Questionnaire Text

Burkina Faso 2020 Congo (Democratic Republic) 2021 India 2021 Nigeria 2019b
Burkina Faso 2021 Congo (Democratic Republic) 2021 Kenya 2019 Nigeria 2020a
Burkina Faso 2022 Cote d'Ivoire 2020 Kenya 2020 Nigeria 2020b
Congo (Democratic Republic) 2019a Cote d'Ivoire 2021 Kenya 2021 Nigeria 2021a
Congo (Democratic Republic) 2019b Ethiopia 2020 Niger 2020 Nigeria 2021b
Congo (Democratic Republic) 2020 India 2017a Niger 2022 Uganda 2020
Congo (Democratic Republic) 2020 India 2020 Nigeria 2019a Uganda 2021
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Burkina Faso 2020
Questionnaire form view entire document:  text 
206d. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.


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Burkina Faso 2021
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year: ___

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Burkina Faso 2022
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Congo (Democratic Republic) 2019a
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.


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Congo (Democratic Republic) 2019b
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.


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Congo (Democratic Republic) 2020
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.


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Congo (Democratic Republic) 2020
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.


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Congo (Democratic Republic) 2021
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Congo (Democratic Republic) 2021
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Cote d'Ivoire 2020
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Cote d'Ivoire 2021
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Ethiopia 2020

No questionnaire text is available for this sample.


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India 2017a
Questionnaire form view entire document:  text 
2. When did the last such pregnancy end? Enter Jan 2020 for no response.

Month____ Year____

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India 2020
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.
Cannot be in future


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India 2021
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Kenya 2019
Questionnaire form view entire document:  text 
206d. When did that pregnancy end?
CALENDAR: Enter the termination and duration of pregnancy in the calendar. Select 'Do not know' for month and '2030' for year to indicate 'No Response'.
Month____
Year____

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Kenya 2020
Questionnaire form view entire document:  text 
206d. When did that pregnancy end?
CALENDAR: Enter the termination and duration of pregnancy in the calendar. Select 'Do not know' for month and '2030' for year to indicate 'No Response'.
Month____
Year____

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Kenya 2021
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Niger 2020
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Niger 2022
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Nigeria 2019a
Questionnaire form view entire document:  text 
206d. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.


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Nigeria 2019b
Questionnaire form view entire document:  text 
206d. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.


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Nigeria 2020a
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Nigeria 2020b
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Nigeria 2021a
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Nigeria 2021b
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Uganda 2020
Questionnaire form view entire document:  text 
208. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year: ___

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future


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Uganda 2021
Questionnaire form view entire document:  text 
XS_206. When did that pregnancy end?

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future