Survey Text
Afghanistan 2015
Survey form
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402. CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1389 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
403. BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER____
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
No questionnaire text is available for this sample.
Bangladesh 2007
Survey form
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402) CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2002 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES). Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)
403) LINE NUMBER FROM 212
LAST BIRTH LINE NUMBER____
Bangladesh 2011
No questionnaire text is available for this sample.
Bangladesh 2014
No questionnaire text is available for this sample.
Benin 1996
Survey form
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402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)
Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)
Benin 2001
Survey form
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402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1996. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN TWO BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRE).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).
403) LINE NUMBER FROM 212
LINE NUMBER _____
Benin 2006
Survey form
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402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).
403) LINE NUMBER FROM 212
LINE NUMBER ________
Benin 2011
Survey form
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402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2006 OR LATER. ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask some questions about your children born in the last 5 years. (We will talk about each separately).
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER_________
Benin 2017
Survey form
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402) Check 215: Record the birth history number in 403 and the name and the survival state from 404 for each birth in 2012-2017. Ask the questions about all these births. Begin with the last birth. (If there are more than 2 births, use last column of additional questionnaire(s)).
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately).
Burkina Faso 1993
Survey form
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402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE JANUARY 1987 IN THE REPRODUCTION TABLE. ASK THE QUESTIONS FOR ALL BIRTHS BEGINNING WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES.)
Now I would like to ask you some questions about the health of all your children born in the last five years. We will only talk about one child at a time.
LINE NUMBER FROM 212:
LINE NO. _____
FROM 212 AND 216:
NAME _____
LIVING ____
DEAD ____
Burkina Faso 1998
Survey form
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402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE JANUARY 1993 IN THE REPRODUCTION TABLE. ASK THE QUESTIONS FOR ALL BIRTHS BEGINNING WITH THE LAST BIRTH. IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES.
Burkina Faso 2003
Survey form
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402. ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE 1998. ASK THE QUESTIONS FOR ALL BIRTHS. BEGIN WITH THE LAST BIRTH. IF THERE ARE MORE THAN 2 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES.
Burkina Faso 2010
Survey form
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211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE ROWS. (IF THERE ARE MORE THAN 12 BIRTHS, USE ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Burundi 1987
Survey form
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402) INTERVIEWER: ENTER THE LINE NUMBER, THE NAME, AND THE SURVIVAL STATUS OF EACH BIRTH SINCE JAN 1982 IN TABLE 3, STARTING WITH THE LAST BIRTH. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS, EVEN IF DECEASED.
NAME ______
LINE NUMBER_______
ALIVE
DEAD
Burundi 2016
Survey form
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403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER____
Cameroon 1991
Survey form
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402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)
LINE NUMBER FROM Q. 212
_____________
FROM Q. 212 AND Q. 216
NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)
Cameroon 1998
Survey form
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402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)
Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)
Cameroon 2004
Survey form
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211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Cameroon 2011
Survey form
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402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Cameroon 2018
No questionnaire text is available for this sample.
Central African Republic 1995
Survey form
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211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Chad 1996
Survey form
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403. LINE NUMBER FROM QUESTION 212
LINE NUMBER OF LAST BIRTH ___
LINE NUMBER OF NEXT-TO-LAST BIRTH ___
Chad 2004
Survey form
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1102) LINE NO. FROM Q. 212
__ __
Chad 2014
Survey form
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502) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
LAST BIRTH
BIRTH HISTORY NUMBER__ __
NEXT-TO-LAST BIRTH
BIRTH HISTORY NUMBER __ __
SECOND-FROM-LAST BIRTH
BIRTH HISTORY NUMBER __ __
Congo (Democratic Republic) 2007
Survey form
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211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Congo (Democratic Republic) 2013
Survey form
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211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE ROWS. (IF THERE ARE MORE THAN 12 BIRTHS, USE ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
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
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402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)
Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)
Cote d'Ivoire 1998
Survey form
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402) RECORD THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1993 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE THE ADDITIONAL QUESTIONNAIRE).
Now I would like to ask you some more questions about the health of all your children born in the last 5 years. (We will talk about one child at a time.)
Cote d'Ivoire 2011
Survey form
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?
MONTH____
YEAR_____
Egypt 1988
Survey form
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401. CHECK 214:
ONE OR MORE LIVE BIRTHS SINCE JANUARY 1982 (GO TO 402)
NO LIVE BIRTHS SINCE JANUARY 1982 (GO TO 427)
Egypt 1992
Survey form
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211. Now I would like to talk to you about all of your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES. COMPLETE QUESTIONS 213-220 AS APPROPRIATE FOR EACH BIRTH. AFTER COMPLETING ALL BIRTHS, GO TO 221.
Egypt 1995
Survey form
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211. Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES AND MARK WITH A BRACKET. COMPLETE 213-221 FOR EACH BIRTH. USE ADDITIONAL FORMS IF THERE ARE MORE THAN TEN BIRTHS. AFTER COMPLETING ALL BIRTHS, GO TO 222.
Egypt 2000
Survey form
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211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.
Egypt 2005
Survey form
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208 SUM ANSWERS TO 203, 205, AND 207, AND ENTER TOTAL. IF NONE, RECORD '00'.
TOTAL _______
Egypt 2008
Survey form
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211. Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES AND MARK WITH A BRACKET.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE).
Egypt 2014
Survey form
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Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER_____
Eswatini (Swaziland) 2006
No questionnaire text is available for this sample.
Ethiopia 2000
Survey form
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211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Ethiopia 2005
Survey form
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211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Ethiopia 2011
Survey form
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211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE ROWS. (IF THERE ARE MORE THAN 12 BIRTHS, USE ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Ethiopia 2016
No questionnaire text is available for this sample.
Ethiopia 2019
No questionnaire text is available for this sample.
Ghana 1988
No questionnaire text is available for this sample.
Ghana 1993
Survey form
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402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1990 IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of all of your children born in the past three years. (We will talk about one child at a time).
Ghana 1998
Survey form
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402. ENTER THE PREGNANCY LINE NUMBER, NAME (IF LIVE BIRTH), AND SURVIVAL STATUS (IF LIVE BIRTH) OF EACH PREGNANCY SINCE JANUARY 1993 IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE PREGNANCIES. BEGIN WITH THE LAST PREGNANCY.
(IF THERE ARE MORE THAN 3 PREGNANCIES, USE ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about all your pregnancies in the last five years. We will talk about each separately.
Ghana 2003
Survey form
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211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Ghana 2008
Survey form
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211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Ghana 2014
No questionnaire text is available for this sample.
Ghana 2016
Survey form
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SECTION 4. FEVER IN CHILDREN
401. CHECK 213: RECORD THE BIRTH HISTORY NUMBER IN 402 AND THE NAME AND SURVIVAL STATUS IN 403 FOR EACH BIRTH IN 2011-2016. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE MOST RECENT BIRTH IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRE(S).
Now I would like to ask some questions about the health of your children born since January 2011. (We will talk about each separately.)
Guinea 1999
Survey form
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Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).
403) LINE NUMBER FROM 212:
LINE NUMBER: ___
Guinea 2005
Survey form
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402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Guinea 2012
Survey form
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402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2007 OR LATER. ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately).
Guinea 2018
No questionnaire text is available for this sample.
India 1992
Survey form
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210 CHECK 208:
ONE OR MORE BIRTHS (GO TO 211)
NO BIRTHS (GO TO 223)
India 1998
Survey form
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402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF LAST TWO BIRTHS SINCE JANUARY 1995 IN THE TABLE. ASK THE QUESTIONS ABOUT THESE TWO BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, RECORD ONLY LAST TWO BIRTHS.)
Now I would like to ask you some questions about the health of your children born since January 1995. (We will talk about one child at a time.)
LINE NUMBER FROM QUESTION 212:
LINE NO. ______
FROM QUESTIONS 212 AND 216:
NAME _______
ALIVE (GO TO 403)
DEAD (GO TO 403)
India 2005
Survey form
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Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)
403 LINE NUMBER FROM 212
LINE NO. _________
India 2015
No questionnaire text is available for this sample.
Jordan 1990
No questionnaire text is available for this sample.
Jordan 1997
Survey form
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502. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some more questions about the health of all your children born in the past five years. (We will talk about one child at a time.)
Jordan 2002
No questionnaire text is available for this sample.
Jordan 2007
No questionnaire text is available for this sample.
Jordan 2009
Survey form
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402) CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH IN 2004 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)
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
Survey form
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Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).
403) LINE NUMBER FROM 212:
LINE NUMBER___
Kenya 2008
Survey form
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402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Kenya 2014
No questionnaire text is available for this sample.
Lesotho 2004
Survey form
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Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).
403) LINE NUMBER FROM 212:
LINE NUMBER: ___
Lesotho 2009
No questionnaire text is available for this sample.
Lesotho 2014
Survey form
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402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2009 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRE(S)).
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
Liberia 1986
No questionnaire text is available for this sample.
Liberia 2007
Survey form
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402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Liberia 2013
Survey form
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Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER_____
Madagascar 1992
Survey form
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[REPEAT QUESTIONS 402-440 FOR EACH SEPARATE BIRTH]
402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE JANUARY 1987 IN THE REPRODUCTION TABLE. ASK THE QUESTIONS FOR ALL BIRTHS BEGINNING WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL QUESTIONNAIRE.)
Now I would like to ask you some questions about the health of all your children born in the last five years. We will only talk about one child at a time.
LINE NUMBER FROM 212:
LINE NO. ___
FROM 212 AND 216:
NAME ____
LIVING ____
DEAD ____
Madagascar 1997
Survey form
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402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)
Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)
Madagascar 2003
Survey form
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text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Madagascar 2008
Survey form
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402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Malawi 1992
Survey form
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LINE NUMBER FROM Q. 212
LINE NUMBER_____
Malawi 2000
Survey form
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text
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
212) What name was given to your (first/next) baby?
NAME___
Malawi 2004
Survey form
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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 (GO TO 210)
NO (PROBE AND CORRECT 201-208 AS NECESSARY)
Malawi 2010
Survey form
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211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Malawi 2016
No questionnaire text is available for this sample.
Mali 1987
Survey form
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401. CHECK 216:
ONE OF MORE BIRTHS SINCE MARCH 1982. WRITE THE LINE NUMBER, THE NAME AND THE SURVIAL STATE OF EACH BIRTH SINCE MARCH 1982 IN TABLE 3 BEGINNING WITH THE LAST BIRTH.
REPEAT SECTION 4 FOR THE FOUR MOST RECENT BIRTHS SINCE MARCH 1982
NO LIVE BIRTH SINCE MARCH 1982 (GO TO SECTION 5)
LINE NUMBER ____
NAME____
LIVING____
DEAD____
Mali 1995
Survey form
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211. Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212.
RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Mali 2001
Survey form
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text
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Mali 2006
Survey form
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text
212 What name was given to your (first/next) baby?
NAME ___________
Mali 2012
Survey form
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text
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER_____
Mali 2018
No questionnaire text is available for this sample.
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
Survey form
view entire document:
text
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1994 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL THESE LIVING BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRES)
Now I would like to ask you some more questions about the health of all your living children born in the past three years. (We will talk about each child separately).
403. LINE NUMBER FROM 212:
LINE NUMBER______
Mozambique 2003
Survey form
view entire document:
text
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1998 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL QUESTIONNAIRES)
Now I would like to ask you some more questions about the health of all your children born in the past five years. (We will talk about one child at a time).
403. LINE NUMBER FROM QUESTION 212:
LINE NUMBER______
NAME_______
Mozambique 2011
Survey form
view entire document:
text
402. CHECK 215: ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH IN 2006 OR LATER IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OR ADDITIONAL QUESTIONNAIRES)
Now I would like to ask you some more questions about the health of all your children born in the past five years. We will talk about one child at a time.
403. LINE NUMBER FROM Q. 212 IN BIRTH HISTORY.
BIRTH HISTORY NUMBER______
Myanmar 2015
Survey form
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text
212) What name was given to your (first/next) baby?
RECORD NAME___
BIRTH HISTORY NUMBER
Namibia 1992
Survey form
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text
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)
LINE NUMBER FROM Q. 212
_____________
FROM Q. 212 AND Q. 216
NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)
Namibia 2000
Survey form
view entire document:
text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Namibia 2006
Survey form
view entire document:
text
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Namibia 2013
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Nepal 1996
Survey form
view entire document:
text
402. ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE BAISAKH 2049 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNARES).
Now I would like to ask you some questions about the health of all your children born in the last three years. We will talk about one child at a time.
Nepal 2001
No questionnaire text is available for this sample.
Nepal 2006
Survey form
view entire document:
text
402. CHECK 221: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2057 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)
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
402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1987 IN THE TABLE.
ASK THE QUESTIONS OF ALL THESE BIRTHS, BEGINNING WITH THE LAST BIRTH.
Now I would like to ask you some more questions about the health of all of the children you have had in the past 5 years. We will talk about one child at a time.
LINE NUMBER FROM QUESTION 212: ___
FROM QUESTION 212 AND QUESTION 216:
NAME: ___
LIVING: ___ (GO TO 403)
DECEASED: ___ (GO TO 403)
Niger 1998
Survey form
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text
403. LINE NUMBER FROM QUESTION 212
LINE NUMBER OF LAST BIRTH ___
LINE NUMBER OF NEXT-TO-LAST BIRTH ___
Niger 2006
Survey form
view entire document:
text
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)
403 LINE NUMBER FROM 212
LINE NO. _________
Niger 2012
Survey form
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text
125. (6) Who sprayed the dwelling?
GOVERNMENT WORKER/PROGRAM A
PRIVATE COMPANY B
NONGOVERNMENTAL ORGANIZATION (NGO) C
OTHER (SPECIFY)__ X
DON'T KNOW Z
Nigeria 1990
Survey form
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text
211 Now I would like to talk about of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Nigeria 1999
Survey form
view entire document:
text
402. ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1996 IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
Now I would like to ask you some questions about the health of all your children born in the last three years. (We will talk about one child at a time.)
403. LINE NUMBER FROM Q212
LINE NUMBER _____
404. FROM Q212 AND Q216
NAME _______
ALIVE (GO TO 405)
DEAD (GO TO 405)
Nigeria 2003
Survey form
view entire document:
text
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
Nigeria 2008
Survey form
view entire document:
text
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Nigeria 2013
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2008 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES.
Now I would like to ask some questions about your children born in the last five years. (we will talk about each separately).
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER ______
Nigeria 2018
No questionnaire text is available for this sample.
Pakistan 1991
No questionnaire text is available for this sample.
Pakistan 2006
No questionnaire text is available for this sample.
Pakistan 2012
No questionnaire text is available for this sample.
Pakistan 2017
No questionnaire text is available for this sample.
Rwanda 1992
Survey form
view entire document:
text
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)
LINE NUMBER FROM Q. 212
_____________
FROM Q. 212 AND Q. 216
NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)
Rwanda 2000
Survey form
view entire document:
text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Rwanda 2005
Survey form
view entire document:
text
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Rwanda 2008
No questionnaire text is available for this sample.
Rwanda 2010
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Rwanda 2014
No questionnaire text is available for this sample.
Senegal 1986
Survey form
view entire document:
text
401. CHECK 217:
ONE OR MORE LIVE BIRTHS SINCE APRIL 1981: WRITE THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE APRIL 1981 IN TABLE 3 BEGINNING WITH THE LAST BIRTH.
NO BIRTHS SINCE APRIL 1981 (GO TO 501)
NAME ____
LIVING ____
DEAD ____
Senegal 1992
Survey form
view entire document:
text
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)
LINE NUMBER FROM Q. 212
_____________
FROM Q. 212 AND Q. 216
NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)
Senegal 1997
Survey form
view entire document:
text
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)
Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)
Senegal 2005
Survey form
view entire document:
text
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).
403) LINE NUMBER FROM 212:
LINE NUMBER: ___
Senegal 2010
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Senegal 2012
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Senegal 2014
Survey form
view entire document:
text
403. BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY.
LAST BIRTH
BIRTH HISTORY NUMBER __ __
NEXT-TO-LAST BIRTH
BIRTH HISTORY NUMBER __ __
Senegal 2015
No questionnaire text is available for this sample.
Senegal 2016
No questionnaire text is available for this sample.
Senegal 2017
No questionnaire text is available for this sample.
South Africa 2016
No questionnaire text is available for this sample.
Sudan 1989
Survey form
view entire document:
text
402 ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN. 1984 IN THE TABLE. BEGIN WITH THE LAST BIRTH. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS.
LINE NUMBER FROM Q.212
LINE NUMBER ________
FROM Q.212
FROM Q.215
NAME _________________
ALIVE (GO TO 403)
DEAD (GO TO 403)
Tanzania 1991
Survey form
view entire document:
text
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)
LINE NUMBER FROM Q. 212
_____________
FROM Q. 212 AND Q. 216
NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)
Tanzania 1996
Survey form
view entire document:
text
402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1991 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of children you had in the past five years. We will talk about one child at a time.
Tanzania 1999
Survey form
view entire document:
text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Tanzania 2004
Survey form
view entire document:
text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Tanzania 2010
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Tanzania 2015
No questionnaire text is available for this sample.
Togo 1988
Survey form
view entire document:
text
SECTION 4. HEALTH AND BREASTFEEDING OF CHILDREN UNDER 5 YEARS
401) INTERVIEWER: CHECK 214:
ONE OR MORE LIVE BIRTHS SINE JANUARY 1983
NO LIVE BIRTHS SINCE JANUARY 1983 (GO TO SECTION 5)
INTERVIEWER: ENTER THE LINE NUMBER, THE NAME, AND THE SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 IN TABLE 3, STARTING WITH THE LAST BIRTH.
LINE NUMBER___________
Togo 1998
Survey form
view entire document:
text
403. LINE NUMBER FROM QUESTION 212
LINE NUMBER OF LAST BIRTH ___
LINE NUMBER OF NEXT-TO-LAST BIRTH ___
Togo 2013
Survey form
view entire document:
text
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER_____
Tunisia 1988
No questionnaire text is available for this sample.
Uganda 1988
Survey form
view entire document:
text
402) ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 IN THE TABLE. BEGIN WITH THE LAST BIRTH. ASK THE QUESTIONS ABOUT ALL OF THE BIRTHS.
LINE NUMBER FROM QUESTION 212
NAME ______________
ALIVE
DEAD
Uganda 1995
Survey form
view entire document:
text
402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1991 IN THE TABLE. ASK QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF MORE THAN 2 BIRTHS, USE ADDITIONAL FORMS).
Uganda 2001
Survey form
view entire document:
text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Uganda 2006
Survey form
view entire document:
text
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).
Uganda 2011
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Uganda 2016
No questionnaire text is available for this sample.
Yemen 1991
No questionnaire text is available for this sample.
Yemen 2013
Survey form
view entire document:
text
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2008 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask some questions about your children born in the last five years. We will talk about each separately.
Zambia 1992
Survey form
view entire document:
text
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).
Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)
LINE NUMBER FROM Q. 212
_____________
FROM Q. 212 AND Q. 216
NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)
Zambia 1996
Survey form
view entire document:
text
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)
Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)
Zambia 2001
Survey form
view entire document:
text
402. ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1996 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately)
403. LINE NUMBER FROM 212
LINE NUMBER _____
Zambia 2007
Survey form
view entire document:
text
402. CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2002 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)
403. LINE NUMBER FROM 212
LINE NO. _____
Zambia 2013
Survey form
view entire document:
text
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER_____
Zambia 2018
No questionnaire text is available for this sample.
Zimbabwe 1988
Survey form
view entire document:
text
211. Now I would like to talk to you about all of your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS ON SEPARATE LINES AND MARK WITH A BRACKET.
Zimbabwe 1994
Survey form
view entire document:
text
402) ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1991* IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRES).
Zimbabwe 1999
Survey form
view entire document:
text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Zimbabwe 2005
Survey form
view entire document:
text
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2000 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)
Zimbabwe 2010
Survey form
view entire document:
text
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY
BIRTH HISTORY NUMBER_____
Zimbabwe 2015
No questionnaire text is available for this sample.