Survey Text

Angola 2015 Ghana 2014 Mali 2018 Senegal 2017
Benin 2011 Guinea 2012 Mozambique 2011 South Africa 2016
Benin 2017 Guinea 2018 Namibia 2006 Tanzania 2010
Burkina Faso 2010 Kenya 2008 Namibia 2013 Uganda 2006
Burundi 2010 Kenya 2014 Nepal 2011 Uganda 2011
Burundi 2016 Lesotho 2009 Niger 2012 Uganda 2016
Cameroon 2011 Lesotho 2014 Nigeria 2008 Zambia 2007
Chad 2014 Liberia 2007 Nigeria 2013 Zambia 2013
Congo (Democratic Republic) 2013 Liberia 2013 Nigeria 2018 Zambia 2018
Cote d'Ivoire 2011 Madagascar 2008 Rwanda 2010 Zimbabwe 2005
Ethiopia 2011 Malawi 2010 Rwanda 2014 Zimbabwe 2010
Ethiopia 2016 Malawi 2016 Senegal 2010 Zimbabwe 2015
Ghana 2008 Mali 2012 Senegal 2014
top
Angola 2015
Survey form view entire document:  text  image
715) When was the last time you had sexual intercourse with this person?

DAYS 1 ____
WEEKS 2_____
MONTHS 3____

top
Benin 2011
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Benin 2017
Survey form view entire document:  text  image
719) How long ago did you first have sexual intercourse with this person?

Days ago 1
Weeks ago 2
Months ago 3
Years ago 4

top
Burkina Faso 2010
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Burundi 2010
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Burundi 2016
Survey form view entire document:  text  image
715) When was the last time you had sexual intercourse with this person?

DAYS AGO 1
WEEKS AGO 2
MONTHS AGO 3

top
Cameroon 2011
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Chad 2014
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?

DAYS AGO 1
WEEKS AGO 2
MONTHS AGO 3

top
Congo (Democratic Republic) 2013
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Cote d'Ivoire 2011
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Ethiopia 2011
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Ethiopia 2016
Survey form view entire document:  text  image
715. When was the last time you had sexual intercourse with this person?

DAYS AGO 1 ___
WEEKS AGO 2 ___
MONTHS AGO 3 ___

top
Ghana 2008
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Ghana 2014
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Guinea 2012
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Guinea 2018
Survey form view entire document:  text  image
720) How many times during the last 12 months did you have sexual intercourse with this person?
IF NON-NUMERIC ANSWER, PROBE TO GET AN ESTIMATE. IF NUMBER OF TIMES IF 95 OR MORE, RECORD 95.

NUMBER OF TIMES

top
Kenya 2008
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Kenya 2014
Survey form view entire document:  text  image
622) How long ago did you first have sexual intercourse with this (second/third) person?

DAYS AGO____ 1
WEEKS AGO____ 2
MONTHS AGO____ 3
YEARS AGO____ 4

top
Lesotho 2009
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ____
WEEKS 2 ____
MONTHS 3 ____

top
Lesotho 2014
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[DO NOT ASK FOR MOST RECENT SEXUAL PARTNER]

DAYS AGO 1 ____
WEEKS AGO 2 ____
MONTHS AGO 3 ____

top
Liberia 2007
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Liberia 2013
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Madagascar 2008
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Malawi 2010
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Malawi 2016
Survey form view entire document:  text  image
716. When was the last time you had sexual intercourse with this person?

DAYS AGO 1 __ __
WEEKS AGO 2 __ __
MONTHS AGO 3 __ __

top
Mali 2012
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Mali 2018
Survey form view entire document:  text  image
715) When was the last time you had sexual intercourse with this person?

DAYS AGO 1
WEEKS AGO 2
MONTHS AGO 3

top
Mozambique 2011
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Namibia 2006
Survey form view entire document:  text  image
627. When was the last time you had sexual intercourse with this person?
[EXCLUDE LAST SEUAL PARTNER]

DAYS 1 ___
WEEKS 2 ___
MONTHS 3 ___

.


top
Namibia 2013
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Nepal 2011
Survey form view entire document:  text  image
607) When was the last time you had sexual intercourse with this other person?

DAYS AGO 1
WEEKS AGO 2
MONTHS AGO 3

top
Niger 2012
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Nigeria 2008
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Nigeria 2013
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Nigeria 2018
Survey form view entire document:  text  image
715. When was the last time you had sexual intercourse with this person?

DAYS AGO 1_____
WEEKS AGO 2_____
MONTHS AGO 3____

top
Rwanda 2010
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Rwanda 2014
Survey form view entire document:  text  image
716. When was the last time you had sexual intercourse with this person?

DAYS AGO 1 __ __
WEEKS AGO 2 __ __
MONTHS AGO 3 __ __

top
Senegal 2010
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Senegal 2014
Survey form view entire document:  text  image
716. When was the last time you had sexual intercourse with this person?

DAYS AGO 1 __ __
WEEKS AGO 2 __ __
MONTHS AGO 3 __ __

top
Senegal 2017
Survey form view entire document:  text  image
715) When was the last time you had sexual intercourse with this person?

DAYS AGO ____ 1
WEEKS AGO _____ 2
MONTHS AGO _____ 3

top
South Africa 2016
Survey form view entire document:  text  image
715) When was the last time you had sexual intercourse with this person?
(DON'T ASK FOR LAST SEXUAL PARTNER)

DAYS AGO 1 ____
WEEKS AGO 2 ____
MONTHS AGO 3 ____

top
Tanzania 2010
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Uganda 2006
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Uganda 2011
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Uganda 2016
Survey form view entire document:  text  image
715) When was the last time you had sexual intercourse with this person?

DAYS AGO 1_____
WEEKS AGO 2_____
MONTHS AGO 3_____

top
Zambia 2007
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Zambia 2013
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Zambia 2018
Survey form view entire document:  text  image
(715) When was the last time you had sexual intercourse with this person?

DAYS AGO 1 _____
WEEKS AGO 2 _____
MONTHS AGO 3 _____

top
Zimbabwe 2005
Survey form view entire document:  text  image
627 When was the last time you had sexual intercourse with this person?

DAYS 1 ________
WEEKS 2 ________
MONTHS 3 _________

top
Zimbabwe 2010
Survey form view entire document:  text  image
616) When was the last time you had sexual intercourse with this person?
[Exclude last sexual partner]

DAYS AGO ____ 1
WEEKS AGO____ 2
MONTHS AGO____ 2

top
Zimbabwe 2015
Survey form view entire document:  text  image
716. When was the last time you had sexual intercourse with this person?

DAYS AGO 1 __ __
WEEKS AGO 2 __ __
MONTHS AGO 3 __ __