Survey Text

Afghanistan 2015 Egypt 2005 Madagascar 2003 Rwanda 2008
Angola 2015 Egypt 2008 Madagascar 2008 Rwanda 2010
Bangladesh 1994 Egypt 2014 Malawi 2000 Rwanda 2014
Bangladesh 1997 Eswatini (Swaziland) 2006 Malawi 2004 Senegal 2005
Bangladesh 2000 Ethiopia 2000 Malawi 2010 Senegal 2010
Bangladesh 2004 Ethiopia 2005 Malawi 2016 Senegal 2012
Bangladesh 2007 Ethiopia 2011 Mali 1995 Senegal 2014
Bangladesh 2011 Ethiopia 2016 Mali 2001 Senegal 2015
Bangladesh 2014 Ethiopia 2019 Mali 2006 Senegal 2016
Benin 1996 Ghana 1998 Mali 2012 Senegal 2017
Benin 2001 Ghana 2003 Mali 2018 South Africa 1998
Benin 2006 Ghana 2008 Morocco 2003 South Africa 2016
Benin 2011 Ghana 2014 Mozambique 1997 Tanzania 1996
Benin 2017 Ghana 2016 Mozambique 2003 Tanzania 1999
Burkina Faso 1998 Guinea 1999 Mozambique 2011 Tanzania 2004
Burkina Faso 2003 Guinea 2005 Myanmar 2015 Tanzania 2010
Burkina Faso 2010 Guinea 2012 Namibia 2000 Tanzania 2015
Burundi 2010 Guinea 2018 Namibia 2006 Togo 1998
Burundi 2016 India 1998 Namibia 2013 Togo 2013
Cameroon 1998 India 2005 Nepal 1996 Uganda 1995
Cameroon 2004 India 2015 Nepal 2001 Uganda 2001
Cameroon 2011 Jordan 1997 Nepal 2006 Uganda 2006
Cameroon 2018 Jordan 2002 Nepal 2011 Uganda 2011
Central African Republic 1995 Jordan 2007 Nepal 2016 Uganda 2016
Chad 1996 Jordan 2009 Niger 1998 Yemen 2013
Chad 2004 Jordan 2012 Niger 2006 Zambia 1996
Chad 2014 Jordan 2017 Niger 2012 Zambia 2001
Congo (Democratic Republic) 2007 Kenya 1998 Nigeria 1999 Zambia 2007
Congo (Democratic Republic) 2013 Kenya 2003 Nigeria 2003 Zambia 2013
Congo Brazzaville 2005 Kenya 2008 Nigeria 2008 Zambia 2018
Congo Brazzaville 2011 Kenya 2014 Nigeria 2013 Zimbabwe 1994
Cote d'Ivoire 1994 Lesotho 2004 Nigeria 2018 Zimbabwe 1999
Cote d'Ivoire 1998 Lesotho 2009 Pakistan 2006 Zimbabwe 2005
Cote d'Ivoire 2011 Lesotho 2014 Pakistan 2012 Zimbabwe 2010
Egypt 1995 Liberia 2007 Pakistan 2017 Zimbabwe 2015
Egypt 2000 Liberia 2013 Rwanda 2000
Egypt 2003 Madagascar 1997 Rwanda 2005
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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

No questionnaire text is available for this sample.


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Bangladesh 2000

No questionnaire text is available for this sample.


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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.

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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 
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.)

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Benin 1996
Survey form view entire document:  text 
225) CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1993.
IF NONE, RECORD '0'

NUMBER OF BIRTHS____

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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 1998
Survey form view entire document:  text 
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1993:
IF NONE, RECORD '0'.

TOTAL _____

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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 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 1998
Survey form view entire document:  text 
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.

___

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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

No questionnaire text is available for this sample.


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Central African Republic 1995
Survey form view entire document:  text 
225) CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1991
IF NONE, NOTE '0'.

NUMBER OF BIRTHS____

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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 
215) In what month and year was (NAME) born?
PROBE: What 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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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 
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.

___

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Cote d'Ivoire 1998
Survey form view entire document:  text 
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.

___

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Cote d'Ivoire 2011
Survey form view entire document:  text 
224) CHECK 215:
ENTER THE NUMBER OF BIRTHS IN 2005(1) OR LATER.

NUMBER OF BIRTHS____
NONE 0 (GO TO 226)

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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?
In what season was (NAME) born?

MONTH __________
YEAR __________
OR SEASON _______

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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

No questionnaire text is available for this sample.


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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

No questionnaire text is available for this sample.


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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.


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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 
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.


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Ghana 2016
Survey form view entire document:  text 
216. On what day, month, and year was (NAME) born?

DAY ______
MONTH _______
YEAR _____

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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'.

___

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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.

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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 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

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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
Survey form view entire document:  text 
215. In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH __ __

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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_____

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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______

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Jordan 2007

No questionnaire text is available for this sample.


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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 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 __________

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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 
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)

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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

No questionnaire text is available for this sample.


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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 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.

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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 1997
Survey form view entire document:  text 
225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.

___

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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 
224 CHECK 215 AND ENTER THE NUMBER OF BIRTHS IN 2001 (1) OR LATER.
IF NONE, RECORD '0' AND GO TO 226.

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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 
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. )

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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

No questionnaire text is available for this sample.


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Morocco 2003

No questionnaire text is available for this sample.


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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.

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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 2000
Survey form view entire document:  text 
224) CHECK 214 AND ENTER THE NUMBER OF BIRTHS IN 1995 OR LATER. IF NONE, RECORD '0'.

___

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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

No questionnaire text is available for this sample.


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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 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 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 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 
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.

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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.


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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 
224) CHECK 215: ENTER THE NUMBER OF BIRTHS IN 2009 OR LATER.

NUMBER OF BIRTHS_____
NONE 0 (GO TO 226)

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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 
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)


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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

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

DAY ____
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 
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.)

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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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Uganda 1995
Survey form view entire document:  text 
225) CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1991. IF NONE, RECORD '0'.

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Uganda 2001
Survey form view entire document:  text 
224) CHECK 214 AND ENTER THE NUMBER OF BIRTHS IN 1995 OR LATER. IF NONE, RECORD '0'.

___

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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 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 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 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 
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. )