Questionnaire Text

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III. Information about the dwelling

Complete 11, 12, 13, and 14 by observation (in case of doubt, ask).

14. Principal material in the floors.

[] 2 Wood
[] 4 Cement or brick tiles, synthetic material
[] 6 Dirt

Questionnaire instructions view entire document: text image

Section III. Dwelling information

The first four questions (numbers 11, 12, 13 and 14) are responded to by observation, the remaining should be asked to the interviewed person.

In case of doubt, ask.

Question No. 14 Predominant material in the floors

(Filled out by observation)

[Below the text is a form.]

Mark "x" in the corresponding box.

If the floors of a dwelling are made of materials of many classes, mark the one that predominates (for example, the class of material that exists in the majority of the rooms).

Examples of synthetic materials are rubber and vinyl.

If the floors are covered, ask if the rug that is placed over a floor is of wood, cement, tile, rubber, etc and mark the alternative that corresponds.