
YEAR ____

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Ghana 2003
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Ghana 2008
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Ghana 2014
Survey form view entire document:  text 

212) WHAT NAME WAS GIVEN TO YOUR (FIRST/NEXT) BABY?

RECORD NAME_____
BIRTH HISTORY NUMBER____

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Guinea 1999
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Guinea 2005
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Guinea 2012
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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India 1992
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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India 1998
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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India 2005
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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India 2015

No questionnaire text is available for this sample.


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Jordan 1990
Survey form view entire document:  text 

223) FOR EACH BIRTH SINCE JANUARY 1985* ENTER "B" IN MONTH OF BIRTH IN COLUMN 1 OF CALENDAR AND "P" IN EACH OF THE 8 PRECEDING MONTHS. WRITE NAME TO THE LEFT OF THE "B" CODE.

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Jordan 1997
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321. Were there any other live births between (NAME OF PREVIOUS BIRTH and NAME)?

YES 1
NO 2

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Jordan 2002
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224. CHECK 215 AND ENTER THE NUMBER OF BIRTHS IN 1997 OR LATER. IF NONE, RECORD '0'.

225. FOR EACH BIRTH SINCE JANUARY 1997, ENTER 'B' IN THE MONTH OF BIRTH IN COLUMN 1 OF THE CALENDAR, FOR EACH BIRTH, ASK THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF THE PREGNANCY. (NOTE: THE NUMBER OF 'P's MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.) WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE.


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Jordan 2007
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225) FOR EACH BIRTH SINCE JANUARY 2002, ENTER 'B' IN THE MONTH OF BIRTH IN COLUMN 1 OF THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P'S MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.)

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Jordan 2009
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Jordan 2012
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215. In what month and year was (NAME) born?
PROBE: When is his/her birthday?

MONTH ____
YEAR _____

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Jordan 2017
Survey form view entire document:  text 

215) On what day, month, and year was (NAME) born?

DAY ___
MONTH ____
YEAR ____

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Kenya 1989
Survey form view entire document:  text 

214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Kenya 1993
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Kenya 1998
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday? Or: In what season was he/she born?

MONTH ______
YEAR _____

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Kenya 2003
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Kenya 2008
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Kenya 2014
Survey form view entire document:  text 

212) WHAT NAME WAS GIVEN TO YOUR (FIRST/NEXT) BABY?

RECORD NAME_____
BIRTH HISTORY NUMBER____

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Lesotho 2004
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Lesotho 2009
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Lesotho 2014
Survey form view entire document:  text 

216) Is (NAME) still alive?

YES 1
NO 2 (GO TO 220)

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Madagascar 1992
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Madagascar 1997
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Madagascar 2003
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Madagascar 2008
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Malawi 1992
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Malawi 2000
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Malawi 2004
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Malawi 2010
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Malawi 2016
Survey form view entire document:  text 

212. What name was given to your (first/next) baby?

RECORD NAME
BIRTH HISTORY NUMBER
_______

215. In what day, month, and year was (NAME) born?

DAY __ __
MONTH __ __
YEAR __ __ __ __

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Mali 1987
Survey form view entire document:  text 

214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Mali 1995
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Mali 2001
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Mali 2006
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Mali 2012
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Morocco 1987
Survey form view entire document:  text 

315) What name was given to your (first, next) baby?

(NAME): ____

318) MONTH AND YEAR OF BIRTH
IF MONTH NOT KNOWN, ASK THE SEASON:

FALL 21
WINTER 22
SPRING 23
SUMMER 24
MONTH/SEASON: ____
YEAR: ____

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Morocco 1992
Survey form view entire document:  text 

211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

212) What name was given to your (first/next) baby?

NAME __________

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday? Or: In what season was he/she born?

MONTH ______
YEAR _____

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Morocco 2003
Survey form view entire document:  text 

211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

212) What name was given to your (first/next) baby?

NAME___

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Mozambique 1997
Survey form view entire document:  text 

215. In what month and year was (NAME) born?

MONTH____
YEAR____

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Mozambique 2003
Survey form view entire document:  text 

215. In what month and year was (NAME) born?

MONTH____
YEAR____

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Mozambique 2011
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Myanmar 2015
Survey form view entire document:  text 

215) In what month and year was (NAME) born? PROBE: When is his/her birthday?

MONTH___
YEAR___

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Namibia 1992
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Namibia 2000
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Namibia 2006
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Namibia 2013
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Nepal 1996
Survey form view entire document:  text 

220. In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR ____________

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Nepal 2001
Survey form view entire document:  text 

213. Now I would like to record all your pregnancies, whether born alive, born dead, or lost before birth. Start with the first pregnancy you had. RECORD ALL THE PREGNANCIES. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

214. ___

220. In what month any year was (NAME) born?
PROBE: What is his/her birthday?

MONTH __
YEAR ____

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Nepal 2006
Survey form view entire document:  text 

221. In what month and year was name born?

MONTH ___
YEAR ____

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Nepal 2011
Survey form view entire document:  text 

220) In what moth and year was (NAME) born?
PROBE: When is his/her birthday?

MONTH _______
YEAR _______

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Nepal 2016
Survey form view entire document:  text 

215. On what day, month and year was (NAME) born? PROBE: When is his/her birthday?

DAY __
MONTH __
YEAR ____

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Niger 1992
Survey form view entire document:  text 

215) In what month and year was (NAME) born?

PROBE: What is his or her birthday?
OR: In what season was he/she born?

IF MONTH/SEASON UNKNOWN, ENTER '98'.

MONTH: ___
YEAR: ___

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Niger 1998
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Niger 2006
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Niger 2012
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Nigeria 1990
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH __________
YEAR __________

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Nigeria 1999
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season was he/she born?

MONTH ______
YEAR ____

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Nigeria 2003
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Nigeria 2008
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Nigeria 2013
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Pakistan 1991
Survey form view entire document:  text 

211 Now I would like to talk about of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Pakistan 2006
Survey form view entire document:  text 

212) What name was given to your last (next-to-last) baby?

____ (NAME)

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?
RECORD MONTHS 1 THROUGH 12
OR SEASONS

MONTH _____

WINTER 21
SPRING 22
SUMMER 23
MONSOON 24
AUTUMN 25
DON'T KNOW 98

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Pakistan 2012
Survey form view entire document:  text 

214) PREGNANCY HISTORY NUMBER

________

220) In what month and year was (NAME) born?
PROBE: When is his/her birthday?

MONTH ___
YEAR ___

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Pakistan 2017
Survey form view entire document:  text 

212) PREGNANCY HISTORY NUMBER

____

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Rwanda 1992
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Rwanda 2000
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Rwanda 2005
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Rwanda 2010
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Rwanda 2014
Survey form view entire document:  text 

214) Were any of these births twins?

SINGLE 1
MULTIPLE 2

217) IF ALIVE: How old was (NAME) at his/her last birthday?
RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS_____

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Senegal 1986
Survey form view entire document:  text 

214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Senegal 1992
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Senegal 1997
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Senegal 2005
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Senegal 2010
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Senegal 2012
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Senegal 2014
Survey form view entire document:  text 

215. In what day, month, and year was (NAME) born?

DAY __ __
MONTH __ __
YEAR __ __ __ __

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Senegal 2015
Survey form view entire document:  text 

211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECOD NAME OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE ROWS. (IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW.)

212) What name was given to you (first/next) baby?
RECORD NAME.


NAME _____
BIRTH HISTORY NUMBER ____

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?


MONTH ____
YEAR _____


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Senegal 2016
Survey form view entire document:  text 

212) What name was given to you (first/next) baby?
RECORD NAME.

BIRTH HISTORY NUMBER ______

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH ____
YEAR ____

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Senegal 2017

No questionnaire text is available for this sample.


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South Africa 1998
Survey form view entire document:  text 

220 In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season was he/she born?

MONTH ______
YEAR 19___

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South Africa 2016

No questionnaire text is available for this sample.


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Sudan 1989
Survey form view entire document:  text 

214 In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH ______
YEAR _______

SEASON CODES: FALL=21, WINTER=22, SUMMER=23


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Tanzania 1991
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Tanzania 1996
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Tanzania 1999
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Tanzania 2004
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Tanzania 2010
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Tanzania 2015
Survey form view entire document:  text 

212. What name was given to your (first/next) baby?

RECORD NAME
BIRTH HISTORY NUMBER
_______

215. In what day, month, and year was (NAME) born?

DAY __ __
MONTH __ __
YEAR __ __ __ __

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Tunisia 1988

No questionnaire text is available for this sample.


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Uganda 1988
Survey form view entire document:  text 

214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Uganda 1995
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Uganda 2001
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Uganda 2006
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Uganda 2011
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Uganda 2016
Survey form view entire document:  text 

215) On what day, month, and year was (NAME) born?

DAY ____
MONTH ___
YEAR _____

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Yemen 1991

No questionnaire text is available for this sample.


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Yemen 2013
Survey form view entire document:  text 

215) In what month and year was (NAME) born? PROBE: When is his/her birthday?

MONTH____
YEAR____

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Zambia 1992
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
OR: In what season was he/she born?

MONTH _________
YEAR _______

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Zambia 1996
Survey form view entire document:  text 

215. In what month and year was (NAME) born?
PROBE: what is his/her birthday? OR: In what season was he/she born?

MONTH __________
YEAR _____

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Zambia 2001
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Zambia 2007
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Zambia 2013
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Zimbabwe 1988
Survey form view entire document:  text 

214. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH______
YEAR______

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Zimbabwe 1994
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday? Or: In what season was he/she born?

MONTH ______
YEAR _____

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Zimbabwe 1999
Survey form view entire document:  text 

215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Zimbabwe 2005
Survey form view entire document:  text 

215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Zimbabwe 2010
Survey form view entire document:  text 

215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Zimbabwe 2015
Survey form view entire document:  text 

212. What name was given to your (first/next) baby?

RECORD NAME
BIRTH HISTORY NUMBER
_______

215. In what day, month, and year was (NAME) born?

DAY __ __
MONTH __ __
YEAR __ __ __ __