Questionnaire Text

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Number of dwelling within enumeration district ____
List of household members living in this dwelling number ___ and their housing condition ___

Number of census division ____
Number of instructor's point ____
Number of counting point ____

No of dwelling within counting point ____
List of household members living in the dwelling ____
Number of questions in the census portfolio ____
Number of portfolio ____

Republic, Oblast ____
Settlement ____
Prospect, street, square, lane ____
Building number ____
Name of the house owner ____
Apartment number ____