No. Questions and Filters Coding Categories Skips CB1 RECORD THE NAME OF SELECTED CHILD: __________________________ NAME OF SELECTED CHILD CB2 What is the sex of [NAME]? CB3 I DATE OF BIRTH HEALTH (NAME). DAY __ __ DK DAY 98 YEAR WAS (NAME) MONTH __ __ PROBE: WHAT IS HIS / HER BIRTHDAY? YEAR __ __ __ __ IF THE MOTHER/CARETAKER KNOWS THE EXACT BIRTH DATE, ALSO ENTER THE DAY; OTHERWISE, CIRCLE 98 FOR DAY MONTH AND MUST BE RECORDED. CB4 HOW (NAME)? OLD AGE (IN COMPLETED YEARS) __ __ PROBE: (NAME) AT HIS / HER LAST BIRTHDAY? RECORD AGE IN COMPLETED YEARS. RECORD ‘0’ IF LESS THAN 1 YEARS. Section 3: ARI Case Management No. Questions and Filters Coding Categories Skips
No. Questions and Filters Coding Categories Skips CB1 RECORD THE NAME OF SELECTED CHILD: __________________________ NAME OF SELECTED CHILD CB2 What is the sex of [NAME]? CB3 I (NAME). (NAME) PROBE: WHAT IS HIS / HER BIRTHDAY? IF THE MOTHER/CARETAKER KNOWS THE EXACT BIRTH DATE, ALSO ENTER THE DAY; OTHERWISE, CIRCLE 98 FOR DAY MONTH AND YEAR MUST BE RECORDED. DATE OF BIRTH DAY __ __ DK DAY 98 MONTH __ __ YEAR __ __ __ __ CB4 (NAME)? PROBE: HOW OLD WAS (NAME) AT HIS / HER LAST BIRTHDAY? RECORD AGE IN COMPLETED YEARS. RECORD ‘0’ IF LESS THAN 1 YEARS. AGE (IN COMPLETED YEARS) __ __ Section 3: ARI Case Management No. Questions and Filters Coding Categories Skips HEALTH