Survey Text

Afghanistan 2015 Eswatini (Swaziland) 2006 Malawi 2000 Rwanda 2014
Angola 2015 Ethiopia 2000 Malawi 2004 Senegal 1986
Bangladesh 1994 Ethiopia 2005 Malawi 2010 Senegal 1992
Bangladesh 1997 Ethiopia 2011 Malawi 2016 Senegal 1997
Bangladesh 2000 Ethiopia 2016 Mali 1987 Senegal 2005
Bangladesh 2004 Ethiopia 2019 Mali 1995 Senegal 2010
Bangladesh 2007 Ghana 1988 Mali 2001 Senegal 2012
Bangladesh 2011 Ghana 1993 Mali 2006 Senegal 2014
Bangladesh 2014 Ghana 1998 Mali 2012 Senegal 2015
Benin 1996 Ghana 2003 Mali 2018 Senegal 2016
Benin 2001 Ghana 2008 Morocco 1987 Senegal 2017
Benin 2006 Ghana 2014 Morocco 1992 South Africa 1998
Benin 2011 Ghana 2016 Morocco 2003 South Africa 2016
Benin 2017 Guinea 1999 Mozambique 1997 Sri Lanka 1987
Burkina Faso 1993 Guinea 2005 Mozambique 2003 Sudan 1989
Burkina Faso 1998 Guinea 2012 Mozambique 2011 Tanzania 1991
Burkina Faso 2003 Guinea 2018 Myanmar 2015 Tanzania 1996
Burkina Faso 2010 India 1992 Namibia 1992 Tanzania 1999
Burundi 1987 India 1998 Namibia 2000 Tanzania 2004
Burundi 2010 India 2005 Namibia 2006 Tanzania 2010
Burundi 2016 India 2015 Namibia 2013 Tanzania 2015
Cameroon 1991 Jordan 1990 Nepal 1996 Togo 1988
Cameroon 1998 Jordan 1997 Nepal 2001 Togo 1998
Cameroon 2004 Jordan 2002 Nepal 2006 Togo 2013
Cameroon 2011 Jordan 2007 Nepal 2011 Tunisia 1988
Cameroon 2018 Jordan 2009 Nepal 2016 Uganda 1988
Central African Republic 1995 Jordan 2012 Niger 1992 Uganda 1995
Chad 1996 Jordan 2017 Niger 1998 Uganda 2001
Chad 2004 Kenya 1989 Niger 2006 Uganda 2006
Chad 2014 Kenya 1993 Niger 2012 Uganda 2011
Congo (Democratic Republic) 2007 Kenya 1998 Nigeria 1990 Uganda 2016
Congo (Democratic Republic) 2013 Kenya 2003 Nigeria 1999 Yemen 1991
Congo Brazzaville 2005 Kenya 2008 Nigeria 2003 Yemen 2013
Congo Brazzaville 2011 Kenya 2014 Nigeria 2008 Zambia 1992
Cote d'Ivoire 1994 Lesotho 2004 Nigeria 2013 Zambia 1996
Cote d'Ivoire 1998 Lesotho 2009 Nigeria 2018 Zambia 2001
Cote d'Ivoire 2011 Lesotho 2014 Pakistan 1991 Zambia 2007
Egypt 1988 Liberia 1986 Pakistan 2006 Zambia 2013
Egypt 1992 Liberia 2007 Pakistan 2012 Zambia 2018
Egypt 1995 Liberia 2013 Pakistan 2017 Zimbabwe 1988
Egypt 2000 Madagascar 1992 Rwanda 1992 Zimbabwe 1994
Egypt 2003 Madagascar 1997 Rwanda 2000 Zimbabwe 1999
Egypt 2005 Madagascar 2003 Rwanda 2005 Zimbabwe 2005
Egypt 2008 Madagascar 2008 Rwanda 2008 Zimbabwe 2010
Egypt 2014 Malawi 1992 Rwanda 2010 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
Survey form view entire document:  text 
215. In what month and year was (NAME) born?
WRITE EITHER BENGALI 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 1997
Survey form view entire document:  text 
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
Survey form view entire document:  text 
215. In what month and year was (NAME) born?

MONTH ___
YEAR ___

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Bangladesh 2004
Survey form view entire document:  text 
215. In what month and year was (NAME) born?

MONTH ___
YEAR ___

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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 
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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Benin 2017
Survey form view entire document:  text 
215. In what day, month, and year was (NAME) born?

DAY __ __
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
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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Cameroon 2018
Survey form view entire document:  text 
221. Were there any other live births between (NAME OF PREVIOUS BIRTH) and (NAME), including any children who died after birth?

YES 1 (ADD BIRTH)
NO 2 (NEXT BIRTH)

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Central African Republic 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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Chad 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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Chad 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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Chad 2014
Survey form view entire document:  text 
212) What name was given to you (First/Next) baby?

RECORD NAME______________
BIRTH HISTORY NUMBER __ __

01, 02, 03, etc?


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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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Congo Brazzaville 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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Congo Brazzaville 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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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
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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Egypt 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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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
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 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 2003
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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Eswatini (Swaziland) 2006
Survey form view entire document:  text 
222) Have you had any live births since the birth of (NAME OF LAST BIRTH)? IF YES, RECORD BIRTH(S) IN TABLE.

YES 1
NO 2

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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
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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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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Ethiopia 2019
Survey form view entire document:  text 
221. Were there any other live births between (NAME OF PREVIOUS BIRTH) and (NAME), including any children who died after birth?

YES 1 (ADD BIRTH)
NO 2 (NEXT BIRTH)

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

MONTH ___
YEAR _____

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Ghana 2016
Survey form view entire document:  text 
221. Were there any other live births between (NAME) and (NAME OF PREVIOUS BIRTH), including any children who died after birth?

YES (ADD BIRTH) 1
NO (NEXT BIRTH) 2

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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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Guinea 2018
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 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
Survey form view entire document:  text 
321. Were there any other live births between (NAME OF PREVIOUS BIRTH and NAME)?

YES 1
NO 2

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Jordan 2002
Survey form view entire document:  text 
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
Survey form view entire document:  text 
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
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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Jordan 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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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 
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 
221 Were there any other live births between (NAME OF PREVIOUS BIRTH) and (NAME), including any children who died after birth?

YES 1 ADD BIRTH
NO 2 NEXT BIRTH

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Lesotho 2014
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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Liberia 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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Liberia 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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Liberia 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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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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Mali 2018
Survey form view entire document:  text 
221) Were there any other live births between (NAME OF PREVIOUS BIRTH) and (NAME), including any children who died after birth?

YES 1 (ADD BIRTH)
NO 2 (NEXT BIRTH)

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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 
316) In what month and year was (NAME)'s birth?
PROBE: What is he/her birthday?
In what season was he/she born?

MONTH____
YEAR____

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Morocco 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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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 month 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
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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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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Nigeria 2018
Survey form view entire document:  text 
215. On what day, month, and year was (NAME) born?

DAY_____
MONTH _____
YEAR _____

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Pakistan 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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Pakistan 2006
Survey form view entire document:  text 
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 
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 2008

No questionnaire text is available for this sample.


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

MONTH_____
YEAR_____

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

MONTH ____
YEAR ____

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Senegal 2017
Survey form view entire document:  text 
215) In what day, month and year was (NAME) born?

PROBE: What is his/her birthday?

DAY ____
MONTH ____
YEAR ____

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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
Survey form view entire document:  text 
233) In what month and year did the preceding such pregnancy end?

MONTH ____
YEAR ____

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Sri Lanka 1987
Survey form view entire document:  text 
214) In what month and year was (NAME) born?

MONTH____
YEAR____

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

DAY___
MONTH___
YEAR___

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Togo 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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Togo 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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Togo 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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Tunisia 1988
Survey form view entire document:  text 
318) What is the month and year of birth?

MONTH ____
YEAR ____
DON'T KNOW 98

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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 
233) In what month and year did the preceding such pregnancy end?

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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Zambia 2018
Survey form view entire document:  text 
(215) On what day, month, and year was (NAME) born?

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

DAY ___
MONTH ___
YEAR ___