Questionnaire Text

Questionnaire form view entire document: text image

Identification

Province _
District _ _ _
Constituency _ _ _
Ward _ _
Region

[] 1 Rural
[] 2 Urban

CSA No. _ _
SEA No. _ _
Census Building No. (CBN) _ _ _
Housing Unit No. (HUN) _ _
Household No. (HHN)
Village/Locality Name
Residential Address
Chief's Area _ _ _

Questionnaire instructions view entire document: text image

4.2.3 Constituency

Write the code of the constituency in the space provided, and then shade the appropriate code for the constituency. The constituency codes are given in Appendix 2. The map you shall use will indicate the constituency you are working in.