Questionnaire Text

Questionnaire form view entire document:  text  image
Particulars of the household

Enumeration area number _ _ _ _ _ _ _ _
Dwelling unit number _ _ _ _
Physical identification of the dwelling unit ________

Landline telephone number of enumerated household (if any) _ _ _ - _ _ _ _ _ _ _ _
Cellphone number (if any) _ _ _ - _ _ _ _ _ _ _ _

Total number of persons in the household _ _
Number of males _ _
Number of females _ _



Number of questionnaires for this household _
Questionnaire instructions view entire document:  text  image

Number of questionnaires for this household
This depends on the number of persons in the household. If they are less than 10, then only one questionnaire is used in that household. You will record "1" in the block provided. However, in households where there are more than 10 persons, more than one questionnaire is used. You will record "2" on both questionnaires respectively in the blocks provided.

If more than one questionnaire was completed for one household (more than 10 persons in the household), write the barcode of the first questionnaire in the box provided on the last page of the 2nd questionnaire.