____ Province, City
____ Commune, Country
____ ED number
____ Household number
[] 1 Family household
[] 2 Collective household
____ Total persons in household
____ Total females in household
Province, City ____
District ____
Commune, ward ____
Interviewers may fill in the name of the province (city), district (district town), and commune (ward) before entering every household.
Location number
Fill in the location number on the next box. This number is listed in the "list of house and household numbers" that interviewers already have. Location numbers must be two digits, single-digit location numbers must have a 0 first, for example 01, 02, etc.
If the enumerated household is a household, then fill in the box with "1"
Household [ ] 1
If the enumerated household is a collective household, then fill in the box with "2"
Collective household [ ] 2
After filling in the individual form for everyone in the household, the interviewer must write down in the next box the total number of people in the household, and the total number of females in the household.
Total number of people in household [ ]
Total number of females in household [ ]