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MALAWI GOVERNEMNT<br />

NATIONAL STATISTICAL OFFICE<br />

<strong>2015</strong>-20<strong>16</strong> MALAWI DEMOGRAPHIC AND HEALTH SURVEY<br />

FIELDWORKER QUESTIONNAIRE<br />

LANGUAGE OF<br />

QUESTIONNAIRE<br />

ENGLISH<br />

<strong>16</strong> November <strong>2015</strong><br />

NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP<br />

100 What is your name?<br />

NAME<br />

101<br />

RECORD INTERVIEWER/EDITOR/SUPERVISOR<br />

NUMBER<br />

NUMBER . . . . . . . . . . . . .<br />

INSTRUCTIONS<br />

We are collecting information on the DHS field staff. Please fill in the information below. The information will be part of the survey data files.<br />

Your name will not be in the data files; your information will remain anonymous. If there is any question you do not want to answer you may<br />

skip it and go to the next question.<br />

102 In what [REGION] do you live?<br />

NOTHERN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01<br />

CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02<br />

SOUTHERN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03<br />

103 Do you live in a city, town, or rural area?<br />

CITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

TOWN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

RURAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />

104<br />

How old are you?<br />

RECORD AGE IN COMPLETED YEARS.<br />

AGE . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

105 Are you male or female?<br />

MALE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

FEMALE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

106 What is your current marital status?<br />

CURRENTLY MARRIED . . . . . . . . . . . . . . . . . . 1<br />

LIVING WITH A MAN/WOMAN . . . . . . . . . . . . . . . . 2<br />

WIDOWED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />

DIVORCED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />

SEPARATED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />

NEVER MARRIED OR LIVED<br />

WITH A MAN/WOMAN . . . . . . . . . . . . . . . . . . 6<br />

107<br />

How many living children do you have?<br />

INCLUDE ONLY CHILDREN WHO ARE YOUR<br />

BIOLOGICAL CHILDREN.<br />

LIVING<br />

CHILDREN . . . . . . . . . . . . . . . . . .<br />

108 Have you ever had a child who died?<br />

YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

109 What is the highest level of school you attended:<br />

PRIMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

primary, secondary, or higher?<br />

SECONDARY . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

HIGHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />

110<br />

What is the highest [GRADE/FORM/YEAR] you<br />

completed at that level?<br />

IF COMPLETED LESS THAN ONE YEAR AT THAT<br />

LEVEL, RECORD '00'.<br />

[GRADE/FORM/YEAR] . . . . . . . . . . . . .<br />

Appendix F<br />

• 657

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