Training Handbook for Anthropometric Surveys - Survey Forms

Enabling poor rural people
to overcome poverty

Appendix 1 - Anthropometry: Survey Form

Village: ____________________________

Date of Interview: _____/ _____/ _____

Interviewer(s):___________________________

ID Num:	First Name of Child:	Sex: (M/F)	Date of Birth: Day/Month/year	Age in Months: (0-59)	Height: (Centimetres)	Weight: (KiloGrams)
			__/ __/ __	__ __	__ __ __ .__	__ __ . __
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Download Survey Form (PDF Format)

Appendix 2: Calendar for Calculating Age in Months

[Example from a survey carried out in March 2000]

Month of Birth:	Age in Months:	Calendar of Local Events:
1999
March	12
February	13
January	14
1998
December	15
November	16
October	17
September	18
August	19
July	20
June	21
May	22
April	23
March	24
February	25
January	26
1997
December	27
November	28
October	29
September	30
August	31
July	32
June	33
May	34
April	35
March	36
February	37
January	38
1996
December	39
November	40
October	41
September	42
August	43
July	44
June	45
May	46
April	47
March	48
February	49
January	50
1995
December	51
November	52
October	53
September	54
August	55
July	56
June	57
May	58
April	59
March	Too old
February	Too old
January	Too old