Survey Text

Afghanistan 2015 Ghana 1993 Mali 2012 Senegal 2010
Angola 2015 Ghana 1998 Morocco 1987 Senegal 2012
Bangladesh 1994 Ghana 2003 Morocco 1992 Senegal 2014
Bangladesh 1997 Ghana 2008 Morocco 2003 Senegal 2015
Bangladesh 2000 Ghana 2014 Mozambique 1997 Senegal 2016
Bangladesh 2004 Guinea 1999 Mozambique 2003 Senegal 2017
Bangladesh 2007 Guinea 2005 Mozambique 2011 South Africa 1998
Bangladesh 2011 Guinea 2012 Myanmar 2015 South Africa 2016
Bangladesh 2014 India 1992 Namibia 1992 Sri Lanka 1987
Benin 1996 India 1998 Namibia 2000 Tanzania 1991
Benin 2001 India 2005 Namibia 2006 Tanzania 1996
Benin 2006 India 2015 Namibia 2013 Tanzania 1999
Benin 2011 Jordan 1990 Nepal 1996 Tanzania 2004
Burkina Faso 1993 Jordan 1997 Nepal 2001 Tanzania 2010
Burkina Faso 1998 Jordan 2002 Nepal 2006 Tanzania 2015
Burkina Faso 2003 Jordan 2007 Nepal 2011 Togo 1998
Burkina Faso 2010 Jordan 2009 Nepal 2016 Togo 2013
Burundi 2010 Jordan 2012 Niger 1992 Tunisia 1988
Burundi 2016 Jordan 2017 Niger 1998 Uganda 1995
Cameroon 1991 Kenya 1993 Niger 2006 Uganda 2001
Cameroon 1998 Kenya 1998 Niger 2012 Uganda 2006
Cameroon 2004 Kenya 2003 Nigeria 1990 Uganda 2011
Cameroon 2011 Kenya 2008 Nigeria 1999 Uganda 2016
Congo (Democratic Republic) 2007 Kenya 2014 Nigeria 2003 Yemen 1991
Congo (Democratic Republic) 2013 Lesotho 2004 Nigeria 2008 Yemen 2013
Cote d'Ivoire 1994 Lesotho 2009 Nigeria 2013 Zambia 1992
Cote d'Ivoire 1998 Lesotho 2014 Nigeria 2018 Zambia 1996
Cote d'Ivoire 2011 Madagascar 1992 Pakistan 1991 Zambia 2001
Egypt 1988 Madagascar 1997 Pakistan 2006 Zambia 2007
Egypt 1992 Madagascar 2003 Pakistan 2012 Zambia 2013
Egypt 1995 Madagascar 2008 Pakistan 2017 Zimbabwe 1988
Egypt 2000 Malawi 1992 Rwanda 1992 Zimbabwe 1994
Egypt 2003 Malawi 2000 Rwanda 2000 Zimbabwe 1999
Egypt 2005 Malawi 2004 Rwanda 2005 Zimbabwe 2005
Egypt 2008 Malawi 2010 Rwanda 2010 Zimbabwe 2010
Egypt 2014 Malawi 2016 Rwanda 2014 Zimbabwe 2015
Ethiopia 2005 Mali 1995 Senegal 1992
Ethiopia 2011 Mali 2001 Senegal 1997
Ethiopia 2016 Mali 2006 Senegal 2005
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Afghanistan 2015

No questionnaire text is available for this sample.


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Angola 2015

No questionnaire text is available for this sample.


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

MONTH ___
YEAR ___

316. In what month and year was the sterilization operation performed?

MONTH ___
YEAR ___

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Bangladesh 2004
Survey form view entire document:  text 
318. CHECK 311:

IN CURRENT MONTH IN COLUMN 1 OF CALENDAR, ENTER CALENDAR METHOD CODE SHOWN TO THE LEFT OF THE CALENDAR FOR THE HIGHEST METHOD CIRCLED IN 311. THEN DETERMINE WHEN SHE STARTED USING METHOD THIS TIME. ENTER METHOD CODE IN EACH MONTH OF USE. IF CURRENT METHOD STARTED IN JUNE 1998 OR LATER, ENTER METHOD SOURCE CODE IN COLUMN 2 OF CALENDAR IN THE SAME MONTH THAT USE OF CURRENT METHOD BEGAN.

ILLUSTRATIVE QUESTIONS:

When did you start using this method continuously?
How long have you been using this method continuously?
When you started using this method, where did you obtain it?

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Bangladesh 2007
Survey form view entire document:  text 
316) In what month and year was the sterilization performed?

MONTH____
YEAR____

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Bangladesh 2011
Survey form view entire document:  text 
308A) Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH __________
YEAR __________

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Bangladesh 2014
Survey form view entire document:  text 
208. SUM ANSWERS TO 203, 205, AND 207, AND ENTER TOTAL. IF NONE, RECORD '00'.

TOTAL BIRTHS __ __

308. In what month and year was the sterilization performed?

MONTH __ __ (GO TO 310)
YEAR __ __ __ __ (GO TO 310)

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Benin 1996
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Benin 2001
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Benin 2006
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Benin 2011
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?
308A) Since what month and year did you start using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR_______

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Burkina Faso 1993
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Burkina Faso 1998
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Burkina Faso 2003
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Burkina Faso 2010
Survey form view entire document:  text 
308. In what month and year was the sterilization performed?
308A. Since what month and year did you start using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD FIRST MENTIONED) now without stopping?

MONTH______
YEAR_____

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Burundi 2010
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

308A) Since what month and year have you been using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

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_____

308) In what month and year was the sterilization performed?

MONTH___
YEAR______

GO TO 310.


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Cameroon 1991
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Cameroon 1998
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Cameroon 2004
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Cameroon 2011
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Congo (Democratic Republic) 2007
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Congo (Democratic Republic) 2013
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Cote d'Ivoire 1994
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Cote d'Ivoire 1998
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Cote d'Ivoire 2011
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Egypt 1988
Survey form view entire document:  text 
404. Now I would like to ask you some questions about the length of time that you have been using your (CURRENT METHOD) without interruption.
In what month and year did you begin the most recent period of continuous use of (CURRENT METHOD)?

DATE:
MONTH ___
DK MONTH 98
YEAR ___ (GO TO 406)
DK YEAR 98

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Egypt 1992
Survey form view entire document:  text 
321) In what month and year was the sterilization operation performed?

MONTH ____
YEAR _____

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Egypt 1995
Survey form view entire document:  text 
304. Do you know where a person could GO TO get (METHOD)?

01 PILL A woman can take a pill every day.
YES 1
NO 2
02 IUD A woman can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
03 INJECTABLES A woman can have an injection by a doctor or nurse which stops her from becoming pregnant for several months.
YES 1
NO 2
04 NORPLANT A woman can have small rods placed in her arm by a doctor which stops her from becoming pregnant for several years.
YES 1
NO 2
05 DIAPHRAGM, FOAM, JELLY A woman can place a sponge, suppository, diaphragm, jelly or cream inside her before intercourse.
YES 1
NO 2
06 CONDOM A man can use a rubber covering during sexual intercourse.
YES 1
NO 2
07 FEMALE STERILIZATION A woman can have an operation to avoid having any more children. Do you know a place where a woman can have such an operation?
YES 1
NO 2
08 MALE STERILIZATION A man can have an operation to avoid having any more children. Do you know a place where a man can have such an operation?
YES 1
NO 2
09 RHYTHM, PERIODIC ABSTINENCE A couple can avoid having sexual intercourse on the certain days of the month when the woman is more likely to get pregnant. Do you know where a person can obtain advice on how to use periodic abstinence?
YES 1
NO 2

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Egypt 2000
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?
PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH____
YEAR____

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Egypt 2003
Survey form view entire document:  text 
314A. In what month and year was the sterilization performed?

MONTH___
YEAR_____

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Egypt 2005
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Egypt 2008
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Egypt 2014
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Ethiopia 2005
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Ethiopia 2011
Survey form view entire document:  text 
308A) Since what month and year have you been using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH____
YEAR_____

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Ethiopia 2016

No questionnaire text is available for this sample.


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Ghana 1993
Survey form view entire document:  text 
308 Now I would like to ask you about the first time that you did something or used a method to avoid getting pregnant.
How many living children did you have at that time, if any?
IF NONE, RECORD '00'.

NUMBER OF CHILDREN __________

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Ghana 1998
Survey form view entire document:  text 
321A. How old were you at the time of sterilization?

AGE IN COMPLETED YEARS ___ (GO TO 325)

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Ghana 2003
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Ghana 2008
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Ghana 2014

No questionnaire text is available for this sample.


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Guinea 1999
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Guinea 2005
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Guinea 2012
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

308A) Since what month and year have you been using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH____
YEAR_____

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India 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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India 1998
Survey form view entire document:  text 
339. In what month and year was your/your husband's sterilization operation performed?

MONTH _____
YEAR ____

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India 2005
Survey form view entire document:  text 
341. In what month and year was the sterilization performed?
341A. In what month and year did you start using (CURRENT METHOD) continuously? PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH ______
YEAR ______

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India 2015
Survey form view entire document:  text 
339. In what month and year was the sterilization performed?
339A. Since what month and year have been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) without stopping?

MONTH __ __
YEAR __ __ __ __

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Jordan 1990
Survey form view entire document:  text 
321) In what month and year was the sterilization operation performed?

MONTH ____
YEAR _____

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Jordan 1997
Survey form view entire document:  text 
420. In what month and year was the sterilization performed?

MONTH_____
YEAR______

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Jordan 2002
Survey form view entire document:  text 
316. In what month and year was the sterilization performed?

MONTH_____
YEAR_______

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Jordan 2007
Survey form view entire document:  text 
319) In what month and year was the sterilization performed?

MONTH ____
YEAR ____

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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 ____

319) In what month and year was the sterilization performed?

MONTH ______
YEAR _______

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Jordan 2012
Survey form view entire document:  text 
308. In what month and year was the sterilization performed?

308A. Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _____
YEAR _____

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Jordan 2017

No questionnaire text is available for this sample.


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Kenya 1993
Survey form view entire document:  text 
322. In what month and year was the sterilization operation performed?

MONTH __ (GO TO 333A)
YEAR __ (GO TO 333A)

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Kenya 1998
Survey form view entire document:  text 
321) In what month and year was the sterilization performed?

MONTH _____
YEAR _____

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Kenya 2003
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?
PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH____
YEAR____

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Kenya 2008
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Kenya 2014
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Lesotho 2004
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Lesotho 2009
Survey form view entire document:  text 
316 In what facility did the sterilization take place?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE MEDICAL SECTOR, WRITE THE NAME OF THE PLACE.

______________________(NAME OF PLACE)
PUBLIC SECTOR
GOVT. HOSPITAL 11
GOVT. HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
OTHER PUBLIC SECTOR 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PRIVATE DOCTOR 22
OTHER PRIVATE MEDICAL SECTOR 26
CHAL
CHAL HOSPITAL 31
CHAL HEALTH CENTER 32
OTHER 96
DON'T KNOW 98

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Lesotho 2014
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH ____
YEAR ____

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Madagascar 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Madagascar 1997
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH _____ (GO TO 333A)
YEAR _______ (GO TO 333A)
DOESN'T KNOW YEAR 9998 (GO TO 333A)

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Madagascar 2003
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Madagascar 2008
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Malawi 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Malawi 2000
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?
PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH____
YEAR____

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Malawi 2004
Survey form view entire document:  text 
316. In what month and year was the sterilization performed?
316A. In what month and year did you start using (CURRENT METHOD) continuously?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH __
YEAR __

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Malawi 2010
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Malawi 2016
Survey form view entire document:  text 
215. In what day, month, and year was (NAME) born?

DAY __ __
MONTH __ __
YEAR __ __ __ __

308. In what month and year was the sterilization performed?

MONTH __ __ (GO TO 310)
YEAR __ __ __ __ (GO TO 310)

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Mali 1995
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Mali 2001
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Mali 2006
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Mali 2012
Survey form view entire document:  text 
308A) Since what month and year have you been using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH____
YEAR_____

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Morocco 1987
Survey form view entire document:  text 
318) MONTH AND YEAR OF BIRTH

IF MONTH NOT KNOWN, ASK THE SEASON:

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

430A) FOR THE TUBAL LIGATION, ASK: In what month and what year did you have the tubal ligation?

MONTH OR SEASON: ____
YEAR: ____
(GO TO 431A)

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Morocco 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 _____

321) In what month and year was the sterilization performed?

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___

316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?
PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH____
YEAR____

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Mozambique 1997
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Mozambique 2003
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Mozambique 2011
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Myanmar 2015
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH___
YEAR___

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Namibia 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Namibia 2000
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Namibia 2006
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Namibia 2013
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Nepal 1996
Survey form view entire document:  text 
319. In what month and year was the sterilization performed?
IF DON'T KNOW YEAR
PROBE: How many years ago?

MONTH ________
DON'T KNOW MONTH 98
YEAR _____ (SKIP TO 322)
DON'T KNOW YEAR 98

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Nepal 2001
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?
PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

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 ____

331. In what month and year was the sterilization performed?

MONTH __
YEAR __

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Nepal 2011
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH ___________
YEAR ___________

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Nepal 2016
Survey form view entire document:  text 
308. In what month and year was the sterilization performed?

MONTH ___ (GO TO 310)
YEAR ____ (GO TO 310)

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Niger 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Niger 1998
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Niger 2006
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Niger 2012
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

308a) Since what month and year did you start using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD FIRST MENTIONED) now without stopping?

MONTH
YEAR

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Nigeria 1990
Survey form view entire document:  text 
325. In what month and year was the sterilization operation done?

MONTH __ (GO TO 327)
YEAR __ (GO TO 327)

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Nigeria 1999
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Nigeria 2003
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Nigeria 2008
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Nigeria 2013
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Nigeria 2018
Survey form view entire document:  text 
308. In what month was the sterilization preformed?

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 _______

322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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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?

MONTH _________
YEAR _______

319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Pakistan 2012
Survey form view entire document:  text 
215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Pakistan 2017

No questionnaire text is available for this sample.


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Rwanda 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Rwanda 2000
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Rwanda 2005
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Rwanda 2010
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Rwanda 2014
Survey form view entire document:  text 
208. SUM ANSWERS TO 203, 205, AND 207, AND ENTER TOTAL. IF NONE, RECORD '00'.

TOTAL BIRTHS __ __

308. In what month and year was the sterilization performed?

MONTH __ __ (GO TO 310)
YEAR __ __ __ __ (GO TO 310)

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Senegal 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Senegal 1997
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Senegal 2005
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Senegal 2010
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

308A) Since what month and year have you been using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH____
YEAR_____

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Senegal 2012
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

308A) Since what month and year have you been using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH____
YEAR_____

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Senegal 2014
Survey form view entire document:  text 
308. In what month and year was the sterilization performed?

MONTH __ __ (GO TO 310)
YEAR __ __ __ __ (GO TO 310)

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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 _____

308) In what month and year was the sterilization performed?

308A) Since what month and year did you start using (CURRENT METHOD) without stopping?

PROBE: FOR HOW LONG HAVE YOU BEEN USING (CURRENT METHOD FIRST MENTIONED) NOW WITHOUT STOPPING?

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 ____

308) In what month and year was the sterilization performed?

MONTH ____ (GO TO 310)
YEAR ____ (GO TO 320)

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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 
321 In what month and year was the sterilization performed?

MONTH ______
YEAR ______ (GO TO 335)

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South Africa 2016
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH ____ (GO TO 310)
YEAR ________ (GO TO 310)

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Sri Lanka 1987

No questionnaire text is available for this sample.


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Tanzania 1991
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Tanzania 1996
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Tanzania 1999
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Tanzania 2004
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?
PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH____
YEAR____

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Tanzania 2010
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Tanzania 2015
Survey form view entire document:  text 
215. In what day, month, and year was (NAME) born?

DAY __ __
MONTH __ __
YEAR __ __ __ __

308. In what month and year was the sterilization performed?

MONTH __ __ (GO TO 310)
YEAR __ __ __ __ (GO TO 310)

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Togo 1998
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Togo 2013
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?
308A) Since what month and year did you start using (CURRENT METHOD) without stopping?

PROBE: For how long have you been using (CURRENT METHOD FIRST MENTIONED) now without stopping?

MONTH_____
YEAR_____

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Tunisia 1988
Survey form view entire document:  text 
417) Do you know in which year and which month you did the tubal ligation surgery?
DATE:

MONTH ____
YEAR ____
GO TO 419B

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Uganda 1995
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Uganda 2001
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Uganda 2006
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Uganda 2011
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Uganda 2016

No questionnaire text is available for this sample.


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Yemen 1991
Survey form view entire document:  text 
315A) In what year was (NAME) born?

IF DON'T KNOW, ASK: How many years ago?

YEAR____
YEARS AGO____

315B) And in what month?

IF DON'T KNOW, ASK: In what season?

MONTH____
SEASON____

816) In what month and year did you (your husband) have the operation?

MONTH____ (GO TO 817D)
YEAR____ (GO TO 817D)

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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____

308) In what month and year was the sterilization performed?

MONTH ____
YEAR ____

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Zambia 1992
Survey form view entire document:  text 
322 In what month and year was the sterilization performed?

MONTH _______ (GO TO 334)
YEAR ________ (GO TO 334)

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Zambia 1996
Survey form view entire document:  text 
321. In what month and year was the sterilization performed?

MONTH __________ (GO TO 327)
YEAR _____ (GO TO 327)

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Zambia 2001
Survey form view entire document:  text 
316) In what month and year was the sterilization preformed?
316A) For how long have you been using (CURRENT METHOD) now without stopping?

PROBE: In what month and year did you start using (CURRENT METHOD) continuously?

MONTH: ____
YEAR: ____

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Zambia 2007
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Zambia 2013
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Zimbabwe 1988
Survey form view entire document:  text 
317. In what month and year did you (he) have the operation?

MONTH____ (GO TO 319A)
YEAR___ (GO TO 319A)

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Zimbabwe 1994
Survey form view entire document:  text 
321) In what month and year was the sterilization performed?

MONTH _____
YEAR _____

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Zimbabwe 1999
Survey form view entire document:  text 
321) In what month and year was the sterilization performed?

MONTH __________
YEAR _____

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Zimbabwe 2005
Survey form view entire document:  text 
319 In what month and year was the sterilization performed?
319A Since what month and year have you been using (CURRENT METHOD) without stopping?
PROBE: For how long have you been using (CURRENT METHOD) now without stopping?

MONTH _______
YEAR ________

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Zimbabwe 2010
Survey form view entire document:  text 
308) In what month and year was the sterilization performed?

MONTH____
YEAR_____

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Zimbabwe 2015
Survey form view entire document:  text 
209. CHECK 208:

Just to make sure that i have this right: you have had in TOTAL_____ births during your life. Is that correct?

YES 1 (GO TO 210)
NO (PROBE AND CORRECT 201-208 AS NECESSARY.)

308. In what month and year was the sterilization performed?

MONTH __ __ (GO TO 310)
YEAR __ __ __ __ (GO TO 310)