Survey Text
Afghanistan 2015
No questionnaire text is available for this sample.
Angola 2015
No questionnaire text is available for this sample.
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
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TOTAL PERSONS IN HOUSEHOLD ___
TOTAL ELIGIBLE WOMEN ___
LINE NO. OF RESP. TO HOUSEHOLD QUEST. ___
Bangladesh 2007
Survey form
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ELIGIBILITY
9) CIRCLE LINE NUMBER OF ALL EVER-MARRIED WOMEN AGE 10 TO 49
(QUESTION 8 IS 1 OR 2) PUT A STAR FOR THE LINE NUMBER OF THE WOMAN SELECTED FOR THE DOMESTIC VIOLENCE
10) CIRCLE LINE NUMBER OF ALL EVER MARRIED MEN AGE 15 TO 54
(QUESTION 8 IS 1 OR 2) PUT A STAR FOR THE LINE NUMBER OF THE MAN SELECTED FOR THE DOMESTIC VIOLENCE
11) CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0 TO 5
IF AGE 5 YEARS OR OLDER
EVER ATTENDED SCHOOL
12) Has (NAME) ever attended school?
YES 1
NO 2 (GO TO 15)
Bangladesh 2011
No questionnaire text is available for this sample.
Bangladesh 2014
Survey form
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TOTAL PERSONS IN HOUSEHOLD ____
TOTAL ELIGIBLE WOMEN (EVER MARRIED WOMEN 15-49 YR) _____
TOTAL NUMBER OF CHILDREN (0-5 YR) _____
Benin 1996
No questionnaire text is available for this sample.
Benin 2001
No questionnaire text is available for this sample.
Benin 2006
No questionnaire text is available for this sample.
Benin 2011
No questionnaire text is available for this sample.
Benin 2017
Survey form
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AGE
7. How old is (NAME)?
IF 95 OR MORE, RECORD '95'.
IN YEARS ___ ___
Burkina Faso 1993
No questionnaire text is available for this sample.
Burkina Faso 1998
No questionnaire text is available for this sample.
Burkina Faso 2003
No questionnaire text is available for this sample.
Burkina Faso 2010
No questionnaire text is available for this sample.
Burundi 1987
Survey form
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110) What is your nationality?
RWANDAN 1
ZAIREAN 2
TANZANIAN 3
OTHER AFRICAN 4
OTHER (SPECIFY) ______ 5
Burundi 2010
Survey form
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1. LINE NUMBER
LINE NO. ____
Burundi 2016
No questionnaire text is available for this sample.
Cameroon 1991
No questionnaire text is available for this sample.
Cameroon 1998
No questionnaire text is available for this sample.
Cameroon 2004
No questionnaire text is available for this sample.
Cameroon 2011
No questionnaire text is available for this sample.
Central African Republic 1995
No questionnaire text is available for this sample.
Chad 1996
No questionnaire text is available for this sample.
Chad 2004
No questionnaire text is available for this sample.
Chad 2014
No questionnaire text is available for this sample.
Congo (Democratic Republic) 2007
No questionnaire text is available for this sample.
Congo (Democratic Republic) 2013
No questionnaire text is available for this sample.
Congo Brazzaville 2005
No questionnaire text is available for this sample.
Congo Brazzaville 2011
No questionnaire text is available for this sample.
Cote d'Ivoire 1994
No questionnaire text is available for this sample.
Cote d'Ivoire 1998
No questionnaire text is available for this sample.
Cote d'Ivoire 2011
No questionnaire text is available for this sample.
Egypt 1988
No questionnaire text is available for this sample.
Egypt 1992
No questionnaire text is available for this sample.
Egypt 1995
No questionnaire text is available for this sample.
Egypt 2000
No questionnaire text is available for this sample.
Egypt 2003
Survey form
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003. Are there any other persons such as small children or infants who are not listed?
YES (ADD TO 002)
NO
Egypt 2005
No questionnaire text is available for this sample.
Egypt 2008
No questionnaire text is available for this sample.
Egypt 2014
No questionnaire text is available for this sample.
Eswatini (Swaziland) 2006
Survey form
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TOTAL PERSONS IN HOUSEHOLD______
TOTAL WOMEN 15-49______
TOTAL MEN 15-49_______
TOTAL AGE 12-14_____
TOTAL CHILDREN 0-5______
TOTAL AGE 50+______
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE _____
Ethiopia 2000
No questionnaire text is available for this sample.
Ethiopia 2005
No questionnaire text is available for this sample.
Ethiopia 2011
No questionnaire text is available for this sample.
Ethiopia 2016
No questionnaire text is available for this sample.
Ghana 1988
No questionnaire text is available for this sample.
Ghana 1993
No questionnaire text is available for this sample.
Ghana 1998
No questionnaire text is available for this sample.
Ghana 2003
No questionnaire text is available for this sample.
Ghana 2008
No questionnaire text is available for this sample.
Ghana 2014
Survey form
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ELIGIBILITY:
9. CIRCLE LINE NUMBER OF ALL WOMEN AGE 15-49
ELIGIBILITY:
10. CIRCLE LINE NUMBER OF ALL MEN AGE 15-49
ELIGIBILITY:
11. CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5
Ghana 2016
Survey form
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118. Are you a permanent or temporary employee of the National Public Health Reference Laboratory (NPHRL) or the Ghana Statistical Service (GSS)?
PERMANENT 1
TEMPORARY 2
Guinea 1999
No questionnaire text is available for this sample.
Guinea 2005
No questionnaire text is available for this sample.
Guinea 2012
No questionnaire text is available for this sample.
Guinea 2018
Survey form
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TOTAL NO. OF VISITS
TOTAL PERSONS IN HOUSEHOLD
TOTAL ELIGIBLE WOMEN
TOTAL ELIGIBLE MEN
TOTAL ELIGIBLE CHILDREN
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE
India 1992
No questionnaire text is available for this sample.
India 1998
No questionnaire text is available for this sample.
India 2005
No questionnaire text is available for this sample.
India 2015
No questionnaire text is available for this sample.
Jordan 1990
No questionnaire text is available for this sample.
Jordan 1997
No questionnaire text is available for this sample.
Jordan 2002
Survey form
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3. RELATIONSHIP TO HEAD OF HOUSEHOLD: What is the relationship of (NAME) to the head of the household?
________
Jordan 2007
No questionnaire text is available for this sample.
Jordan 2009
Survey form
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11) CIRCLE LINE NUMBER OF ALL CHILDREN BORN IN 2004 OR LATER, OR CHILDREN AGE 0-5 YEARS (IF DATE OF BIRTH NOT KNOWN).
Jordan 2012
No questionnaire text is available for this sample.
Jordan 2017
No questionnaire text is available for this sample.
Kenya 1989
No questionnaire text is available for this sample.
Kenya 1993
No questionnaire text is available for this sample.
Kenya 1998
No questionnaire text is available for this sample.
Kenya 2003
No questionnaire text is available for this sample.
Kenya 2008
No questionnaire text is available for this sample.
Kenya 2014
No questionnaire text is available for this sample.
Lesotho 2004
No questionnaire text is available for this sample.
Lesotho 2009
No questionnaire text is available for this sample.
Lesotho 2014
Survey form
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TOTAL PERSONS IN HOUSEHOLD____
TOTAL ELIGIBLE WOMEN____
TOTAL ELIGIBLE MEN____
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE ___
Liberia 1986
No questionnaire text is available for this sample.
Liberia 2007
Survey form
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11) CIRCLE LINE NUMBER OF ALL CHILDREN 0-5
Liberia 2013
No questionnaire text is available for this sample.
Madagascar 1992
No questionnaire text is available for this sample.
Madagascar 1997
No questionnaire text is available for this sample.
Madagascar 2003
No questionnaire text is available for this sample.
Madagascar 2008
No questionnaire text is available for this sample.
Malawi 1992
No questionnaire text is available for this sample.
Malawi 2000
No questionnaire text is available for this sample.
Malawi 2004
No questionnaire text is available for this sample.
Malawi 2010
No questionnaire text is available for this sample.
Malawi 2016
No questionnaire text is available for this sample.
Mali 1987
No questionnaire text is available for this sample.
Mali 1995
No questionnaire text is available for this sample.
Mali 2001
No questionnaire text is available for this sample.
Mali 2006
No questionnaire text is available for this sample.
Mali 2012
No questionnaire text is available for this sample.
Mali 2018
Survey form
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ELIGIBILITY
9) CIRCLE LINE NUMBER OF ALL WOMEN AGE 15-49
10) IF HOUSEHOLD SELECTED FOR MAN'S SURVEY
CIRCLE LINE NUMBER OF ALL MEN AGE 15-59
11) CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5
Morocco 1987
No questionnaire text is available for this sample.
Morocco 1992
No questionnaire text is available for this sample.
Morocco 2003
No questionnaire text is available for this sample.
Mozambique 1997
No questionnaire text is available for this sample.
Mozambique 2003
No questionnaire text is available for this sample.
Mozambique 2011
No questionnaire text is available for this sample.
Myanmar 2015
No questionnaire text is available for this sample.
Namibia 1992
Survey form
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Namibia 2000
Survey form
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Now we would like some information about the people who usually live in your household or who are staying with you now.
1) LINE NO. (THE NUMBER OF PERSONS LISTEN BY THE RESPONDENT)
___
Namibia 2006
Survey form
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TOTAL PERSONS IN HOUSEHOLD _____
TOTAL ELIGIBLE WOMEN _______
TOTAL ELIGIBLE MEN ________
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE __________
Namibia 2013
No questionnaire text is available for this sample.
Nepal 1996
No questionnaire text is available for this sample.
Nepal 2001
No questionnaire text is available for this sample.
Nepal 2006
No questionnaire text is available for this sample.
Nepal 2011
No questionnaire text is available for this sample.
Nepal 2016
No questionnaire text is available for this sample.
Niger 1992
No questionnaire text is available for this sample.
Niger 1998
No questionnaire text is available for this sample.
Niger 2006
No questionnaire text is available for this sample.
Niger 2012
No questionnaire text is available for this sample.
Nigeria 1990
No questionnaire text is available for this sample.
Nigeria 1999
No questionnaire text is available for this sample.
Nigeria 2003
No questionnaire text is available for this sample.
Nigeria 2008
No questionnaire text is available for this sample.
Nigeria 2013
No questionnaire text is available for this sample.
Nigeria 2018
Survey form
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ELIGIBILITY
9. CIRCLE LINE NUMBERS OF ALL WOMEN AGE 15-49
10. CIRCLE LINE NUMBERS OF ALL MEN AGE 15-59
11. CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5
Pakistan 1991
No questionnaire text is available for this sample.
Pakistan 2006
No questionnaire text is available for this sample.
Pakistan 2012
Survey form
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text
TOTAL PERSONS IN HOUSEHOLD ____
TOTAL ELIGIBLE WOMEN ____
TOTAL ELIGIBLE MEN ____
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE ____
Pakistan 2017
Survey form
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INTERVIEWER VISITS
FIRST VISIT
DATE _______
INTERVIWER'S NAME _______
RESULT* ______
COMPLETED 1
NO HOUSEHOLD MEMBER AT HOME OR NO COMPETENT RESPONDENT AT HOME AT TIME OF VISIT 2
ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD OF TIME 3
POSTPONED 4
REFUSED 5
DWELLING VACANT OR ADDRESS NOT A DWELLING 6
DWELLING DESTROYED 7
DWELLING NOT FOUND 8
OTHER (SPECIFY) __________ 9
NEXT VISIT DATE _____
TIME ______
SECOND VISIT
DATE _______
INTERVIWER'S NAME _______
RESULT* ______
COMPLETED 1
NO HOUSEHOLD MEMBER AT HOME OR NO COMPETENT RESPONDENT AT HOME AT TIME OF VISIT 2
ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD OF TIME 3
POSTPONED 4
REFUSED 5
DWELLING VACANT OR ADDRESS NOT A DWELLING 6
DWELLING DESTROYED 7
DWELLING NOT FOUND 8
OTHER (SPECIFY) __________ 9
NEXT VISIT DATE _____
TIME ______
THIRD VISIT
DATE _______
INTERVIWER'S NAME _______
RESULT* ______
COMPLETED 1
NO HOUSEHOLD MEMBER AT HOME OR NO COMPETENT RESPONDENT AT HOME AT TIME OF VISIT 2
ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD OF TIME 3
POSTPONED 4
REFUSED 5
DWELLING VACANT OR ADDRESS NOT A DWELLING 6
DWELLING DESTROYED 7
DWELLING NOT FOUND 8
OTHER (SPECIFY) __________ 9
NEXT VISIT DATE _____
TIME ______
FINAL VISIT
DAY _____
MONTH ______
YEAR _____
INT. NO. _______
RESULT* _______
COMPLETED 1
NO HOUSEHOLD MEMBER AT HOME OR NO COMPETENT RESPONDENT AT HOME AT TIME OF VISIT 2
ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD OF TIME 3
POSTPONED 4
REFUSED 5
DWELLING VACANT OR ADDRESS NOT A DWELLING 6
DWELLING DESTROYED 7
DWELLING NOT FOUND 8
OTHER (SPECIFY) __________ 9
TOTAL NUMBER OF VISITS _________
TOTAL PERSONS IN HOUSEHOLD _____
TOTAL ELIGIBLE WOMEN ______
TOTAL ELIGIBLE MEN _______
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE _______
Rwanda 1992
No questionnaire text is available for this sample.
Rwanda 2000
No questionnaire text is available for this sample.
Rwanda 2005
No questionnaire text is available for this sample.
Rwanda 2008
Survey form
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ELIGIBILITY
8) CIRCLE LINE NUMBER OF ALL WOMEN AGE 15-49
9) CIRCLE LINE NUMBER OF ALL MEN AGE 15-59
10) CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5
TICK HERE IF CONTINUATION SHEET USED _____
Rwanda 2010
No questionnaire text is available for this sample.
Rwanda 2014
Survey form
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11. CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5.
Senegal 1986
No questionnaire text is available for this sample.
Senegal 1992
No questionnaire text is available for this sample.
Senegal 1997
No questionnaire text is available for this sample.
Senegal 2005
No questionnaire text is available for this sample.
Senegal 2010
No questionnaire text is available for this sample.
Senegal 2012
No questionnaire text is available for this sample.
Senegal 2014
No questionnaire text is available for this sample.
Senegal 2015
No questionnaire text is available for this sample.
Senegal 2016
Survey form
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ELIGIBILITY
9) CIRCLE LINE NUMBER OF ALL WOMEN AGE 15-49
10) IF HOUSEHOLD SELECTED FOR MAN'S SURVEY
CIRCLE LINE NUMBER OF ALL MEN AGE 15-59
11) CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5
Senegal 2017
Survey form
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text
ELIGIBILITY
9) CIRCLE LINE NUMBER OF ALL WOMEN AGE 15-49
10) IF HOUSEHOLD SELECTED FOR MAN'S SURVEY
CIRCLE LINE NUMBER OF ALL MEN AGE 15-59
11) CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5
South Africa 1998
No questionnaire text is available for this sample.
South Africa 2016
No questionnaire text is available for this sample.
Sri Lanka 1987
No questionnaire text is available for this sample.
Sudan 1989
No questionnaire text is available for this sample.
Tanzania 1991
No questionnaire text is available for this sample.
Tanzania 1996
No questionnaire text is available for this sample.
Tanzania 1999
No questionnaire text is available for this sample.
Tanzania 2004
No questionnaire text is available for this sample.
Tanzania 2010
No questionnaire text is available for this sample.
Tanzania 2015
Survey form
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10. IF HOUSEHOLD SELECTED FOR MAN'S SURVEY
CIRCLE LINE NUMBER OF ALL MEN AGE 15-49
Togo 1988
No questionnaire text is available for this sample.
Togo 1998
No questionnaire text is available for this sample.
Togo 2013
Survey form
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text
TOTAL PERSONS IN HOUSEHOLD ____
TOTAL ELIGIBLE WOMEN ____
TOTAL ELIGIBLE MEN ____
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE ____
Tunisia 1988
No questionnaire text is available for this sample.
Uganda 1988
No questionnaire text is available for this sample.
Uganda 1995
No questionnaire text is available for this sample.
Uganda 2001
No questionnaire text is available for this sample.
Uganda 2006
No questionnaire text is available for this sample.
Uganda 2011
No questionnaire text is available for this sample.
Uganda 2016
No questionnaire text is available for this sample.
Yemen 1991
Survey form
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203) IF 201 IS 1 TO 4: What is (was) his/her main occupation?
OCCUPATION____
TOTAL NUMBER OF ELIGIBLE WOMEN____
TOTAL NUMBER OF ELIGIBLE CHILDREN____
TOTAL NUMBER OF ELIGIBLE CHILDREN WHOSE MOTHER LIVE IN THE HOUSEHOLD____
IF CONTINUATION SHEET USED, TICK HERE____
Yemen 2013
Survey form
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TOTAL PERSONS IN HOUSEHOLD____
TOTAL ELIGIBLE EVER MARRIED WOMEN IN AGE 15-49____
TOTAL ELIGIBLE NEVER MARRIED WOMEN IN AGE 15-49____
TOTAL CHILDREN 0-5____
LINE NUMBER OF RESPONDENT IN HH____
Zambia 1992
No questionnaire text is available for this sample.
Zambia 1996
No questionnaire text is available for this sample.
Zambia 2001
No questionnaire text is available for this sample.
Zambia 2007
No questionnaire text is available for this sample.
Zambia 2013
No questionnaire text is available for this sample.
Zambia 2018
Survey form
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(11) CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5
Zimbabwe 1988
No questionnaire text is available for this sample.
Zimbabwe 1994
No questionnaire text is available for this sample.
Zimbabwe 1999
No questionnaire text is available for this sample.
Zimbabwe 2005
No questionnaire text is available for this sample.
Zimbabwe 2010
No questionnaire text is available for this sample.
Zimbabwe 2015
No questionnaire text is available for this sample.