Survey Text
Afghanistan 2015
Survey form
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text
215. In what month and years was (NAME) born? PROBE: When is his/her birthday?
MONTH___
YEAR______
Angola 2015
Survey form
view entire document:
text
215) In what day, month and year was (NAME) born?
DAY ____
MONTH____
YEAR____
Bangladesh 1994
No questionnaire text is available for this sample.
Bangladesh 1997
No questionnaire text is available for this sample.
Bangladesh 2000
No questionnaire text is available for this sample.
Bangladesh 2004
Survey form
view entire document:
text
225) FOR EACH LIVE BIRTH SINCE JANUARY 1995, 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 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.
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____
Bangladesh 2011
Survey form
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text
215) In what month and year was (NAME) born?
PROBE: When is his/her birthday?
MONTH ________
YEAR _________
Bangladesh 2014
Survey form
view entire document:
text
225. (C) FOR EACH BIRTH SINCE JANUARY 2009, ENTER 'B' IN THE MONTH OF BIRTH IN 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.)
Benin 1996
Survey form
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text
225) CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1993.
IF NONE, RECORD '0'
NUMBER OF BIRTHS____
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: ___
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 _______
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_____
Benin 2017
Survey form
view entire document:
text
215. In what day, month, and year was (NAME) born?
DAY __ __
MONTH __ __
YEAR __ __ __ __
Burkina Faso 1998
Survey form
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text
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1993:
IF NONE, RECORD '0'.
TOTAL _____
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: ___
Burkina Faso 2010
Survey form
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text
215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Burundi 2010
Survey form
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text
215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
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_____
Cameroon 1998
Survey form
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text
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.
___
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: ___
Cameroon 2011
Survey form
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text
215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Cameroon 2018
No questionnaire text is available for this sample.
Central African Republic 1995
Survey form
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text
225) CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1991
IF NONE, NOTE '0'.
NUMBER OF BIRTHS____
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 _____
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 __ __ __ __
Chad 2014
Survey form
view entire document:
text
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH __ __
YEAR __ __ __ __
Congo (Democratic Republic) 2007
Survey form
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text
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH _________
YEAR _______
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_____
Congo Brazzaville 2005
Survey form
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text
215) In what month and year was (NAME) born? PROBE: What is his/her birthday?
MONTH ____
YEAR _______
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_________
Cote d'Ivoire 1994
Survey form
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text
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.
___
Cote d'Ivoire 1998
Survey form
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text
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.
___
Cote d'Ivoire 2011
Survey form
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text
224) CHECK 215:
ENTER THE NUMBER OF BIRTHS IN 2005(1) OR LATER.
NUMBER OF BIRTHS____
NONE 0 (GO TO 226)
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 _____
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_____
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_____
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 __ __ __ __
Egypt 2008
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 __________
OR SEASON _______
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 __ __ __ __
Eswatini (Swaziland) 2006
No questionnaire text is available for this sample.
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: ___
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 _______
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_____
Ethiopia 2016
Survey form
view entire document:
text
215. On what day, month, and year was (NAME) born?
DAY ___
MONTH ___
YEAR ___
Ethiopia 2019
No questionnaire text is available for this sample.
Ghana 1998
Survey form
view entire document:
text
213. Now I would like to ask you about all of your pregnancies, whether born alive, born dead, or lost pregnancy, starting with the first one you had.
RECORD ALL THE PREGNANCIES. RECORD TWINS AND TRIPLETS ON SEPARATE LINES. IF THERE ARE MORE THAN 11 PREGNANCIES, USE ADDITIONAL QUESTIONNAIRES.
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: ___
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 _______
Ghana 2014
Survey form
view entire document:
text
235) ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2009.
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.
Ghana 2016
Survey form
view entire document:
text
216. On what day, month, and year was (NAME) born?
DAY ______
MONTH _______
YEAR _____
Guinea 1999
Survey form
view entire document:
text
224) CHECK 214 AND ENTER THE NUMBER OF BIRTHS IN 1995 OR LATER. IF NONE, RECORD '0'.
___
Guinea 2005
Survey form
view entire document:
text
224 CHECK 215 AND ENTER THE NUMBER OF BIRTHS IN 2001 (1) OR LATER.
IF NONE, RECORD '0' AND GO TO 226.
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_____
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___
India 1998
Survey form
view entire document:
text
222) Have you had any live births since the birth of (NAME OF LAST BIRTH)?
YES 1
NO 2
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 _______
India 2015
Survey form
view entire document:
text
215. In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH __ __
Jordan 1997
Survey form
view entire document:
text
315. In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH_____
YEAR_____
Jordan 2002
Survey form
view entire document:
text
215. In what month and year was (NAME) born? PROBE: What is his/her birthday?
MONTH___
YEAR______
Jordan 2007
No questionnaire text is available for this sample.
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 ____
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 _____
Jordan 2017
Survey form
view entire document:
text
215) On what day, month, and year was (NAME) born?
DAY ___
MONTH ____
YEAR ____
Kenya 1998
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 __________
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___
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 _______
Kenya 2014
Survey form
view entire document:
text
224) CHECK 215: ENTER THE NUMBER OF BIRTHS IN 2009 OR LATER
NUMBER OF BIRTHS IN 2009 OR LATER ___ (GO TO 224)
NONE 0 (GO TO 226)
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: ___
Lesotho 2009
No questionnaire text is available for this sample.
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 ____
Liberia 2007
Survey form
view entire document:
text
224 CHECK 215 AND ENTER THE NUMBER OF BIRTHS IN 2001 (1) OR LATER.
IF NONE, RECORD '0' AND GO TO 226.
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_____
Madagascar 1997
Survey form
view entire document:
text
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.
___
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: ___
Madagascar 2008
Survey form
view entire document:
text
224 CHECK 215 AND ENTER THE NUMBER OF BIRTHS IN 2001 (1) OR LATER.
IF NONE, RECORD '0' AND GO TO 226.
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___
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___
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 _______
Malawi 2016
Survey form
view entire document:
text
225. FOR EACH BIRTH IN 2010-2015. ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED 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. )
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 _____
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: ___
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 _______
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_____
Mali 2018
No questionnaire text is available for this sample.
Morocco 2003
No questionnaire text is available for this sample.
Mozambique 1997
Survey form
view entire document:
text
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1994. IF NONE, RECORD '0' AND GO TO 227.
Mozambique 2003
Survey form
view entire document:
text
215. In what month and year was (NAME) born?
MONTH____
YEAR____
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_____
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___
Namibia 2000
Survey form
view entire document:
text
224) CHECK 214 AND ENTER THE NUMBER OF BIRTHS IN 1995 OR LATER. IF NONE, RECORD '0'.
___
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 _______
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_____
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 ____________
Nepal 2001
No questionnaire text is available for this sample.
Nepal 2006
Survey form
view entire document:
text
221. In what month and year was name born?
MONTH ___
YEAR ____
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 _______
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 ____
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 _____
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 _______
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_____
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 ____
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: ___
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 _______
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_____
Nigeria 2018
Survey form
view entire document:
text
215. On what day, month, and year was (NAME) born?
DAY_____
MONTH _____
YEAR _____
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
Pakistan 2012
Survey form
view entire document:
text
233) FOR EACH BIRTH SINCE JANUARY 2007, ENTER 'B' IN THE MONTH OF BIRTH IN 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 THE PREGNANCY LASTED.) CHECK 227 FOR EACH PREGNANCY THAT DID NOT END IN A LIVE BIRTH. CHECK 228. IF YES (CODE '1' CIRCLED), ENTER 'A' FOR ABORTION OR 'C' (IF CODE '2' CIRCLED) FOR MISCARRIAGE OR 'S' FOR STILLBIRTH, IN CALENDAR IN THE MONTH THAT THE PREGNANCY TERMINATED AND 'P' FOP THE REMAINING NUMBER OF COMPLETED MONTHS OF PREGNANCY.
Pakistan 2017
Survey form
view entire document:
text
225) FOR EACH BIRTH IN 2012-2018, ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED 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.)
CHECK 220AC FOR EACH PREGNANCY THAT DID NOT END IN A LIVE BIRTH. CHECK 220AD. IF YES (CODE '1' CIRCLED), ENTER 'A' FOR ABORTION OR 'C' (IF CODE '2' CIRCLED) FOR MISCARRIAGE OR 'S' FOR STILLBIRTH, IN CALENDAR IN THE MONTH THAT THE PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS OF PREGNANCY.
IF THERE ARE MORE THAN FOUR PREGNANCIES THAT DID NOT END IN A LIVE BIRTH, USE AN ADDITIONAL QUESTIONAIRRE STARTING ON THE SECOND LINE.
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: ___
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 _______
Rwanda 2008
No questionnaire text is available for this sample.
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_____
Rwanda 2014
Survey form
view entire document:
text
224) CHECK 215: ENTER THE NUMBER OF BIRTHS IN 2009 OR LATER.
NUMBER OF BIRTHS_____
NONE 0 (GO TO 226)
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: ___
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_____
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_____
Senegal 2014
Survey form
view entire document:
text
215. In what day, month, and year was (NAME) born?
DAY __ __
MONTH __ __
YEAR __ __ __ __
Senegal 2015
Survey form
view entire document:
text
225) C: FOR EACH BIRTH SINCE JANUARY 2010, ENTER B IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE CODE B 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 PS MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.)
226) Are you pregnant now?
YES 1
NO 2 (GO TO 230)
UNSURE 8 (GO TO 230)
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 ____
Senegal 2017
No questionnaire text is available for this sample.
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___
South Africa 2016
Survey form
view entire document:
text
215) On what day, month, and year was (NAME) born?
DAY ____
MONTH ____
YEAR ____
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 _____
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: ___
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___
Tanzania 2010
Survey form
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Tanzania 2015
Survey form
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225) FOR EACH BIRTH IN 2010-2016, ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED 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.)
Togo 1998
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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 _____
Togo 2013
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Uganda 1995
Survey form
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225) CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1991. IF NONE, RECORD '0'.
Uganda 2001
Survey form
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224) CHECK 214 AND ENTER THE NUMBER OF BIRTHS IN 1995 OR LATER. IF NONE, RECORD '0'.
___
Uganda 2006
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215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH _________
YEAR _______
Uganda 2011
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Uganda 2016
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215) On what day, month, and year was (NAME) born?
DAY ____
MONTH ___
YEAR _____
Yemen 2013
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215) In what month and year was (NAME) born? PROBE: When is his/her birthday?
MONTH____
YEAR____
Zambia 1996
Survey form
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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 _____
Zambia 2001
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215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH: ___
YEAR: ___
Zambia 2007
Survey form
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215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH _________
YEAR _______
Zambia 2013
Survey form
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Zambia 2018
Survey form
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(215) On what day, month, and year was (NAME) born?
DAY _____
MONTH _____
YEAR _____
Zimbabwe 1994
Survey form
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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 _____
Zimbabwe 1999
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215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH___
YEAR___
Zimbabwe 2005
Survey form
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215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?
MONTH _________
YEAR _______
Zimbabwe 2010
Survey form
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Zimbabwe 2015
Survey form
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225. FOR EACH BIRTH IN 2010-2015. ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED 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. )