Questionnaire Text

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b. House location
[] 1. Municipal Area

_____Name of M.A

[] 2. Non-Municipal Area
Questionnaire instructions view entire document:  text  image

Part 1, Location of household
a) House number, road, lane, alley, waterway, housing vicinity (name of the place, if any) _____


b) This household is in the municipal area code "1"

Name of the municipality ____

Outside the municipal area code 2

If this house is in the municipal area, record code "1" in the AREA check box and record the name of the municipality in the space provided.

If this house is outside the municipal area, record code "2" in the AREA check box.