Survey Text

Angola 2015 Ethiopia 2019 Mali 2018 South Africa 2016
Benin 2017 Ghana 2016 Nepal 2016 Tanzania 2015
Burundi 2016 Guinea 2018 Nigeria 2018 Uganda 2016
Cameroon 2018 Jordan 2017 Pakistan 2017 Zambia 2018
Ethiopia 2016 Malawi 2016 Senegal 2017 Zimbabwe 2015
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Angola 2015
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217) IF ALIVE: How old was (NAME) on his/her last birthday?
RECORD AGE IN YEARS COMPLETED

AGE IN YEARS_____

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Benin 2017
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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 __ __

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Burundi 2016
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217) IF ALIVE: How old was (name) at his/her last birthday?

RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS___

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___

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Cameroon 2018
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217. IF ALIVE: How old was (NAME) at (NAME)'s last birthday?
RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS_________

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Ethiopia 2016
Survey form view entire document:  text 
217. IF ALIVE: How old was (NAME) at (NAME)'s last birthday?

RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS ___

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Ethiopia 2019

No questionnaire text is available for this sample.


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Ghana 2016
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216. On what day, month, and year was (NAME) born?

DAY ______
MONTH _______
YEAR _____

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Guinea 2018
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215) In what month and year was (name) born?
PROBE: What is his/her birthday?

MONTH__
YEAR___

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Jordan 2017
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215) On what day, month, and year was (NAME) born?

DAY ___
MONTH ____
YEAR ____

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Malawi 2016
Survey form view entire document:  text 
217. IF ALIVE: How old was (NAME) at (NAME)'s last birthday?
RECORD AGE IN COMPLETED YEARS

AGE IN YEARS __ __

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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

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Nepal 2016
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215. On what day, month and year was (NAME) born? PROBE: When is his/her birthday?

DAY __
MONTH __
YEAR ____

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Nigeria 2018
Survey form view entire document:  text 
217. How old was (NAME) at (NAME)'s last birthday?

AGE IN YEARS _____

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Pakistan 2017
Survey form view entire document:  text 
215) On what day, month, and year was (NAME) born? PROBE: When is his/her birthday?

DAY _______
MONTH _______
YEAR _________

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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

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South Africa 2016
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215) On what day, month, and year was (NAME) born?

DAY ____
MONTH ____
YEAR ____

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Tanzania 2015

No questionnaire text is available for this sample.


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Uganda 2016
Survey form view entire document:  text 
217) IF ALIVE: How old was (NAME) at (NAME)'s last birthday?
RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS ___

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Zambia 2018
Survey form view entire document:  text 
(217) IF ALIVE: How old was (NAME) at his/her last birthday?
RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS _____

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Zimbabwe 2015
Survey form view entire document:  text 
217. IF ALIVE: How old was (NAME) at (NAME)'s last birthday?
RECORD AGE IN COMPLETED YEARS

AGE IN YEARS __ __