Survey Text
Bangladesh 1997
Survey form
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text
910. RESULT:
RESPONDENT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) 6
CHILD(REN):
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) 6
Bangladesh 2000
Survey form
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text
910. RESULT
RESPONDENT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) 6
CHILD(REN):
MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) 6
Bangladesh 2004
Survey form
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text
51. RESULT
1 MEASURED
2 NOT PRESENT
3 REFUSED
6 OTHER
Bangladesh 2007
Survey form
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text
513) RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Bangladesh 2011
Survey form
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text
216) WEIGHT IN KILOGRAMS
KG___________.______
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
217) HEIGHT IN CENTIMETERS
CM. __________.______
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Bangladesh 2014
No questionnaire text is available for this sample.
Benin 1996
Survey form
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text
1010) RESULT
FOR RESPONDENT
MEASURED 1
NOT PRESENT 2
REFUSED 4
OTHER (SPECIFY) ___________ 6
FOR CHILDREN BORN SINCE JANUARY 1993
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ___________ 6
Benin 2001
Survey form
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text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Benin 2006
Survey form
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text
508 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Benin 2011
Survey form
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text
702) WEIGHT IN KILOGRAMS
KG_______
ABSENT 99994
REFUSED 99995
OTHER 99996
703) HEIGHT IN CENTIMETERS
CM______
ABSENT 99994
REFUSED 99995
OTHER 99996
Benin 2017
No questionnaire text is available for this sample.
Burkina Faso 1993
Survey form
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text
911. RESULT
FOR WOMAN/RESPONDENT _____
MEASURED 1
ABSENT 2
REFUSED 3
OTHER (SPECIFY) _____ 6
FOR CHILD(REN) _____
CHILD MEASURED 1
CHILD SICK 2
CHILD ABSENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ____ 6
Burkina Faso 1998
Survey form
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text
1110. RESULT:
RESPONDENT'S RESULT _____
MEASURED 1
ABSENT 3
REFUSED 4
OTHER (SPECIFY) ____ 6
CHILDREN'S RESULT(S) _____
CHILD MEASURED 1
CHILD SICK 2
CHILD ABSENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ____ 6
Burkina Faso 2003
Survey form
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text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Burkina Faso 2010
Survey form
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text
216. WEIGHT IN KILOGRAMS:
KG _____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
217. HEIGHT IN CENTIMETERS:
CM _____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Burundi 2016
No questionnaire text is available for this sample.
Cameroon 1998
Survey form
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text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Cameroon 2004
Survey form
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text
43) RESULT
1 MEASURED
2 NOT PRESENT
3 REFUSED
4 TECHNICAL PROBLEMS
6 OTHER
Cameroon 2011
Survey form
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text
505A) AGE: CHECK COLUMN 7.
15-17 YEARS 1
18-49 YEARS 2 (GO TO 508)
Cameroon 2018
Survey form
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text
205) WEIGHT IN KILOGRAMS.
KG____.____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
206) HEIGHT IN CENTIMETERS.
CM____.____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Central African Republic 1995
Survey form
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text
1110) RESULT
MEASURED 1
NOT PRESENT 2
REFUSED 4
OTHER (SPECIFY)____ 6
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY)____ 6
Chad 1996
Survey form
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text
A10) RESULT:
RESPONDENT
MEASURED 1
NOT PRESENT 2
REFUSED 4
OTHER (SPECIFY): ___ 6
CHILDREN
MEASURED 1
SICK 2
NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY): ___ 6
Chad 2004
Survey form
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text
1110) Result
MEASURED 1
NOT PRESENT 2
REFUSED 4
OTHER (SPECIFY) 6
MEASURED 1
SICK 2
NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) 6
Chad 2014
Survey form
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text
307) MEASURED LYING DOWN OR STANDING UP?
LYING DOWN 1
STANDING UP 2
NOT MEASURED 3
Congo (Democratic Republic) 2007
Survey form
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text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Congo (Democratic Republic) 2013
Survey form
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text
332) WEIGHT IN KILOGRAMS
KILOGRAMS ____
ABSENT 99994
REFUSED 99995
OTHER 99996
333) HEIGHT IN CENTIMETERS
CENTIMETERS ____
ABSENT 99994
REFUSED 99995
OTHER 99996
Congo Brazzaville 2005
Survey form
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text
43) RESULT ____
MEASURED 1
NOT PRESENT 2
REFUSED 3
TECHNICAL PROBLEMS 4
OTHER 6
Congo Brazzaville 2011
No questionnaire text is available for this sample.
Cote d'Ivoire 1994
Survey form
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text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Cote d'Ivoire 1998
Survey form
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text
1010) RESULT:
RESPONDENT
MEASURED 1
NOT PRESENT 2
REFUSED 4
OTHER (SPECIFY): ___ 6
CHILDREN
MEASURED 1
SICK 2
NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY): ___ 6
Cote d'Ivoire 2011
Survey form
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text
205. WEIGHT IN KILOGRAMS (10)
KG ____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Egypt 1992
Survey form
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text
810) RESULT
[answer once]
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 6
[answer for each child]
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) __________ 6
Egypt 1995
Survey form
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text
910) RESULT:
[ask once]
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) ______ 9
[ask for each child born since January 1991*]
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ______ 6
Egypt 2000
Survey form
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text
43) RESULT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Egypt 2003
Survey form
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text
063. RESULT:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Egypt 2005
Survey form
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text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Egypt 2008
Survey form
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text
208. RESULT
1 MEASURED
2 NOT PRESENT
3 REFUSED
6 OTHER
Egypt 2014
Survey form
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text
305. WEIGHT IN KILOGRAMS
KG_____.____
NOT PRESENT 999.4
REFUSED 999.5
OTHER 999.6
306. HEIGHT IN CENTIMETERS
CM. _____.___
NOT PRESENT 999.4
REFUSED 999.5
OTHER 999.6
Eswatini (Swaziland) 2006
Survey form
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text
527) RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Ethiopia 2000
Survey form
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text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Ethiopia 2005
Survey form
view entire document:
text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Ethiopia 2011
Survey form
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text
216. WEIGHT IN KILOGRAMS (10)
KG ____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
Ethiopia 2016
No questionnaire text is available for this sample.
Ghana 1993
Survey form
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text
911. RESULT
RESPONDENT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) _____ 6
CHILD
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ____ 6
Ghana 1998
Survey form
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text
911. RESULT OF WEIGHING AND MEASURING
RESPONDENT (1)
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) ____ 6
CHILD
MEASURED 1
CHILD SICK 2
NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ____ 6
Ghana 2003
Survey form
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text
316B. CHECK 316/316A, 215 AND 230:
ANY BIRTH OR PREGNANCY TERMINATION AFTER MONTH AND YEAR OF START OF USE OF CONTRACEPTION IN 316/316A
YES (GO BACK TO 316/316A, PROBE AND RECORD MONTH AND YEAR AT START OF CONTINUOUS USE OF CURRENT METHOD (MUST BE AFTER LAST BIRTH OR PREGNANCY TERMINATION.)
NO (GO TO 317)
Ghana 2008
Survey form
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text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Ghana 2014
No questionnaire text is available for this sample.
Guinea 1999
Survey form
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text
1310. RESULT:
FOR RESPONDENT _____
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) _____ 6
RESULT FOR CHILD _____
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) _____ 6
Guinea 2005
Survey form
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text
43. RESULT:
1 MEASURED
2 NOT PRESENT
3 REFUSED
4 TECHNICAL PROBLEMS
6 OTHER
Guinea 2012
Survey form
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text
243) WEIGHT IN KILOGRAMS
KG__________
ABSENT 9994
REFUSED 9995
OTHER 9996
244) HEIGHT IN CENTIMETERS
CM___________
ABSENT 9994
REFUSED 9995
OTHER 9996
Guinea 2018
Survey form
view entire document:
text
305) Weight in kilograms
KG
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
India 1998
Survey form
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text
810) Do you know someone personally who has the virus that causes AIDS or someone who has died of AIDS?
YES 1
NO 2
DK 8
India 2005
Survey form
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text
313 Do you know the brand name of the (pills/condoms) you are using?
RECORD NAME OF BRAND.
BRAND NAME (SPECIFY) _________ __
DON'T KNOW 98
India 2015
No questionnaire text is available for this sample.
Jordan 1997
Survey form
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text
1010. RESULT
MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER _______ 6
Jordan 2002
Survey form
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text
43. RESULT
1=MEASURED
2=NOT PRESENT
3=REFUSED
6=OTHER
Jordan 2007
Survey form
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text
219) RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Jordan 2009
Survey form
view entire document:
text
219) RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Jordan 2012
Survey form
view entire document:
text
205. WEIGHT IN KILOGRAMS
KG ____.___
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Jordan 2017
Survey form
view entire document:
text
205) WEIGHT IN KILOGRAMS
KG ___.__
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
Kenya 1993
Survey form
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text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Kenya 1998
Survey form
view entire document:
text
1110. RESULT
RESPONDENT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) ________6
CHILDREN BORN SINCE 1993
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ________ 6
Kenya 2003
Survey form
view entire document:
text
43) RESULT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Kenya 2008
Survey form
view entire document:
text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Kenya 2014
Survey form
view entire document:
text
216. WEIGHT IN KILOGRAMS (10)
KG ____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
217. HEIGHT IN CENTIMETERS
CM ____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Lesotho 2004
Survey form
view entire document:
text
(44) RESULT
MEASURED 1
NOT PRESENT 2
REFUSED 3
TECHN PROB 4
OTHER 6
Lesotho 2009
Survey form
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text
223B CIRCLE THE APPROPRIATE CODE AND SIGN YOUR NAME
GRANTED 1 (SIGN) _________________
PARENT/OTHER RESPONSIBLE ADULT REFUSED 2 (SIGN) ___ (GO TO 225A)
RESPONDENT REFUSED 3 (SIGN) _________________ (GO TO 225A)
Lesotho 2014
Survey form
view entire document:
text
216) WEIGHT IN KILOGRAMS:
KILOGRAMS_____
NOT PRESENT 99994 (GO TO 216 FOR NEXT WOMAN OR, IF NO MORE WOMEN, GO TO 246)
REFUSED 99995
OTHER 99996
217) HEIGHT IN CENTIMETERS:
CENTIMETERS_____
REFUSED 9995
OTHER 9996
Liberia 2007
Survey form
view entire document:
text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Liberia 2013
Survey form
view entire document:
text
411) WEIGHT IN KILOGRAMS
KILOGRAMS___
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
412) HEIGHT IN CENTIMETERS
CENTIMETERS___
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Madagascar 1997
Survey form
view entire document:
text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Madagascar 2003
Survey form
view entire document:
text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Madagascar 2008
Survey form
view entire document:
text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Malawi 1992
Survey form
view entire document:
text
810 RESULT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 6
Malawi 2000
Survey form
view entire document:
text
43) RESULT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Malawi 2004
Survey form
view entire document:
text
1101B. RESULT:
MEASURED 1
REFUSED 2
ABSENT 3
OTHER (SPECIFY) __________ 6
Malawi 2010
Survey form
view entire document:
text
517. WEIGHT IN KILOGRAMS
KILOGRAMS ___.___
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
Malawi 2016
No questionnaire text is available for this sample.
Mali 1995
Survey form
view entire document:
text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Mali 2001
Survey form
view entire document:
text
40) WEIGHT (KILOGRAMS):
_____
Mali 2006
Survey form
view entire document:
text
43. RESULT:
WOMEN BETWEEN 15-49 YEARS
1 MEASURED
2 ABSENT
3 REFUSED
6 OTHER
CHILDREN BORN IN 2001 (9) OR AFTER
1 MEASURED
2 ABSENT
3 REFUSED
6 OTHER
Mali 2012
Survey form
view entire document:
text
232) WEIGHT IN KILOGRAMS
KG________
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
233) HEIGHT IN CENTIMETERS
CM________
NOT PRESENT 99994
REFUSED 9995
OTHER 99996
Mali 2018
No questionnaire text is available for this sample.
Morocco 1992
No questionnaire text is available for this sample.
Morocco 2003
Survey form
view entire document:
text
88. RESULTS
MEASURED 1
ABSENT 2
REFUSED 3
OTHER 4
Mozambique 1997
Survey form
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text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Mozambique 2003
Survey form
view entire document:
text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Mozambique 2011
Survey form
view entire document:
text
216. WEIGHT IN KILOGRAMS (10)
KG ____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
Myanmar 2015
Survey form
view entire document:
text
205) WEIGHT IN KILOGRAMS
KILOGRAMS____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Namibia 1992
Survey form
view entire document:
text
810 RESULT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 6
Namibia 2006
Survey form
view entire document:
text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Namibia 2013
Survey form
view entire document:
text
339) WEIGHT IN KILOGRAMS
KG _____._____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
340) HEIGHT IN CENTIMETERS
CM _____._____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Nepal 1996
Survey form
view entire document:
text
910. RESULT
RESPONDENT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) 6
YOUNGEST LIVING CHILD
MEASURED 1
CHILD SICK 2
CHILD NOT
PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) _________________6
NEXT-TO-YOUNGEST CHILD
MEASURED 1
CHILD SICK 2
CHILD NOT
PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) _________________6
Nepal 2001
Survey form
view entire document:
text
36. RESULT
1 MEASURED
2 NOT PRESENT
3 REFUSED
6 OTHER
___
Nepal 2006
Survey form
view entire document:
text
219. RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Nepal 2011
Survey form
view entire document:
text
216) WEIGHT IN KILOGRAMS
KG. __________. ______
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
Nepal 2016
Survey form
view entire document:
text
205. WEIGHT IN KILOGRAMS.
KG ___. ___
NOT PRESENT 99994 (GO TO 203 FOR NEXT WOMAN OR, IF NO MORE WOMEN GO TO 303)
REFUSED 99995
OTHER 99996
Niger 1992
Survey form
view entire document:
text
912) RESULT (WEIGHT AND HEIGHT):
MEASURED 1
CHILD SICK 2
ABSENT 3
REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY): ___ 6
Niger 1998
Survey form
view entire document:
text
910) RESULT:
RESPONDENT
MEASURED 1
ABSENT 3
REFUSED 4
OTHER (SPECIFY): ___ 6
CHILDREN
CHILD MEASURED 1
CHILD ILL 2
CHILD ABSENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY): ___ 6
Niger 2006
Survey form
view entire document:
text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Niger 2012
Survey form
view entire document:
text
216. WEIGHT IN KILOGRAMS (10)
KG ____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
Nigeria 1999
Survey form
view entire document:
text
1010. RESULT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) _________ 6
Nigeria 2003
Survey form
view entire document:
text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Nigeria 2008
Survey form
view entire document:
text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Nigeria 2013
Survey form
view entire document:
text
505) WEIGHT IN KILOGRAMS
KG____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
506) HEIGHT IN CENTIMETERS
CM______
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Nigeria 2018
Survey form
view entire document:
text
205. WEIGHT IN KILOGRAMS.
WOMAN 1
KG ___
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
WOMAN 2
KG ___
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
WOMAN 3
KG ___
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
206. HEIGHT IN CENTIMETERS.
WOMAN 1
CM ____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
WOMAN 2
CM ____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
WOMAN 3
CM ____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Pakistan 2012
No questionnaire text is available for this sample.
Pakistan 2017
Survey form
view entire document:
text
105) In what month and year were you born?
MONTH ________
DON'T KNOW MONTH 98
YEAR ______
DON'T KNOW YEAR 9998
106) How old were you at your last birthday?
COMPARE AND CORRECT 105 AND/OR 106 IF INCONSISTENT.
AGE IN COMPLETED YEARS _____
Rwanda 2000
Survey form
view entire document:
text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Rwanda 2005
Survey form
view entire document:
text
(43) RESULT
1 MEASURED
2 NOT PRESENT
3 REFUSED
4 TECHN PROB
6 OTHER
Rwanda 2010
Survey form
view entire document:
text
205) WEIGHT IN KILOGRAMS
KILOGRAMS__
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
206) HEIGHT IN CENTIMETERS
CENTIMETERS__
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Rwanda 2014
No questionnaire text is available for this sample.
Senegal 1992
Survey form
view entire document:
text
810 RESULT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 6
Senegal 2005
Survey form
view entire document:
text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Senegal 2010
Survey form
view entire document:
text
205. WEIGHT IN KILOGRAMS:
KG _____
NOT PRESENT 99.94
REFUSED 99.95
OTHER 99.96
206. HEIGHT IN CENTIMETERS:
CM_____
NOT PRESENT 999.4
REFUSED 999.5
OTHER 999.6
South Africa 2016
No questionnaire text is available for this sample.
Tanzania 1991
Survey form
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text
810 RESULT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 6
Tanzania 1996
Survey form
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text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Tanzania 2004
Survey form
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text
43) RESULT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Tanzania 2010
Survey form
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603. WEIGHT IN KILOGRAMS
KG _____.__
NOT PRESENT 99994
REFUSED 99995
OTHER .99996
604. HEIGHT IN CENTIMETERS
CM _____.___
NOT PRESENT 9994
REFUSED 9995
OTHER .9996
Tanzania 2015
No questionnaire text is available for this sample.
Togo 1998
Survey form
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1010) RESULT
MEASURED 1
NOT PRESENT 2
CHILD NOT PRESENT 3
REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) __________ 6
Togo 2013
Survey form
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text
216. WEIGHT IN KILOGRAMS (10)
KG ____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
217. HEIGHT IN CENTIMETERS
CM ____
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Uganda 1995
Survey form
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910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Uganda 2001
Survey form
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text
43) RESULT:
______
CODES:
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Uganda 2006
Survey form
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text
519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Uganda 2011
Survey form
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text
414) During (any of) your antenatal care visit(s), were you told about things to look out for that might suggest problems with the pregnancy?
[FOR LAST BIRTH ONLY]
YES 1
NO 2
DON'T KNOW 8
415) During this pregnancy, were you given an injection in the arm to prevent the baby from getting tetanus, that is, convulsions after birth?
[FOR LAST BIRTH ONLY]
YES 1
NO 2 (GO TO 418)
DON'T KNOW 8 (GO TO 418)
Uganda 2016
No questionnaire text is available for this sample.
Yemen 2013
No questionnaire text is available for this sample.
Zambia 1992
Survey form
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text
810 RESULT
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 6
Zambia 1996
Survey form
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text
910. RESULT:
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) __________ 9
NAME OF MEASURER __________
NAME OF ASSISTANT __________
Zambia 2001
Survey form
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text
40) WEIGHT (KILOGRAMS):
_____
Zambia 2007
Survey form
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519 RESULT OF WEIGHT AND HEIGHT MEASUREMENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Zambia 2013
Survey form
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text
205. WEIGHT IN KILOGRAMS
KG_________
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
206. HEIGHT IN CENTIMETRES
CM___________
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
Zimbabwe 1994
Survey form
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text
910) RESULT:
[ask once]
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) ______ 9
[ask for each child born since January 1991*]
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) ______ 6
Zimbabwe 1999
Survey form
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text
43) RESULT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER 6
Zimbabwe 2005
Survey form
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text
1303) RECORD RESULT FOR ANTHROPOMETRIC MEASURMENT.
MEASURED 1
REFUSED 2
ABSENT 3
OTHER __________ 6
Zimbabwe 2010
Survey form
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text
216. WEIGHT IN KILOGRAMS (10)
KG ____
NOT PRESENT 99994
REFUSED 99995
OTHER 99996
Zimbabwe 2015
No questionnaire text is available for this sample.