Questionnaire Text

Questionnaire form view entire document:  text  image

The List of Dwellers and their Housing Conditions
____ No
____ Oblast
____ Urban settlement
____ Rayon (rural)
____ Urban rayon
____ Aiyl-kenesh
____ Name or number of urban micro-rayon, residential area (agglomerations of new houses)
____ Name of rural settlement
____ Avenue, street
____ No. of house
____ No. of flat
____ Name of owner
____ Establishment