Survey Text
Afghanistan 2015
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Angola 2015
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '12 MONTHS' OR '1 YEAR', ASK: Did (NAME) have his/her first birthday?
AND THEN ASK: How many months old was (NAME) when he/she died?
RECORD DAYS IF LESS THAN A MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Bangladesh 1994
Survey form
view entire document:
text
220. IF DEAD: How old was he or she when he or she died?
IF "1 YEAR", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Bangladesh 1997
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he or she died?
IF 'ONE YEAR', ASK: How many months old was (NAME)?
RECORD DAYS IF UNDER 1 MONTH; MONTHS IF LESS THAN 2 YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Bangladesh 2000
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1_____
MONTHS 2____
YEARS 3_____
Bangladesh 2004
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Bangladesh 2007
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS?
DAYS____ 1
MONTHS____ 2
YEARS____ 3
Bangladesh 2011
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR.', PROBE:
How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ________
MONTHS 2_______
YEARS 3 ________
Bangladesh 2014
Survey form
view entire document:
text
220. IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Benin 1996
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
IF "1 YEAR", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1_____
MONTHS 2_____
YEARS 3____
Benin 2001
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Benin 2006
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN 2 YEARS, OR YEARS.
DAYS ________ 1
MONTHS ________ 2
YEARS ________ 3
Benin 2011
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1_______
MONTHS 2 ________
YEARS 3 __________
Benin 2017
No questionnaire text is available for this sample.
Burkina Faso 1993
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Burkina Faso 1998
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Burkina Faso 2003
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Burkina Faso 2010
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR IN YEARS.
DAYS_____ 1
MONTHS______ 2
YEARS______ 3
Burundi 2010
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS IF TWO YEAR OR MORE.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Burundi 2016
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday?
THEN ASK: Exactly how many months old was (name) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1___
MONTHS 2___
YEARS 3___
Cameroon 1991
Survey form
view entire document:
text
222) IF DEAD: How old was he/she when he/she died?
IF "1 YEAR," PROBE: How many months old was (NAME)?
RECORD IN:
DAYS IF LESS THAN ONE MONTH
MONTHS IF LESS THAN 2 YEARS
YEARS IF 2 YEARS OR OLDER
IF DECEASED ON DAY OF BIRTH, RECORD '00' DAYS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Cameroon 1998
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD IN DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Cameroon 2004
Survey form
view entire document:
text
220) IF DECEASED: How old was (NAME) when he/she died?
IF 1 YEAR, PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Cameroon 2011
Survey form
view entire document:
text
220) IF DECEASED: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN ONE MONTH, MONTHS IF LESS THAN TWO YEARS, OR IN YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Cameroon 2018
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he / she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his / her) first birthday?
THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1_________
MONTHS 2_________
YEARS 3_________
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
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 ______
YEARS 3 _____
Congo (Democratic Republic) 2013
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
Days 1 ____
Months 2 ____
Years 3 ____
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
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
RECORD IN DAYS IF LESS THAN 1 MONTH, IN MONTHS IF LESS THAN TWO YEARS, OR IN YEARS.
IF "1 YEAR," GO TO 220
DAYS 1 __________
MONTHS 2 __________
YEARS 3 __________
Cote d'Ivoire 1998
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
IF "1 YEAR", PROBE: How many months old was (NAME)?
RECORD IN DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Cote d'Ivoire 2011
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS____ 1
MONTHS_____ 2
YEARS____ 3
Egypt 1992
Survey form
view entire document:
text
220. IF DEAD: How old was he/she when he/she died? IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
(GO NEXT BIRTH)
Egypt 1995
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR.', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Egypt 2000
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR' PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS
DAYS 1
MONTHS 2
YEARS 3
Egypt 2003
No questionnaire text is available for this sample.
Egypt 2005
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME) when
he/she died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __
Egypt 2008
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died? IF '1 YR', PROBE: How many months old was (NAME) when he/she died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Egypt 2014
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1YR', PROBE: How many months old was (NAME) when he/she died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTH 2 __ __
YEARS 3 __ __
Eswatini (Swaziland) 2006
No questionnaire text is available for this sample.
Ethiopia 2000
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Ethiopia 2005
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS;
DAYS 1 ___ ___
MONTHS 2 ___ ___
YEARS 3 ___ ___
Ethiopia 2011
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Ethiopia 2016
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '13 months' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday?
THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Ethiopia 2019
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday?
THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Ghana 1993
Survey form
view entire document:
text
220. IF DEAD: How old was he/she when he/she died?
IF "1 YR.", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Ghana 1998
Survey form
view entire document:
text
224. IF BORN ALIVE BUT NOW DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___ (GO TO NEXT PREGNANCY)
Ghana 2003
Survey form
view entire document:
text
220. IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR' PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1___
MONTHS 2___
YEARS 3___
Ghana 2008
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME) when he/she died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ___
YEARS 3 ___
Ghana 2014
Survey form
view entire document:
text
220) IF DEAD:
HOW OLD WAS (NAME) WHEN HE/SHE DIED?
IF '1 YR', PROBE: HOW MANY MONTHS OLD WAS (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IS LESS THAN TWO YEARS; OR YEARS.
DAYS____ 1
MONTHS____ 2
YEARS____ 3
Guinea 1999
Survey form
view entire document:
text
219. IF DEAD: how old was (NAME) when he/she died?
IF "1 YEAR," PROBE: how many months old was (NAME)?
RECORD IN DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Guinea 2005
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Guinea 2012
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? Record days if less than 1 month; months if less than two years, or years if two year or more.
DAYS 1
MONTHS 2
YEARS 3
Guinea 2018
No questionnaire text is available for this sample.
India 1992
Survey form
view entire document:
text
223. IF DEAD: How old was he/she when he/she died?
IF "1 YEAR", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ______
MONTHS 2 ______
YEARS 3 ______
India 1998
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTH 2 ____
YEARS 3 ____
India 2005
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN 2 YEARS; OR YEARS.
DAYS 1 _____
MONTH 2 _____
YEARS 3 _____
India 2015
Survey form
view entire document:
text
220. How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTH 2 __ __
YEARS 3 __ __
Jordan 1990
Survey form
view entire document:
text
216) Is (NAME) still alive?
YES 1
NO 2 (GO TO 220)
Jordan 1997
Survey form
view entire document:
text
319. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR.', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN ONE MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Jordan 2002
Survey form
view entire document:
text
218. IF ALIVE: Is (NAME) living with you?
YES 1
NO 2
Jordan 2007
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YEAR', PROBE:
How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1___
MONTHS 2____
YEARS 3_____
Jordan 2009
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died? IF '1 YEAR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH: MONTHS IF LESS THAN TWO YEARS: OR YEARS
DAYS 1 _____
MONTHS 2 _____
YEARS 3 ______
Jordan 2012
No questionnaire text is available for this sample.
Jordan 2017
No questionnaire text is available for this sample.
Kenya 1993
Survey form
view entire document:
text
220. IF DEAD: How old was he/she when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF UNDER THAN 1 MONTH, MONTHS IF UNDER 2 YEARS, OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Kenya 1998
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS ___ 1
MONTHS ___ 2
YEARS ___ 3
Kenya 2003
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Kenya 2008
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Kenya 2014
Survey form
view entire document:
text
220) IF DEAD:
HOW OLD WAS (NAME) WHEN HE/SHE DIED?
IF '1 YR', PROBE: HOW MANY MONTHS OLD WAS (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IS LESS THAN TWO YEARS; OR YEARS.
DAYS____ 1
MONTHS____ 2
YEARS____ 3
Lesotho 2004
No questionnaire text is available for this sample.
Lesotho 2009
No questionnaire text is available for this sample.
Lesotho 2014
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTH 2 ____
YEARS 3 ____
Liberia 2007
No questionnaire text is available for this sample.
Liberia 2013
No questionnaire text is available for this sample.
Madagascar 1992
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Madagascar 1997
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Madagascar 2003
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months was (NAME)?
RECORD DAYS IF LESS THAN ONE MONTH; MONTHS IF LESS THAN TWO YEARS; OR IN YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Madagascar 2008
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Malawi 1992
Survey form
view entire document:
text
220. IF DEAD: How old was he/she when he/she died?
IF "1 YR.", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Malawi 2000
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Malawi 2004
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Malawi 2010
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
YEARS 3 ____
MONTHS 2 ____
Malawi 2016
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday? THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __
Mali 1995
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1. YEAR', PROBE: How many months old was (NAME).
RECORD DAYS IF LESS THAN 1. MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS ___ 1
MONTHS ___ 2
YEARS ___ 3
Mali 2001
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Mali 2006
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR' PROBE: How old was (NAME) in months?
RECORD IN DAYS IF LESS THAN 1 MONTH; IN MONTHS IF LESS THAN 2 YEARS; OR
IN YEARS
DAYS 1__
MONTHS 2__
YEARS 3__
Mali 2012
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1____
MONTHS 2 ____
YEARS 3 ____
Mali 2018
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF 12 MONTHS OR 1 YEAR, ASK: Did (NAME) have his/her first birthday?
THEN ASK: Exactly how many months old was (NAME) when he/she died?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1
MONTHS 2
YEARS 3
Morocco 1992
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS ___ 1
MONTHS ___ 2
YEARS ___ 3
Morocco 2003
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1_____
MONTHS 2____
YEARS 3_____
Mozambique 1997
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN A MONTH; MONTH IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Mozambique 2003
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN A MONTH; MONTH IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Mozambique 2011
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN A MONTH; MONTH IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____
Myanmar 2015
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS___ 1
MONTHS___ 2
YEARS___ 3
Namibia 1992
Survey form
view entire document:
text
220) IF DEAD: How old was he/she when he/she died?
IF "1 YR.", PROBE: How many months old was (NAME)?
RECORD DAYS F LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS_____1
MONTHS_____2
YEARS______3
Namibia 2000
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS ___1
MONTHS___2
YEARS ___ 3
Namibia 2006
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Namibia 2013
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died? IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAT 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTH 2 _____
YEARS 3 _____
Nepal 1996
Survey form
view entire document:
text
IF BORN ALIVE BUT NOW DEAD:
224. How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1
MONTHS 2
YEARS _________
(1ST: SKIP TO NEXT PREG., 2ND AND ON: SKIP TO 228)
Nepal 2001
Survey form
view entire document:
text
225. IF BORN ALIVE BUT NOW DEAD: How old was (NAME) when he/she died? IF '1 YR' PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN 2 YEARS; OR YEARS.
DAYS 1 __
MONTHS 2 __
YEARS 3 __
(GO TO NEXT PREGNANCY)
Nepal 2006
Survey form
view entire document:
text
226. IF BORN ALIVE BUT NOW DEAD: How old was (NAME) when he/she died?
IF '1 YR'', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __
MONTHS 2 ___ (SKIP TO 227)
YEARS 3 ___
227. IF BORN ALIVE BUT NOW DEAD: In what month and year did (NAME) die?
MONTH __
YEAR ___ (NEXT PREGNANCY)
Nepal 2011
No questionnaire text is available for this sample.
Nepal 2016
No questionnaire text is available for this sample.
Niger 1992
Survey form
view entire document:
text
220) IF DECEASED: How old was he/she when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN ONE MONTH, MONTHS IF LESS THAN TWO YEARS, OR IN YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Niger 1998
Survey form
view entire document:
text
219) IF DECEASED: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How old was (NAME) in months?
RECORD IN DAYS IF LESS THAN 1 MONTH, IN MONTHS IF LESS THAN 2 YEARS, OR IN YEARS.
DAYS: ___ 1
MONTHS: ___ 2
YEARS: ___ 3
Niger 2006
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
(IF '1 YEAR') How old was (NAME) in months?
RECORD IN DAYS IF LESS THAN 1 MONTH; IN MONTHS IF LESS THAN 2 YEARS; OR IN YEARS
DAYS 1___
MONTHS 2___
YEARS 3___
Niger 2012
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 _________
MONTHS 2 ________
YEARS 3 _________
Nigeria 1990
Survey form
view entire document:
text
220. IF DEAD: How old was he/she when he/she died?
IF '1 YEAR.', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN 2 YEARS, OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Nigeria 1999
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Nigeria 2003
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Nigeria 2008
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Nigeria 2013
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died? IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1_____
MONTHS 2______
YEARS 3______
Nigeria 2018
No questionnaire text is available for this sample.
Pakistan 1991
Survey form
view entire document:
text
220 IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ________
MONTHS 2 _________
YEARS 3 _________
Pakistan 2006
Survey form
view entire document:
text
220 IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ________
MONTHS 2 _________
YEARS 3 _________
Pakistan 2012
Survey form
view entire document:
text
220) IF DEAD:
HOW OLD WAS (NAME) WHEN HE/SHE DIED?
IF '1 YR', PROBE: HOW MANY MONTHS OLD WAS (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IS LESS THAN TWO YEARS; OR YEARS.
DAYS____ 1
MONTHS____ 2
YEARS____ 3
Pakistan 2017
No questionnaire text is available for this sample.
Rwanda 1992
Survey form
view entire document:
text
220) IF DEAD: How old was he/she when he/she died?
IF "1 YEAR", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN ONE MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Rwanda 2000
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF "1 YEAR," PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN ONE MONTH, MONTHS IF LESS THAN TWO YEARS, OR IN YEARS
DAYS 1____
MONTHS 2___
YEARS 3___
Rwanda 2005
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Rwanda 2008
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died? IF '1 YR,' PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ________
MONTHS 2 ___________
YEARS 3 _____________
Rwanda 2010
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1____
MONTHS 2____
YEARS 3____
Rwanda 2014
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday? THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __
Senegal 1992
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR' PROBE: How old was (NAME) in months?
RECORD IN DAYS IF LESS THAN 1 MONTH; IN MONTHS IF LESS THAN 2 YEARS; OR IN YEARS.
DAYS 1____
MONTHS 2____
YEARS 3____
Senegal 1997
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR' PROBE: How old was (NAME) in months?
RECORD IN DAYS IF LESS THAN 1 MONTH; IN MONTHS IF LESS THAN 2 YEARS; OR IN YEARS
DAYS 1_____
MONTHS 2_____
YEARS 3_____
Senegal 2005
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR' PROBE: How old was (NAME) in months?
RECORD IN DAYS IF LESS THAN 1 MONTH; IN MONTHS IF LESS THAN 2 YEARS; OR IN YEARS.
DAYS 1_____
MONTHS 2_____
YEARS 3_____
Senegal 2010
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ____
MONTHS 2 _____
YEARS 3 _____
Senegal 2012
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 _______________
MONTHS 2 ______________
YEARS 3 ______________
Senegal 2014
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1_____
MONTHS 2_____
YEARS 3_____
Senegal 2015
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday? THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __
Senegal 2016
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday? THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __
Senegal 2017
Survey form
view entire document:
text
220) IF DEAD:
How old was (NAME) when he/she died?
IF 12 MONTHS OR ONE YEAR, ASK: Did (NAME) have his/her first birthday?
THEN ASK: Exactly how many months old was (NAME) when he/she died?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS _____ 1
MONTHS _____ 2
YEARS _____ 3
South Africa 1998
Survey form
view entire document:
text
IF BORN ALIVE BUT NOW DEAD:
224 How old was (NAME) when he/she died?
IF '1 YR.', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _______
YEARS 3 _______
South Africa 2016
No questionnaire text is available for this sample.
Tanzania 1991
Survey form
view entire document:
text
220. IF DEAD: How old was he/she when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Tanzania 1996
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Tanzania 1999
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS____1
MONTHS____2
YEARS_____3
Tanzania 2004
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _______
YEARS 3 _______
Tanzania 2010
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 _____
MONTHS 2 _______
YEARS 3 _______
Tanzania 2015
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday? THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __
Togo 1998
No questionnaire text is available for this sample.
Togo 2013
No questionnaire text is available for this sample.
Uganda 1995
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1
MONTHS 2
YEARS 3
Uganda 2001
Survey form
view entire document:
text
220 IF DEAD, How old was (NAME) when he/she died?
IF 1 YEAR, PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Uganda 2006
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR,' PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS ________ 1
MONTHS ________ 2
YEARS ________ 3
Uganda 2011
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __
Uganda 2016
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1YR', ASK: Did (NAME) have (his/her) first birthday?
THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS OF LESS THAN TWO YEARS; OR YEARS.
DAYS 1____
MONTH 2____
YEARS 3____
Yemen 1991
Survey form
view entire document:
text
317) IF DEAD: How old was (NAME) when he/she died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN 2 YEARS; OR YEARS
DAYS____
MONTHS____
YEARS____
Yemen 2013
Survey form
view entire document:
text
220) DEAD: How old was (NAME) when he/she died? IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN 2 YEARS, OR RECORD YEARS IF MORE THAN 2 YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Zambia 1992
Survey form
view entire document:
text
220. IF DEAD: How old was he/she when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Zambia 1996
Survey form
view entire document:
text
219. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Zambia 2001
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Zambia 2007
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ____
MONTHS 2 ____
YEARS 3 ____
Zambia 2013
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR' PROBE: How any months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN 2 YEARS; OR YEARS.
DAYS 1 _____________________
MONTHS 2___________________
YEARS 3___________________
Zambia 2018
No questionnaire text is available for this sample.
Zimbabwe 1994
Survey form
view entire document:
text
219) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS ___ 1
MONTHS ___ 2
YEARS ___ 3
Zimbabwe 1999
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1_____
MONTHS 2____
YEARS 3_____
Zimbabwe 2005
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)? RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___
Zimbabwe 2010
Survey form
view entire document:
text
220) IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1____
MONTHS 2____
YEARS 3____
Zimbabwe 2015
Survey form
view entire document:
text
220. IF DEAD: How old was (NAME) when (he/she) died?
IF '12 MONTHS' OR '1 YR', ASK: Did (NAME) have (his/her) first birthday? THEN ASK: Exactly how many months old was (NAME) when (he/she) died?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
DAYS 1 __ __
MONTHS 2 __ __
YEARS 3 __ __