Questionnaire Text

Questionnaire form view entire document: text image

6. Birthplace
State district if born in Zambia and district number and country if outside of Zambia:
District Name:_____________
Code:_ _

Was this part of the district rural or urban at the time of birth?

[] Rural
[] Urban
[] N/A (outside Zambia)

Questionnaire instructions view entire document: text image

5.2.1 Rural/Urban

Find out whether the part of the district in which the person w born was a rural or urban area at the time of his/her birth. Shade the appropriate space. The list of urban areas and townships is given in Appendix 4. In case of a foreign country, shade the box for "Not Applicable".