Integrated Public Use Microdata Series (IPUMS)

NAME OF HOUSEHOLD HEAD _______________ ADDRESS IN DETAIL ______________ NAME OF WOMAN__________ LINE NUMBER OF WOMAN_________ GOVERNORATE_______ PSU/SEGMENT NO._______ HOUSEHOLD NO.______ SUBSAMPLE______ LINE NUMBER______ INTERVIEWER VISITS 1 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ INTERVIEWER VISITS 2 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ INTERVIEWER VISITS 3 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ FINAL VISIT MONTH ____ YEAR ____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ TOTAL NUMBER OF VISITS ___

Now we would like some information about the people who usually live in your household or who are staying with you now. 001. LINE NO. 002. USUAL RESIDENTS AND VISITORS: Please give me the names of the persons who usually live in your household or are staying with you now, starting with the head of the household. AFTER LISTING NAMES, ASK QUESTIONS 003-005 TO BE SURE THAT YOU HAVE A COMPLETE LISTING. THEN GO ON TO 006-024.

701. CHECK 215: ONE OR MORE BIRTHS SINCE JANUARY 1983: (GO TO 702) NO BIRTHS SINCE JANUARY 1983: (GO TO 848) 702. CHECK 212, 213 AND 216 AND ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 AT THE TOP OF THE TABLE BELOW, BEGINNING WITH THE LAST BIRTH. RECORD NAMES OF TWINS IN SEPARATE COLUMNS. COPY THE SAME INFORMATION AT THE TOP OF THE TABLES ON THE FOLLOWING THREE PAGES. THEN ASK QUESTIONS 703-712 AS APPROPRIATE FOR BIRTH SINCE 1983 REGARDLESS OF THE SURVIVAL STATUS. COMPLETE ALL QUESTIONS FOR ONE BIRTH BEFORE GOING ON TO THE NEXT BIRTH. LINE NUMBER FROM 212 ______________ NAME FROM 213 SURVIVAL STATUS FROM 216 NAME ______________ ALIVE (GO TO 703) DEAD (GO TO 703)

211. Now I would like to talk to you about all of your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL THE BIRTHS IN 213. RECORD TWINS ON SEPARATE LINES AND MARK WITH A BRACKET. IF THERE ARE MORE THAN SEVEN BIRTHS CONTINUE RECORDING THE NAMES ON THE NEXT PAGE. THEN ASK 214 THROUGH 219 AS APPROPRIATE FOR EACH BIRTH. AFTER RECORDING THE ANSWERS TO QUESTIONS 214-219 FOR ALL THE BIRTHS THE WOMAN HAS HAD, GO TO 220.

801. CHECK 215: ONE OR MORE LIVE BIRTHS SINCE JANUARY 1983 NO LIVE BIRTHS SINCE JANUARY 1983 (GO TO 848) CHECK 212, 213 AND 216 AND ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 AT THE TOP OF THE TABLE BELOW, BEGINNING WITH THE LAST BIRTH. RECORD NAMES OF TWINS IN SEPARATE COLUMNS. COPY THE SAME INFORMATION AT THE TOP OF THE TABLES ON THE FOLLOWIHG THREE PAGES. YOU SHOULD RECORD THE NAMES OF DEAD AS WELL AS LIVING CHILDREN EVEN THOUGH QUESTIONS 803-821 WILL BE ASKED ONLY FOR LIVING CHILDREN. AFTER THE TABLE HEADINGS ARE COMPLETE, ASK QUESTIONS 802-821 FOR EACH LIVING CHILD. COMPLETE ALL QUESTIONS FOR ONE LIVING CHILD BEFONE GOING ON TO THE NEXT CHILD. REMEMBER TO SKIP QUESTIONS 803-821 FOR DEAD CHILDREN. AFTER ASKING QUESTIONS 802-812 FOR ALL LIVING CHILDREN, GO ON TO QUESTION 822. LINE NUMBER FROM 212 _____________ NAME FROM 213 SURVIVAL STATUS FROM 216 NAME____ ALIVE (GO TO 802) DEAD (GO TO NEXT BIRTH)

NAME OF HOUSEHOLD HEAD _______________ ADDRESS IN DETAIL ______________ NAME OF WOMAN__________ LINE NUMBER OF WOMAN_________ GOVERNORATE_______ PSU/SEGMENT NO._______ HOUSEHOLD NO.______ SUBSAMPLE______ LINE NUMBER______ INTERVIEWER VISITS 1 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ INTERVIEWER VISITS 2 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ INTERVIEWER VISITS 3 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ FINAL VISIT MONTH ____ YEAR ____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ TOTAL NUMBER OF VISITS ___

NAME OF HOUSEHOLD HEAD _______________ ADDRESS IN DETAIL ______________ NAME OF WOMAN__________ LINE NUMBER OF WOMAN_________ GOVERNORATE_______ PSU/SEGMENT NO._______ HOUSEHOLD NO.______ SUBSAMPLE______ LINE NUMBER______ INTERVIEWER VISITS 1 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ INTERVIEWER VISITS 2 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ INTERVIEWER VISITS 3 DATE _____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ NEXT VISIT: DATE _____ TIME ________ FINAL VISIT MONTH ____ YEAR ____ TEAM _____ INTERVIEWER'S NAME _____ RESULT* ______ TOTAL NUMBER OF VISITS ___