Model Questionnaires

Model questionnaires are produced by UNICEF as a basis for country specific questionnaire design. UNICEF MICS model questionnaires correspond to a particular round. There are major and minor differences between rounds.

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Questionnaire
Round Type Image Text
Round 3 Women pdf html
Household pdf html
Children age 0-4 pdf html
Round 4 Women pdf html
Household pdf html
Children age 0-4 pdf html
Men pdf html
Round 5 Women pdf html
Household pdf html
Children age 0-4 pdf html
Men pdf html
Round 6 Women pdf html
Household pdf html
Children age 0-4 pdf html
Men pdf html
Children age 5-17 pdf html
Optional Modules
Round Modules Type Image Text
Round 4 Child Disability Children age 0-4 pdf html
Vaccination Records from Health Facility Children age 0-4 pdf html
Round 5 Vaccination Records from Health Facility Children age 0-4 pdf html
Round 6 Vaccination Records from Health Facility Children age 0-4 pdf html
Water Quality Household pdf html

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