Questionnaire Text

Albania 2005 Gambia 2005 Malawi 2019 Togo 2006
Bangladesh 2006 Georgia 2005 Mauritania 2007 Trinidad and Tobago 2006
Belarus 2005 Ghana 2006 Mongolia 2005 Turkmenistan 2006
Belize 2006 Guinea Bissau 2006 Montenegro 2005 Turkmenistan 2019
Bosnia and Herzegovina 2006 Guyana 2006 Nigeria 2007 Turks and Caicos 2019
Burkina Faso 2006 Guyana 2019 Pakistan (Sindh) 2018 Tuvalu 2019
Burundi 2005 Honduras 2019 Samoa 2019 Ukraine 2005
Central African Republic 2006 Jamaica 2005 Serbia 2005 Uzbekistan 2006
Central African Republic 2018 Kazakhstan 2006 Sierra Leone 2005 Vanuatu 2007
Chad 2019 Kyrgyzstan 2005 Suriname 2006 Vietnam 2006
Cote D'Ivoire 2006 Laos 2006 Syria 2006
Djibouti 2006 Lebanon 2005 Tajikistan 2005
Dominican Republic 2019 Macedonia 2005 Thailand 2005
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Albania 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Bangladesh 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Belarus 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Belize 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Bosnia and Herzegovina 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Burkina Faso 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Burundi 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Central African Republic 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Central African Republic 2018
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Chad 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Cote D'Ivoire 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Djibouti 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Dominican Republic 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Gambia 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Georgia 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Ghana 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Guinea Bissau 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Guyana 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Guyana 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Honduras 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Jamaica 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Kazakhstan 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Kyrgyzstan 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Laos 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Lebanon 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Macedonia 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Malawi 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Mauritania 2007
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Mongolia 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Montenegro 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Nigeria 2007
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Pakistan (Sindh) 2018
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Samoa 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Serbia 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Sierra Leone 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Suriname 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Syria 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Tajikistan 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Thailand 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

top
Togo 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Trinidad and Tobago 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Turkmenistan 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Turkmenistan 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Turks and Caicos 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

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Tuvalu 2019
Survey form view entire document:  text  image
BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
Day/month/year _ _ / _ _ / _ _ _ _

top
Ukraine 2005
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Uzbekistan 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Vanuatu 2007
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

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Vietnam 2006
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _