Questionnaire Text

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Localization
1. Department ____ _ _
2. Township ____ _
3. District ____ _ _
4A. Village or city neighborhood _ _
4B. New village/neighborhood_ _
5. Census zone number_ _
6. Locality or hamlet_ _
7A. Block (if un-allotted urban zone) _ _
7B. Lot number (if allotted urban zone) _ _
8. Building number_ _ _
9. Household number in the census zone_ _ _