SAINT KITTS AND NEVIS - Minnesota Population...

ADDRESS OF HOUSEHOLD:

COMMUNITY:

TOWN/VILLAGE:

DISTRICT/PARISH:

For optimum accuracy, please print carefully andcompletely inside the boxes provided. Avoid contact with theedges of the box. The following will serve as an example:

2) Place an X in the box for multiple choice options1) USE ONLY 2B PENCIL. DO NOT USE A PEN

Transfer these codes tothe top of EACHindividual questionnaire

IMPORTANT!!! PARISH

SAINT KITTS AND NEVIS

POPULATION AND HOUSING CENSUS 2011

BUILDING NUMBER

CENSUS DAY - MAY 15th, 2011

CO

NFID

ENTIA

L WH

EN C

OM

PLETE

IMPORTANT!!!

3) ERASE CLEANLY ANY CHANGES YOU MAKE4) MAKE NO STRAY MARKS ON QUESTIONNAIRES

IDENTIFICATION

DWELLING NUMBER VILLAGE NUMBER

ORGANIZATION OF THE EASTERNCARIBBEAN STATES

ED NUMBER HOUSEHOLD NO

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http://www.pdfcomplete.com/cms/hppl/tabid/108/Default.aspx?r=q8b3uige22

*RESULTS CODES: 1 = Completed 2 = Partially Completed 3 = Refused 4 = No Suitable respondent at home 5 = No Contact 6= Vacant

Statistical Department, Bladen Commercial Development, St. Kitts: Tel: 869-465-2521 and Charlestown, Nevis Tel: 869-469-5521

Confidential

Confidential Confidential

INTERVIEWER SAY:

I am the Census Interviewer assigned to this area and I would like to get some information about this household and itsmembers. Here is my identification card. (Please show card)

ConfidentialConfidential

INTERVIEWER RECORD OF VISITSVisit Number Date (DD/MM/YY) Time Started Time Ended *Results

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Duration (in minutes)

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AREA SUPERVISOR

FIELD SUPERVISOR

INTERVIEWER

EDITOR/CODER

EDITOR/CODER

NAME

NAME

NAME

NAME

NAME

DATE

DATE

DATE

DATE

DATE

50474


LISTING OF HOUSEHOLD MEMBERS

Confidential

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INTERVIEWER SAY:

Please give me the names of all the persons who usually live and share one daily meal with your household

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Remember to mark multiple choice boxes like this


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Under5 Years

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COMMENTS

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SECTION 1 - MIGRATION

2. (a) Did any member of this household move to live abroad during the last ten years (2001 - 2011)?1 Yes (continue)

2 No (go to section 2)

(b) How many persons moved?

Year moved2001 - 2010

Write yearproperly insidethe boxesprovided

Highesteducation

attained whenmoved

1 None2 Primary3 Secondary4 Tertiary(non-universityCollege)5 University6 Other

SexM = 1F = 2

Age whenmoved

0 if lessthan 1,98 for 99and over

Occupationwhen moved

Describe as clearly aspossible the person(s)occupation when he/shemoved.

Boxes in this columnare for official use

Name of Countryof Migration

Main reasonfor Migration

1 Higher income2 Employment3 Study4 Medical5 Marriage6 Family reasons7 Crime rate8 Other

Person Num

ber

(3) (4) (5) (6) (7) (8) (9) (10)

Write in the spaceProvided

01

02

03

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05

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11. What type of dwelling does this household occupy?1. Undivided private house2. Part of a private house/attached3. Flat, apartment, condominium4. Townhouse5. Double house/duplex6. Combined business and dwelling7. Barracks8. Other (Specify...................)

12. Is this dwelling insured?1. Yes2. No3. Don't know

13. Are the contents of this dwelling insured?1. Yes, all2. No3. Partially4. Don't know

14. Is this dwelling unit owned, rented, or leased byany member of the household?

1. Owned with mortgage2. Owned without mortgage3. Rented4. Rent free5. Leased6. Squatted7. Other (specify....................)

15. What is the rental/leased period for this dwelling?1. Weekly2. Fortnightly3. Monthly4. Quarterly

5. Half Yearly6. Annually7. Not Applicable

16. Is this dwelling rented/leased as fully furnished,semi-furnished or unfurnished?

1. Fully Furnished2. Semi-furnished3. Unfurnished

17. How much rent are you now paying per month?To nearest dollar

$ , 2 Don't know3 Not paying

18. How much Mortgage are you now paying per month? To nearest dollar

$ ,19. What about the land - Is it freehold, leased, or some other type of occupancy?

1. Owned/freehold2. Lease-hold3. Rented4. Rent-free5. Permission to work land

6. Squatted7. Share cropping8. Other (specify.............)9. Don't know

20. What is the MAIN material of the outer walls?1. Wood2. Wood & Brick3. Wood & Concrete4. Wood & Galvanise5. Concrete6. Concrete & Blocks

7. Stone8. Bricks9. Plywood10. Plywood & Concrete11. Makeshift (specify.................)12. Other (specify.....................)

21. What is the MAIN material used for roofing?1. Sheet metal (zinc, aluminum, galvanise, galvalume)2. Shingle (asphalt)3. Shingle (wood)4. Concrete5. Tile6. Thatch/makeshift7. Other (specify.........................)

22. In which year/period was this building built?

1. Before 1980

2. 1980 - 1989

3. 1990 - 1999

4. 2000 - 2006

5. 2007

6. 2008

7. 2009

8. 2010

9. 2011

10. Don't know

23. What is your MAIN source of water supply?1. Public piped into dwelling

2. Public piped into yard

3. Public standpipe

4. Public well or tank

5. Private catchment, not piped

6. Private catchment, piped into dwelling

7. Other (specify.........................)

2 Don't know3 Not paying

INTERVIEWER: Ask this question only if the answer isnot obvious. Else, put X in the appropriate box.

INTERVIEWER SAY: Now I would like to ask a few questions about the dwellingwhich your household occupies and the facilities that you have.

SECTION 2 - HOUSING

(Go to Q. 18)



(Go to Q. 19)

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(Go to Q. 19)

(Go to Q. 16)

(Go to Q. 19)

(Go to Q. 19)

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24. What is your MAIN source of drinking water?1. Bottled water

2. Private catchment, not piped

3. Private catchment, piped into dwelling

4. Public piped into yard

5. Public standpipe

6. Public piped into dwelling

7. Other (specify................................)

25. What type of toilet facility does this household have?1. W.C. (flush toilet) Link to sewer

2. W.C. (flush toilet) Linked to septic tank/soak away

3. Pit latrine

4. Other (specify............................)

5. None

26. What is the MAIN source of lighting for this household?

1. Electricity - Public2. Electricity - Private generator3. Gas lantern

4. Kerosene5. Solar6. None7. Other (specify.......................)

27. What type of fuel does this household use MOST for cooking?

1. Biogas2. Electricity3. Kerosene4. LPG (cooking gas)5. Solar energy6. Wood/charcoal7. None8. Other (specify........................)

28. How many rooms does this household occupy: (do not include bathrooms and porches)

29. How many bedrooms are there in this dwelling unit? (Bedrooms are rooms mainly used for sleeping and excludes temporary sleeping quarters. Count all bedrooms including spares not occupied)

30. What is your MAIN method of garbage disposal?1. Dumping (land)

2. Compost

3. Burning

4. Dumping/throwing into river/sea/pond

5. Burying

6. Garbage truck/skip/bin - Public

7. Garbage truck - Private

8. Other (specify.............................)

31. How many desktop computers does this household have in use?

32. How many laptop computers does this household have in use?

33. What type of internet connection does this household use? (SELECT ALL THAT APPLY)

1. DSL/ASL2. Dial up3. Cable4. Wireless5. Cellular wireless/mobile band6. No internet connection

34. Which of the following does your household have in use? SELECT ALL THAT APPLY

1 Solar water heater

2 Electrical water heater

3 Television

4 VCR

5 Radio/stereo

6 Refrigerator

7 Freezer

8 Microwave

9 Stove

10 Landline phone

11 Cellular phone

12 Washing machine

13 Water pump

14 Air conditioner

15 Generator

16 Dishwasher

17 DVD/MP3 player

18 Clothes Dryer

19 Water tank

20 Satellite dish

35. How many vehicles are kept at home for private use by this household? (Excluding motor cycles)



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36. Has any member of your household been a victim of crime during the last twelve (12) months?

SECTION 3 - CRIME

1 Yes 2 No (Go to Section 4)

37. What was the nature of the crime?1 Murder

2 Kidnapping

3 Wounding by firearm

4 Other wounding

5 Rape/abuse

6 Larceny (house breaking)

7 Larceny (auto theft)

8 Larceny other

9 Burglary

10 Other (specify...........................)

38. Did any member of this household die within the past twelve (12) months?1 Yes 2 No (Go to Section 4)

AGE Sex

TELEPHONE NUMBER

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1 M2 F

1 M2 F

1 M2 F

1 M2 F

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1 At this address

2 In another village

3 Abroad

ED Number Household Number

Transfer Parish, ED and HouseholdNumbers to the top of EACH individual

questionnaire From Householdquestionnaire

IMPORTANT!!!

INTERVIEWER:Whenever a dotted line (...) appears in a question, call the name of the person to whom the informationrelates, if it is not the respondent himself/herself. Else say "You"/"Your". Fill the appropriate box. Pleasedo not write over the responses: Remember to mark multiple choice boxes like this

SECTION 4 - CHARACTERISTICS - FOR ALL PERSONS

39. What is your/ .....'s relationship to the head of household?1 Head2 Spouse of Head (Husband/Wife)3 Partner of Head4 Child of Head and Spouse/Partner5 Child of Head only6 Child of Spouse/Partner only7 Spouse/Partner of child of head/Spouse/Partner8 Grandchild of Head/Spouse/Partner9 Parents of Head/Spouse/Partner10 Other relative of Head/Spouse/Partner(Specify...........................)11 Domestic Employee12 Other Non-Relative

43. What is your/....'s religious affiliation/denomination?1 Anglican

2 Baptist

3 Bahai

4 Brethren

5 Church of God

6 Evangelical

7 Hindu

8 Jehovah Witnesses

9 Methodist

10 Moravian

11 Muslim

12 Pentecostal

13 Presbyterian

14 Rastafarian

15 Roman Catholic

16 Salvation Army

17 Seventh Day Adventist

18 Wesleyan Holiness

19 None

20 Other (Specify......................)

40. INTERVIEWER: Put an 'X' in the appropriate box. FOR PERSONS NOT SEEN ASK:

1 Male 2 Female

41. What is your/.......'s date of birth?

If not known, ask:How old was..........on his/her last birthday?

Is....male or female?

If estimated please put an X in the box.

If age is not stated please estimate age ifyou see the person.Otherwise ask therespondent to estimate the person's age.If age is not known use code 999.

1 African Descent/Black

2 Chinese

3 East Indian

4 Hispanic

5 Indigenous People

6 Mixed

7 Portuguese

8 Syrian/Lebanese

9 White/Caucasian

10 Other (Specify...........................)

42. To which ethnic, racial or national group do you/does (N) belong?

SECTION 5 - MIGRATION (BIRTH PLACE ANDRESIDENCE) - FOR ALL PERSONS 44. Where do you/does (N) usually live?

Village

Name of Country


Village

Age

Parish

Parish

45. Where were you/was (N) born?1 In St Kitts and Nevis

2 Foreign/Abroad

Parish

Village

Name of Country

INTERVIEWER: For persons born in St. Kitts and Neviswhat is required is the mother's usual residence at thetime of birth.

46. In what year did you/(N) last come to live in St. Kitts andNevis? For foreign born persons only.

Year

PLEASE FILL IN THIS PERSON'S ASSIGNED NUMBER

DAY MONTH YEAR

/ /

Parish Number

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1 Yes 2 No49. Have you/has (N) ever lived in another country?

47. In which Parish/Village did you/ (N) last live?1 Never Moved2 Parish ______________

48. In what year did you/(N) last come to live in this Parish?

Year

Village

Q49 to Q52 are for local born only

Foreign Born Go to Q53

50. In which country did you/ (N) last live? For local born only.

Name of Country

Questions 51 and 52 are for local born whoanswered YES in Q49

51. In what year did you/ (N) return to live in St. Kitts and Nevis?

Year

52. What is the MAIN reason for your return to St. Kitts and Nevis? (SINGLE RESPONSE)

Q53 to Q56 are for persons five years and over

53. Did you/ (N) live at this address five years ago?1 Yes 2 No

Parish

Country

Village54. If 'NO' Where did you/ (N) live five years ago?

55. Did you/ (N) live at this address in 2001?1 Yes (Go to Q.57) 2 No

For Ten years and over

SECTION 6 - DISABILITY - FOR ALL PERSONS

DISABILITY STATUS : Respond only if you have apermanent disability or where the disability has beencontinuous for six months or more.

57. Do you/does (N) have difficulty with any of the following?

Rate responses as follows: 1 No - No Difficulty 3 Yes - Lots of Difficulty 2 Yes - Some Difficulty 4 Cannot do (it) at all

2. Hearing (even using hearing aid)?

3. Walking or climbing stairs?

4. Remembering or concentrating?

5. Self care (washing, dressing, feeding)?

6. Upper body function?

8. Communicating and speaking?

56. If 'NO' where did you/ (N) live in 2001?

Village

Country

Parish

1. Seeing (even with glasses)?

58. What is the origin of disability?

Rate responses as follows:1. From Birth 2. Illness 3. Accident 4. Other (Specify)

1. Seeing (even with glasses)?

2. Hearing (even using hearing aid)?

3. Walking or climbing stairs?

4. Remembering or concentrating?

5. Self care (washing, dressing, feeding)?

6. Upper body function (arms, neck)?

If No Difficulty for all options, SKIP TO Q60.

Specify

8. Communicating and speaking?


1 Regard it as home

2 Family is here

3 Retired

4 Homesick

5 Employment/Work

6 Involuntary return/deported

7 To start a business

8 Other (specify..........................)

7. Lower body function (legs, etc)?

9. Behavioral (psychological, emotional)?


(GO TO Q.53)

(GO TO Q.55)

(GO TO Q.49)

7. Lower body function (legs, etc)?

9. Behavioral (psychological, emotional)?

1 2 3 4

1 2 3 4

1 2 3 4

1 2 3 4

1 2 3 4

1 2 3 4

1 2 3 4

1 2 3 4

1 2 3 4

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59. Are you/ is (N) required to use any of the following aids? (SELECT ALL THAT APPLY).

1 Wheelchair

2 Walker

3 Crutches

4 Brailler

5 Adapted Car

6 Cane

7 Prosthesis/artificial body part

8 Orthopedic Shoes

9 Hearing Aid

10 Other (specify.............................)

11 None

SECTION 7 - HEALTH - FOR ALL PERSONS

60. Do you have any of the following illnesses?(SELECT ALL THAT APPLY)

1 Aids2 Allergies3 Anaemia4 Arthritis5 Asthma6 Cancer7 Carpal Tunnel Syndrome8 Diabetes9 Glaucoma

10 HIV11 Heart Disease12 Hypertension/High blood press.13 Kidney Disease14 Lupus15 Sickle Cell16 Stroke17 None18 Other (specify....................)

(SELECT ALL THAT APPLY)

SECTION 8 - EDUCATION - FOR ALL PERSONS

65. Are you / (N) currently attending an Educational Institution?1 Yes (Full time) 2 Yes (Part time)3 No

66. What type of school or institution are you/ (N) attending?1 Daycare/Nursery

2 Preschool

3 Infant/Kindergarden

4 Primary (grade 1-6)

5 Special Education

6 Secondary

7 Sixth Form

8 Prof/Tech/Voc

9 Tertiary (Univ/college)

10 Adult continuing Edu.

11 Other (specify.......................)


67. Please give the name and address of the school or institution.Name

Address

68. What is the HIGHEST level of education that you have/ .... has completed? (SINGLE RESPONSE)

1 Daycare/Nursery

2 Pre-school

3 Infant/Kindergarten

4 Primary (grade 1-3)

5 Primary (4-6)

6 Standard 7

7 Secondary (1-3)

8 Secondary (4-5)

9 Sixth Form

10 12th Grade (US)

11 Post secondary/college

12 University

13 Other (Specify...........................)

14 None


61. When was the last time that you used a medical facility? (hospital, clinic, doctor, etc)

1 Less than a month

2 1-6 months

3 7-12 months

4 Over one year

5 Never

62. What was the MAIN medical facility used in the past 12 months? (SINGLE RESPONSE)

1 Local Hospital2 Private Local Doctor3 Public Health Center4 Overseas Hospital or Clinic5 Overseas Doctor6 Other (specify........................)

63. Are you covered by health/life insurance?1 Yes 2 NO 3 Don't Know

64. Which of the following insurance do you have?

1 Social Security

2 Life with Health

3 Life only

4 Group Health

5 Individual Health

6 Endowment only

7 Endowment with Health

8 Other (specify................)

9 None

(GO TO Q.68)

(IF NO GO TO Q.65)

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1 Yes 2 No

70. Have you/ has ....... /had access to the Internet within the past3 months?

1 School leaving (e.g. Standard Six or Seven School Leaving exam)

2 Cambridge School Certificate

3 CCSLC

4 High School Certificate (HSC)

5 High School Diploma

6 GCE 'O' Levels or CXC

7 GCE 'A' Level

8 CAPE

9 College Certificate

10 College Diploma

11 Associate Degree

12 Professional Certificate eg RSA, City and Guilds etc.

13 Bachelor's Degree

14 Post Graduate Certificate

15 Post Graduate Diploma

16 Higher Degree (Master's)

17 Higher Degree (Doctoral)

18 Other (Specify..............................................................)

19 None

69. What is the HIGHEST examination that you have/...passed? (SINGLE RESPONSE)


71. Where did you/ (N) use the Internet in the past 3 months? SELECT ALL THAT APPLY

1 Home2 Work3 School4 Internet Cafe5 Any Place using a Cellular Phone / PDA

6 Family or Friend's House7 Community Facility8 Did not use9 Other (specify..........................)

SECTION 10 - TRAINING -FOR PERSONS 15 YEARS AND OVER

SECTION 9 - INTERNET ACCESS -FOR ALL PERSONS

72. Have you/has.....ever received/attempted any skills training to equip you/ (N) for employment or occupation/profession?

1 Yes 2 No

73. What is the field for which the HIGHEST level of training was completed/attempted or is undergoing by you/ (N)?

Field Trained

74. What was the MAIN method used by you/ (N) to train in this field? (SINGLE RESPONSE)

1 On the job

2 Private Study

3 Apprenticeship

4 Correspondence Course

5 Secondary School

6 Vocational/Technical Inst

7 Commercial/Secretarial School

8 Business/Computer School

9 University (on campus)

10 Distance Learning

11 On-line/Virtual Learning

12 Private

13 Other (specify)

14 Not Stated

75. How long was the period of your / (N) HIGHEST level oftraining?

Months

1 None

2 Certificate with examination

3 Certificate without examination4 Diploma5 Advanced Diploma6 Associate Degree

7 First Degree

8 Post Graduate Degree

9 Professional Qualification10 Other Specify

76. What type of qualification /certification did you/ (N) receive on completion of the training at the HIGHEST level?


1 2 3 4 5 6 7 8 9+

1 2 3 4 5 6 7 8 9+

1 2 3 4 5 6 7 8 9+

SECTION 11 - ECONOMIC ACTIVITY FOR PERSONS 15 YEARS AND OVER

(GO TO Q.77)

(GO TO Q.72)

77. What did you/ (N) do MOST during the past week?(This includes work for pay, profit, or family gain during thepast month but excludes house work).1 Worked2 Had a job but did not work3 Looked for work4 Wanted work and available5 Home Duties6 Attended School

7 Retired - did not work8 Disabled, unable to work

9 Other (Specify.............................................................)

( ANSWER TO 3 - 9 GO TO Q85)

78. What category of worker are you in your MAIN job?1 Paid employee, Government2 Paid employee, Statutory Board3 Paid employee, Private Establishment/Business

4 Paid employee, Private home

5 Apprentice/Learner6 Volunteer Worker

7 Self-employed with paid employees8 Self-employed without employees

9 Unpaid Worker/employee10 Contributing Family Member/Worker

11 Other (specify.................................)

(GO TO Q81)(GO TO Q81)(GO TO Q81)

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79. What kind of accounts do you keep for this activity/ business?

1 Complete set of records/accounts

2 Informal records of orders, sales, purchases

3 Simplified written accounts

4 No records are kept

80. Are you registered with Social Security as a self employed person or an employer?

1 Employer 2 Self Employed 3 Not registered

81. What kind of work do you do in your MAIN job?Give a brief description of main duties.

82. What is the MAIN type of business carried out at your/ (N)place of work, industry?

Industry

83. What is the name and address of your/ (N) workplace?

1 Work at home

2 No fixed place of work

3 Afixed place of work outside the home

Where is your/ (N) place of work?

1 Work name and address

2 No present workplace

84. How many hours did you/ (N) work during the past week? (MAIN JOBS)

Hours

85. What steps did you/ (N) take during the past MONTH to lookfor work?

(X all that applies to this question)1 Did nothing2 Direct application (sent out letters)3 Checking at work sites, factory gates, etc.4 Seeking assistance from friends5 Registered at public/private employment exchange6 Other (specify................................................)

86. Why did you not seek work during the past MONTH?

1 Own illness, disability, injury, pregnancy2 Home duties, Personal, family responsibilities3 In school, training4 Retirement/old age5 Already found work to start later6 Already made arrangements for self employment7 Awaiting recall to former job8 Awaiting replies from employers9 Awaiting busy season10 Believe no suitable work available11 Not ready to seek work12 Do not know how or where to seek work13 Discouraged14 Other (Specify.........................................................)

1 Had a job and worked

2 Had a job, but did not work

3 Looked for work

4 Wanted work and was available

5 Did home duties

6 Attended school

7 Retired, did not work

8 Disabled, unable to work

9 Other (specify.............................................)

88. Did you do any work at all in the past 12 months?(This includes work for pay, profit, or family gain during thepast month but excludes house work)

1 Yes (Go to Q.90) 2 No 3 Don't know

87. What did you/ (N) do MOST during the past 12 months?

(GO TO Q.90)

(GO TO Q.90)

89. Have you/he/she ever worked or had a job?1 Yes 2 No (GO TO Q.95)

90. How many months did you/ (N) work in the past 12 months?

Number of months0 1 2 3 4 5 6 7 8 9 10 11 12

91. Have you/ has (N) ever been laid off permanently or made redundant during the past 2 years?

1 Yes 2 No 3 Not Stated

92. In which Industry were you working at the time of layoff or redundancy?

Industry1 Not Stated

Page 5 of 7

(GO TO Q.87)

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96. Approximately how much money did you/ (N) receive lastyear (2010) from family and/or friends abroad in cash or inkind e.g. barrels containing food, clothing, electronics.

$

95. What are your/ (N's) sources of livelihood? (indicate as many)

1 Paid Employment

2 Self Employment

3 Pension (local)

4 Pension (overseas)

5 Investment

6 Dividends/Savings/interest on savings

7 Disability benefits

8 Social Security benefits

9 Other public assistance

10 Local contributions from friends/ relatives (cash/kind)

11 Overseas contributions from friends/relatives (cash/kind)

12 Other money income, (specify...........................)

97. What is your/ (N) marital status?1 Never Married2 Married3 Divorced (and not remarried)4 Widowed (and not remarried)5 Legally Separated6 Not Stated

1 Never had a spouse or common-law partner (Skip to Q.100)

2 Married and living with spouse

3 Married and not living with spouse4 Common Law5 Visiting Partner6 Not in union

Age in years

99. How old were you/ was (N) when you were/ (N) was first married or in a union for the first time?

ALL MALES Go to Q107

SECTION 13 - MARITAL AND UNION STATUS FOR ALL PERSONS 15 YEARS AND OVER

98. What is your / (N) current union status?

SECTION 14 - FERTILITY -WOMEN 15 YEARS AND OVER

100. (a) How many live born children have you/ has (N) ever had and how many are males and females?

Total Male Female

Number

(b) How many of your live born children are still a live?Total Male Female

Number

101. How old were you/was (N) when you/ (N) had your/ her first live born child?

Age

Age

102. How old were you/ (N) when you/ (N) had your/ (N) last live born child?



94. What was your/ (N) gross pay/income during the last pay period, from your current job, that is before income tax or other deductions? (PRESENT FLASH CARD)

Income group

SECTION 12 - INCOME AND LIVELIHOOD

93. How often do you/ does (N) get paid from your MAIN job?1 Weekly2 Fortnightly3 Monthly4 Quarterly

5 Annually6 Other Specify7 Not applicable

103. What is the date of birth of the last child born alive? DD MM YYYY

/ /

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Age in MonthsSexChild Number

1.

2.

3.

106. Of what sex and age in months were the children (in months) who died in the past 12 months?

4.

SECTION 14 - CENSUS NIGHT

107. Where did you spend census night?

1 At this Address

2 Elsewhere in the country (Specify........................................)

3 Institution

4 Abroad

END OF QUESTIONNAIRE



104. How many live births did you/ (N) have in the past 12months?

0 1 2 3 4 5Number

105. How many of the children who were born in the past 12 months have died?

Total Number

What was the sex of the babies born in the last 12 months?

A. Number of Boys

1 2 3 4 5

B. Number of Girls

1 2 3 4 5

(IF ZERO GO TO Q.107)

1 M 2 F

1 M 2 F

1 M 2 F

1 M 2 F

Page 7 of 7

QUESTION 104 TO 106 APPLY TOFEMALES UNDER 50 YEARS,

OTHERWISE GO TO Q.107

55180


SAINT KITTS AND NEVIS - Minnesota Population...

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