Questionnaire Text

Questionnaire form view entire document:  text  image
Person enumerated

1. Serial No. of the household ____

2. Serial No. of the person in the dwelling ____

3. Name of the person ____

4. Family status of the person ____

Questionnaire instructions view entire document:  text  image
1. Serial number of household

Members of the same household will be allotted by the same household number; the latter should be entered also into the heading of the Personal questionnaire.