Survey Text

Afghanistan 2015 Ethiopia 2011 Malawi 2016 Senegal 1992
Angola 2015 Ethiopia 2016 Mali 1987 Senegal 1997
Bangladesh 1994 Ghana 1988 Mali 1995 Senegal 2005
Bangladesh 1997 Ghana 1993 Mali 2001 Senegal 2010
Bangladesh 2000 Ghana 1998 Mali 2006 Senegal 2012
Bangladesh 2004 Ghana 2003 Mali 2012 Senegal 2014
Bangladesh 2007 Ghana 2008 Mali 2018 Senegal 2015
Bangladesh 2011 Ghana 2014 Morocco 1992 Senegal 2016
Bangladesh 2014 Guinea 1999 Morocco 2003 Senegal 2017
Benin 1996 Guinea 2005 Mozambique 1997 South Africa 1998
Benin 2001 Guinea 2012 Mozambique 2003 South Africa 2016
Benin 2006 Guinea 2018 Mozambique 2011 Sri Lanka 1987
Benin 2011 India 1992 Myanmar 2015 Sudan 1989
Benin 2017 India 1998 Namibia 1992 Tanzania 1991
Burkina Faso 1993 India 2005 Namibia 2000 Tanzania 1996
Burkina Faso 1998 India 2015 Namibia 2006 Tanzania 1999
Burkina Faso 2003 Jordan 1990 Namibia 2013 Tanzania 2004
Burkina Faso 2010 Jordan 1997 Nepal 1996 Tanzania 2010
Burundi 1987 Jordan 2002 Nepal 2001 Tanzania 2015
Burundi 2010 Jordan 2007 Nepal 2006 Tunisia 1988
Burundi 2016 Jordan 2009 Nepal 2011 Uganda 1988
Cameroon 1991 Jordan 2012 Nepal 2016 Uganda 1995
Cameroon 1998 Jordan 2017 Niger 1992 Uganda 2001
Cameroon 2004 Kenya 1989 Niger 1998 Uganda 2006
Cameroon 2011 Kenya 1993 Niger 2006 Uganda 2011
Chad 1996 Kenya 1998 Niger 2012 Uganda 2016
Chad 2004 Kenya 2003 Nigeria 1990 Yemen 1991
Chad 2014 Kenya 2008 Nigeria 1999 Yemen 2013
Congo (Democratic Republic) 2007 Kenya 2014 Nigeria 2003 Zambia 1992
Congo (Democratic Republic) 2013 Lesotho 2004 Nigeria 2008 Zambia 1996
Cote d'Ivoire 1994 Lesotho 2009 Nigeria 2013 Zambia 2001
Cote d'Ivoire 1998 Lesotho 2014 Nigeria 2018 Zambia 2007
Cote d'Ivoire 2011 Liberia 1986 Pakistan 1991 Zambia 2013
Egypt 1988 Liberia 2007 Pakistan 2006 Zambia 2018
Egypt 1992 Liberia 2013 Pakistan 2012 Zimbabwe 1988
Egypt 1995 Madagascar 1992 Pakistan 2017 Zimbabwe 1994
Egypt 2000 Madagascar 1997 Rwanda 1992 Zimbabwe 1999
Egypt 2003 Madagascar 2003 Rwanda 2000 Zimbabwe 2005
Egypt 2005 Madagascar 2008 Rwanda 2005 Zimbabwe 2010
Egypt 2008 Malawi 1992 Rwanda 2008 Zimbabwe 2015
Egypt 2014 Malawi 2000 Rwanda 2010
Ethiopia 2000 Malawi 2004 Rwanda 2014
Ethiopia 2005 Malawi 2010 Senegal 1986
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Afghanistan 2015

No questionnaire text is available for this sample.


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Angola 2015
Survey form view entire document:  text 
IDENTIFICATION

PLACE NAME ________
NAME OF HOUSEHOLD HEAD_______
PROVINCE_______
MUNICIPALITY_____
COMMUNITY_______
NEIGHBORHOOD/VILLAGE______
CENSUS SECTION______
AREAS OF RESIDENCE

URBAN 1
RURAL 2

CLUSTER NUMBER (ID. IIMS)______
HOUSEHOLD NUMBER_______
NAME AND LINE NUMBER OF WOMAN_______
THE WOMAN WAS SELECTED FOR THE DOMESTIC VIOLENCE MODULE

YES 1
NO 2

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Bangladesh 1994
Survey form view entire document:  text 
IDENTIFICATION

DIVISION:
DISTRICT:
UPAZILA OR THANA:
VILLAGE OR MOHALLA OR BLOCK:
CLUSTER NUMBER:
HOUSEHOLD NUMBER:
DHAKA/CHITTAGONG OR SMALL CITY OR TOWN OR VILLAGE:

DHAKA OR CHITTAGONG 1
SMALL CITY 2
TOWN 3
VILLAGE 4

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Bangladesh 1997

No questionnaire text is available for this sample.


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Bangladesh 2000
Survey form view entire document:  text 
IDENTIFICATION

DIVISION:
DISTRICT:
THANA:
UNION OR WARD:
VILLAGE OR MOHALLA OR BLOCK:
CLUSTER NUMBER:
HOUSEHOLD NUMBER:

DHAKA/CHITTAGONG OR SMALL CITY OR TOWN OR VILLAGE?

DHAKA OR CHITTAGONG 1
SMALL CITY 2
TOWN 3
VILLAGE 4

NAME OF HOUSEHOLD HEAD:
NAME AND LINE NUMBER OF ELIGIBLE WOMAN:


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Bangladesh 2004

No questionnaire text is available for this sample.


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Bangladesh 2007

No questionnaire text is available for this sample.


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Bangladesh 2011
Survey form view entire document:  text 
IDENTIFICATION

DIVISION_____

DISTRICT_____

UPAZILA_____

UNION/WARD_____

VILLAGE/MOHALLA/BLOCK_____

CLUSTER NUMBER____

HOUSEHOLD NUMBER____

RURAL, CITY CORPORATION, OR OTHER URBAN:

RURAL 1
CITY CORPORATION 2
OTHER URBAN 3

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Bangladesh 2014

No questionnaire text is available for this sample.


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Benin 1996

No questionnaire text is available for this sample.


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Benin 2001
Survey form view entire document:  text 
RURAL/URBAN MUNICIPALITY

URBAN 1
RURAL 2

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Benin 2006
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Benin 2011
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Benin 2017
Survey form view entire document:  text 
Urban/rural (urban=1, rural=2)

Urban 1
Rural 2

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Burkina Faso 1993

No questionnaire text is available for this sample.


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Burkina Faso 1998
Survey form view entire document:  text 
URBAN/RURAL:

URBAN 1
RURAL 2

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Burkina Faso 2003
Survey form view entire document:  text 
URBAN/RURAL:

URBAN 1
RURAL 2

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Burkina Faso 2010
Survey form view entire document:  text 
URBAN/RURAL:

URBAN 1
RURAL 2

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Burundi 1987

No questionnaire text is available for this sample.


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Burundi 2010
Survey form view entire document:  text 
URBAN-RURAL MILIEU:

URBAN 1
RURAL 2

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Burundi 2016

No questionnaire text is available for this sample.


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Cameroon 1991

No questionnaire text is available for this sample.


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Cameroon 1998

No questionnaire text is available for this sample.


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Cameroon 2004

No questionnaire text is available for this sample.


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Cameroon 2011

No questionnaire text is available for this sample.


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Chad 1996

No questionnaire text is available for this sample.


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Chad 2004
Survey form view entire document:  text 
REPUBLIC OF CHAD
MINISTRY OF PLANNING, DEVELOPMENT, AND COOPERATION
NATIONAL INSTITUTE OF STATISTICS, ECONOMIC STUDY, AND DEMOGRAPHY

SECOND DEMOGRAPHIC AND HEALTH SURVEY

WOMAN'S QUESTIONNAIRE

IDENTIFICATION

NAME OF LOCALITY__________
NAME OF HEAD OF HOUSEHOLD___________

DEPARTMENT:___
SUBPREFECTURE: ___
MUNICIPALITY:___
CLUSTER NUMBER (EDST):___
STRUCTURE NUMBER:___
HOUSEHOLD NUMBER IN THE STRUCTURE: ___
SEQUENTIAL NUMBER OF SELECTED HOUSEHOLD (01-24 URBAN; 01-33 RURAL:___
Urban/rural

URBAN 1
RURAL 2

Residence

N'DJAMENA=1
ABECHE/MOUNDOU/SARH=2
OTHER DEPARTMENTAL ADMINISTRATIVE CENTER=3
OTHER SMALL CITIES=4
RURAL=5

WOMAN'S NAME AND LINE NUMBER (FROM HOUSEHOLD QUESTIONNAIRE)_______


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Chad 2014
Survey form view entire document:  text 
IDENTIFICATION

REGION NAME

REGION __ __

LOCALITY NAME (NEIGHBORHOOD/VILLAGE)__________

NAME OF HEAD OF HOUSEHOLD____________

CLUSTER NUMBER

CLUSTER __ __

HOUSEHOLD NUMBER (URBAN=01 TO 25; RURAL=01 TO 30)

HOUSEHOLD URBAN RURAL __ __

HOUSEHOLD NUMBER (SEQUENTIAL IN THE CLUSTER)

HOUSEHOLD CLUSTER __ __

URBAN/RURAL (URBAN=1, RURAL=2)

MILIEU __ __

N'DJAMENA-MOUNDOU/SARH/ABECHE-OTHER CITY-RURAL (N'DJAMENA=1, MOUNDOU/SARH/ABECHE=2, OTHER CITY=3, RURAL=4)

RESIDENCE __ __

WOMAN'S NAME AND LINE NUMBER_________________


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Congo (Democratic Republic) 2007

No questionnaire text is available for this sample.


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Congo (Democratic Republic) 2013

No questionnaire text is available for this sample.


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Cote d'Ivoire 1994
Survey form view entire document:  text 
URBAN OR RURAL?

URBAN 1
RURAL 2

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Cote d'Ivoire 1998

No questionnaire text is available for this sample.


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Cote d'Ivoire 2011
Survey form view entire document:  text 
RESIDENTIAL TYPE/ MILIEU______

URBAN 1
RURAL 2

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Egypt 1988
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Egypt 1992
Survey form view entire document:  text 
URBAN 1
RURAL 2

LARGE CITY 1
SMALL CITY 2
TOWN 3
VILLAGE 4


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Egypt 1995
Survey form view entire document:  text 
URBAN/RURAL ___

URBAN 1
RURAL 2

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Egypt 2000
Survey form view entire document:  text 
LOCALITY

LARGE CITY 1
SMALL CITY 2
TOWN 3
VILLAGE 4

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Egypt 2003

No questionnaire text is available for this sample.


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Egypt 2005
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Egypt 2008
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Egypt 2014

No questionnaire text is available for this sample.


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Ethiopia 2000
Survey form view entire document:  text 
URBAN/RURAL___

URBAN 1
RURAL 2

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Ethiopia 2005
Survey form view entire document:  text 
LARGE CITY/SMALL CITY/TOWN/RURAL

LARGE CITY 1
SMALL CITY 2
TOWN 3
RURAL 4

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Ethiopia 2011

No questionnaire text is available for this sample.


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Ethiopia 2016

No questionnaire text is available for this sample.


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Ghana 1988

No questionnaire text is available for this sample.


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Ghana 1993
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Ghana 1998
Survey form view entire document:  text 
CITY/TOWN/VILLAGE _____

LARGE CITY 1
MEDIUM CITY 2
SMALL CITY 3
TOWN 4
VILLAGE 5

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Ghana 2003
Survey form view entire document:  text 
URBAN/RURAL___

URBAN 1
RURAL 2

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Ghana 2008
Survey form view entire document:  text 
URBAN/RURAL ______

URBAN 1
RURAL 2

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Ghana 2014
Survey form view entire document:  text 
IDENTIFICATION

LOCALITY NAME _____

NAME OF HOUSEHOLD HEAD ____

CLUSTER NUMBER _____

STRUCTURE NUMBER _____

HOUSEHOLD NUMBER _____

REGION _____

DISTRICT _____

URBAN/RURAL

URBAN 1
RURAL 2

NAME AND LINE NUMBER OF WOMAN:

NAME ___________
LINE NO. ___________

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Guinea 1999
Survey form view entire document:  text 
URBAN/RURAL:

URBAN 1
RURAL 2

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Guinea 2005
Survey form view entire document:  text 

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Guinea 2012
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Guinea 2018
Survey form view entire document:  text 
IDENTIFICATION
PLACE NAME
NAME OF HEAD OF HOUSEHOLD
CLUSTER NUMBER
HOUSEHOLD NUMBER
ADMINISTRATIVE REGION
NATURAL REGION
SANITATION DISTRICT NUMBER
LOCATION OF HOUSEHOLD

CONAKRY 1
OTHER CITY 2
RURAL 3

NAME AND LINE NUMBER OF WOMAN


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India 1992
Survey form view entire document:  text 
URBAN/RURAL ______

URBAN 1
RURAL 2

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India 1998
Survey form view entire document:  text 
URBAN/RURAL _______

URBAN 1
RURAL 2

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India 2005
Survey form view entire document:  text 
MEGA CITY/LARGE CITY/SMALL CITY/LARGE TOWN/SMALL TOWN/RURAL _____

MEGA CITY 1
LARGE CITY 2
SMALL CITY 3
LARGE TOWN 4
SMALL TOWN 5
RURAL 6

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India 2015
Survey form view entire document:  text 

NATIONAL FAMILY HEALTH SURVEY, INDIA 2015-2016 (NFHS-4)
WOMAN'S QUESTIONNAIRE

IDENTIFICATION

STATE___________

DISTRICT__________

TEHSIL/TALUK_________

TYPE OF PSU (URBAN EQUALS 1, RURAL EQUALS 2) ________

URBAN 1
RURAL 2

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Jordan 1990

No questionnaire text is available for this sample.


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Jordan 1997

No questionnaire text is available for this sample.


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Jordan 2002

No questionnaire text is available for this sample.


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Jordan 2007
Survey form view entire document:  text 
217) IF ALIVE:

How old was (NAME) at his/her last birthday?

RECORD AGE IN COMPLETED YEARS. IF LESS THAN 1 YEAR, RECORD '00'

AGE IN YEARS___

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Jordan 2009

No questionnaire text is available for this sample.


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Jordan 2012

No questionnaire text is available for this sample.


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Jordan 2017

No questionnaire text is available for this sample.


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Kenya 1989
Survey form view entire document:  text 
URBAN/RURAL

Urban 1
Rural 2

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Kenya 1993
Survey form view entire document:  text 
NAIROBI/MOMBASA 1, SMALL CITY 2, TOWN 3, RURAL 4

NAIROBI/MOMBASA 1
SMALL CITY 2
TOWN 3
RURAL 4

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Kenya 1998
Survey form view entire document:  text 
NAIROBI/MOMBASA 1
SMALL CITY 2
TOWN 3
RURAL 4

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Kenya 2003
Survey form view entire document:  text 
LOCATION

NAIROBI/MOMBASA/KISUMU 1
NAKURU/ELDORET/THIKA/NYERI 2
SMALL TOWN 3
RURAL 4

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Kenya 2008
Survey form view entire document:  text 
LOCATION/TOWN ____________

NAIROBI/MOMBASA/KISUMU 1
NAKURU/ELDORET/THIKA/NYERI 2
SMALL TOWN 3
RURAL 4

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Kenya 2014

No questionnaire text is available for this sample.


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Lesotho 2004
Survey form view entire document:  text 
IDENTIFICATION

PLACE NAME ___________________

NAME OF HOUSEHOLD HEAD ______________

EA NUMBER_____

HOUSEHOLD NUMBER____

LESOTHO ECOLOGICAL ZONE

LOWLANDS 1
FOOTHILLS 2
MOUNTAINS 3
SENQU RIVER VALLEY 4

DISTRICT

BUTHA-BUTHE 01
LERIBE 02
BEREA 03
MASERU 04
MAFETENG 05
MOHALE'S HOEK 06
QUTHING 07
QASHA'S NEK 08
MOKHOTLONG 09
THABA-TSEKA 10

URBAN/RURAL

URBAN 1
RURAL 2

NAME AND LINE NUMBER OF WOMAN ___


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Lesotho 2009
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Lesotho 2014

No questionnaire text is available for this sample.


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Liberia 1986

No questionnaire text is available for this sample.


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Liberia 2007
Survey form view entire document:  text 
IDENTIFICATION

NAME OF COUNTY ___
NAME OF DISTRICT___
NAME OF CLAN/TOWNSHIP___
NAME OF CITY/TOWN/VILLAGE___


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Liberia 2013

No questionnaire text is available for this sample.


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Madagascar 1992

No questionnaire text is available for this sample.


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Madagascar 1997

No questionnaire text is available for this sample.


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Madagascar 2003

No questionnaire text is available for this sample.


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Madagascar 2008

No questionnaire text is available for this sample.


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Malawi 1992
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Malawi 2000
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Malawi 2004
Survey form view entire document:  text 

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Malawi 2010

No questionnaire text is available for this sample.


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Malawi 2016
Survey form view entire document:  text 
103. Just before you moved here, did you live in a city, in a town, or in a rural area?

CITY 1
TOWN 2
RURAL AREA 3

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Mali 1987

No questionnaire text is available for this sample.


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Mali 1995
Survey form view entire document:  text 
ARRONDISSEMENT__

BAMAKO 1
OTHER COMMUNE 2
OTHER CITIES 3
RURAL 4

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Mali 2001
Survey form view entire document:  text 
URBAN/RURAL___

URBAN 1
RURAL 2

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Mali 2006
Survey form view entire document:  text 
URBAN/RURAL ____

URBAN 1
RURAL 2

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Mali 2012
Survey form view entire document:  text 
URBAN/RURAL MILIEU

URBAN 1
RURAL 2

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Mali 2018

No questionnaire text is available for this sample.


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Morocco 1992
Survey form view entire document:  text 
IDENTIFICATION

PROVINCE OR PREFECTURE

CIRCLE

MUNICIPALITY:

AUTONOMOUS CENTER
RURAL COMMUNE

CENTER

PRIMARY UNIT NUMBER

SECONDARY UNIT NUMBER

LEVEL:

RABAT-CASA 1
LARGE CITY 2
CITY 3
COUNTRYSIDE 4

HOUSEHOLD NUMBER

HOUSEHOLD ADDRESS


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Morocco 2003

No questionnaire text is available for this sample.


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Mozambique 1997
Survey form view entire document:  text 
URBAN OR RURAL?

URBAN 1
RURAL 2

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Mozambique 2003
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Mozambique 2011
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Myanmar 2015

No questionnaire text is available for this sample.


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Namibia 1992

No questionnaire text is available for this sample.


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Namibia 2000

No questionnaire text is available for this sample.


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Namibia 2006

No questionnaire text is available for this sample.


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Namibia 2013

No questionnaire text is available for this sample.


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Nepal 1996
Survey form view entire document:  text 
NEPAL FAMILY HEALTH SURVEY INDIVIDUAL QUESTIONNAIRE (ENGLISH)

IDENTIFICATION

DISTRICT NAME AND NUMBER

VILLAGE/MUNICIPALITY NAME AND NUMBER

WARD NUMBER

CLUSTER NUMBER

HOUSEHOLD NUMBER

CITY/TOWN/COUNTRYSIDE

City 1
Town 2
Countryside 3

NAME OF HOUSEHOLD HEAD

NAME AND LINE NUMBER OF WOMAN


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Nepal 2001

No questionnaire text is available for this sample.


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Nepal 2006

No questionnaire text is available for this sample.


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Nepal 2011

No questionnaire text is available for this sample.


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Nepal 2016

No questionnaire text is available for this sample.


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Niger 1992
Survey form view entire document:  text 
VILLAGE/QUARTER ___

NIAMEY 1
AGADEZ, MARADI, TAHOUA, ZINDER 2
OTHER CITY 3
RURAL 4

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Niger 1998
Survey form view entire document:  text 
URBAN/RURAL:

URBAN 1
RURAL 2

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Niger 2006
Survey form view entire document:  text 
URBAN/RURAL:

URBAN 1
RURAL 2

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Niger 2012
Survey form view entire document:  text 
URBAN/RURAL ___________

URBAN 1
RURAL 2

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Nigeria 1990
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Nigeria 1999
Survey form view entire document:  text 
URBAN/RURAL___

URBAN 1
RURAL 2

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Nigeria 2003
Survey form view entire document:  text 
URBAN/RURAL ___

URBAN l
RURAL 2

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Nigeria 2008
Survey form view entire document:  text 
URBAN/RURAL:

URBAN l
RURAL 2

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Nigeria 2013
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Nigeria 2018

No questionnaire text is available for this sample.


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Pakistan 1991
Survey form view entire document:  text 
IDENTIFICATION

PLACE NAME_______________
NAME OF HOUSEHOLD____________
PROVINCE ____

URBAN/RURAL

URBAN 1
RURAL 2

MAJOR CITY/DIVISION/DISTRICT ____
CLUSTER NUMBER ___
HOUSEHOLD NUMBER ___

MAJOR CITY/SMALL CITY, TOWN/VILLAGE

MAJOR CITY 1
SMALL CITY, TOWN 2
VILLAGE 3

NAME AND LINE NUMBER OF WOMEN______________
NAME AND LINE NUMBER OF HUSBAND (IF ELIGIBLE)


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Pakistan 2006

No questionnaire text is available for this sample.


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Pakistan 2012

No questionnaire text is available for this sample.


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Pakistan 2017

No questionnaire text is available for this sample.


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Rwanda 1992
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Rwanda 2000
Survey form view entire document:  text 
URBAN/RURAL___

URBAN 1
RURAL 2

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Rwanda 2005
Survey form view entire document:  text 
URBAN/RURAL _______

URBAN 1
RURAL 2

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Rwanda 2008
Survey form view entire document:  text 
IDENTIFICATION

VILLAGE NAME

NAME OF HOUSEHOLD HEAD

PROVINCE

DISTRICT

CLUSTER NUMBER

STRUCTURE NUMBER

HOUSEHOLD NUMBER

URBAN/RURAL

URBAN = 1
RURAL = 2

CITY OF KIGALI/OTHER CITY/RURAL

CITY OF KIGALI = 1
OTHER CITY = 2
RURAL = 3

NAME AND LINE NUMBER OF WOMAN


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Rwanda 2010

No questionnaire text is available for this sample.


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Rwanda 2014

No questionnaire text is available for this sample.


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Senegal 1986

No questionnaire text is available for this sample.


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Senegal 1992
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Senegal 1997
Survey form view entire document:  text 
URBAN/RURAL ?

URBAN 1
RURAL 2

top
Senegal 2005
Survey form view entire document:  text 
URBAN/RURAL___

URBAN 1
RURAL 2

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Senegal 2010
Survey form view entire document:  text 
URBAN/RURAL:

URBAN 1
RURAL 2

top
Senegal 2012
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Senegal 2014
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Senegal 2015

No questionnaire text is available for this sample.


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Senegal 2016
Survey form view entire document:  text 
IDENTIFICATION

PLACE NAME _____

NAME OF HEAD OF HOUSEHOLD ______

HOUSEHOLD NUMBER ____

PLOT NUMBER ____

CLUSTER NUMBER _____

REGION ____

DEPARTMENT ____

SANITATION DISTRICT ____

URBAN/RURAL

URBAN 1
RURAL 2

MILIEU ____

DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL

DAKAR 1
REGIONAL CAPITAL 2
OTHER CITY 3
RURAL 4

WOMAN'S NAME AND LINE NUMBER _____

CHECK COVER PAGE OF THE HOUSEHOLD QUESTIONNAIRE

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2

IF HOUSEHOLD SELECTED FOR DV, CHECK WOMEN'S SELECTION TABLE (Q157A OF HOUSEHOLD QUESTIONNAIRE)

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2

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Senegal 2017
Survey form view entire document:  text 
IDENTIFICATION

PLACE NAME _____

NAME OF HEAD OF HOUSEHOLD ______

HOUSEHOLD NUMBER ____

PLOT NUMBER ____

CLUSTER NUMBER _____

REGION ____

DEPARTMENT ____

SANITATION DISTRICT ____

URBAN/RURAL

URBAN 1
RURAL 2

MILIEU ____

DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL

DAKAR 1
REGIONAL CAPITAL 2
OTHER CITY 3
RURAL 4

WOMAN'S NAME AND LINE NUMBER _____

CHECK COVER PAGE OF THE HOUSEHOLD QUESTIONNAIRE

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2

IF HOUSEHOLD SELECTED FOR DV, CHECK WOMEN'S SELECTION TABLE (Q157A OF HOUSEHOLD QUESTIONNAIRE)

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2

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South Africa 1998

No questionnaire text is available for this sample.


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South Africa 2016

No questionnaire text is available for this sample.


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Sri Lanka 1987
Survey form view entire document:  text 
104) First I would like to ask some questions about yourself and your household. For most of the time until you were 12 years old, did you live in metropolitan Colombo, another urban area, in a village, or on an estate?

COLOMBO METRO (ZONE 1) 1
OTHER URBAN 2
VILLAGE 3
ESTATE 4

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Sudan 1989

No questionnaire text is available for this sample.


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Tanzania 1991
Survey form view entire document:  text 
URBAN/RURAL ___

URBAN 1
RURAL 2

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Tanzania 1996

No questionnaire text is available for this sample.


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Tanzania 1999

No questionnaire text is available for this sample.


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Tanzania 2004

No questionnaire text is available for this sample.


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Tanzania 2010

No questionnaire text is available for this sample.


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Tanzania 2015

No questionnaire text is available for this sample.


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Tunisia 1988

No questionnaire text is available for this sample.


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Uganda 1988

No questionnaire text is available for this sample.


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Uganda 1995
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Uganda 2001
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Uganda 2006

No questionnaire text is available for this sample.


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Uganda 2011

No questionnaire text is available for this sample.


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Uganda 2016

No questionnaire text is available for this sample.


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Yemen 1991

No questionnaire text is available for this sample.


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Yemen 2013

No questionnaire text is available for this sample.


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Zambia 1992
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Zambia 1996
Survey form view entire document:  text 
URBAN OR RURAL?

URBAN 1
RURAL 2

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Zambia 2001
Survey form view entire document:  text 
URBAN/RURAL___

URBAN 1
RURAL 2

top
Zambia 2007
Survey form view entire document:  text 
URBAN/RURAL

URBAN 1
RURAL 2

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Zambia 2013
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RURAL/URBAN

RURAL 1
URBAN 2

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Zambia 2018

No questionnaire text is available for this sample.


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Zimbabwe 1988

No questionnaire text is available for this sample.


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Zimbabwe 1994
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URBAN OR RURAL?

Urban 1
Rural 2

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Zimbabwe 1999
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URBAN/RURAL

URBAN 1
RURAL 2

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Zimbabwe 2005
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LARGE CITY/SMALL CITY/TOWN/RURAL

HARARE 1
SMALL CITY 2
TOWN 3
RURAL 4

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Zimbabwe 2010

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Zimbabwe 2015

No questionnaire text is available for this sample.