Questionnaire Text

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I. Identification household

1. Administrative region ____ _
2. Prefecture ____ _
3. Sub-prefecture ____ _ _
4. Type of residence

[] 1 Urban
[] 2 Rural

5. Census zone (ZD): _ _ _ _
6. Audit zone (ZC): _ _
7. District / quarter: ____ _ _
8. Locality / sector: ____ _ _
9. Plot no. _ _ _ _
10. Building no. _ _
11. Household no. _ _
12. Household type: 0