Form CPS Fertility Ques CPS Fertility Ques CPS Fertility Questions

Attachment A

JUNE 2012 FERTILITY SUPPLEMENT QUESTIONNAIRE

CHKITI IF AGE = 15-50 and SEX =2, go to PRESUP

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PRESUP This month we are asking some additional questions are about women

and the number of children they have had.

<F1> Importance of responding

<P> Proceed

Blind <R> Refused Supplement

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SF1 Altogether how many children have (Name/You) ever given birth to?

(Count all biological children of this person, regardless of whether they

were born within or outside of any marriage. Do not count adopted, foster,

or stepchildren; do not count stillbirths).

<Enter> Number: ____________

If > 0 Go to SF2, If = 0, END.

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If > 1 read <first> for the remainder of the questions.

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SF2. In what year was your (child/first child) born?

<Enter> Year: _____________

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SF3a At the time when your (child/first child) was born were you married?

(If married or separated mark “Yes”. If widowed, divorced or never married

mark “No”)

Yes (END)

No (Go to SF3b)

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SF3b. At the time when your (child/first child) was born, did you have a boyfriend

or partner in the household?

Yes

No