Questionnaire Text

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1. Governorate ____

2. Qadah ____

3. Nahiya ____

4. Environment
[] 1 Urban
[] 2 Rural

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4. The Environment:
Indicated by (x) in the correct square, according to the results of listing and mapping process, if the area is within the boundaries of the city of Baghdad or within the boundaries of municipalities. The sin is put in the square opposite to the word (urban) but if the area is outside the boundaries of the city of Baghdad or the boundaries of municipalities. The sign is put in the square opposite to the word (rural).