Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>St<strong>and</strong>ards</strong> <strong>for</strong> female <strong>and</strong> male <strong>Sterilization</strong> services 551. Socio-demographic in<strong>for</strong>mationAge of clientAge of spouseEducationReligionCaste............................................................ (in completed years)............................................................ (in completed years)Illiterate.................................................................................Primary school.....................................................................Middle school.......................................................................High school..........................................................................Higher secondary.................................................................Graduation <strong>and</strong> above........................................................Hindu.....................................................................................Muslim...................................................................................Christian................................................................................Other (specify.......................................................................SC...........................................................................................ST...........................................................................................OBC.......................................................................................Other.....................................................................................Occupation ................................................................................................Marital statusMarried..................................................................................Divorced/Widowed/Separated.........................................Number of children born.................................................................................... (Total).....................................................................................(Sons)...........................................................................(Daughters)Number of children currently living.................................................................................... (Total).....................................................................................(Sons)...........................................................................(Daughters)Age of the youngest child ................................................................................................2. A. Menstrual history (<strong>for</strong> female acceptors)Cycle days .................................................................................................Length .................................................................................................RegularityRegular....................................................................................Irregular..................................................................................Date of LMP .................................................................................................
Change language