Questionnaire Text

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Table 2: Housing characteristics
[Questions in table 2 are asked of all persons, except for the question on educational status]

Main lighting system

[] 1 Electricity
[] 2 Kerosene
[] 3 Gasoline
[] 4 Other
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Table 2: Housing characteristics
Mark the correct response number in the square or squares allotted for answering each question. The answer also must be recorded in words beside the square for the questions on dwelling type and ownership type.


Connection of the residence to the sewage facility

1. Connected to the sewage facility
2. Private network
3. Trench sewage
4. Not connected

Note: Answers (2), (3), and (4) mean that the residence is not connected to the sewage facility, and this must be taken into account when completing the summary table at the bottom of the form.