Literal question
NEXT VISIT:
DATE ___
TIME ___
FINAL VISIT
DAY ___
MONTH____
YEAR ____
NAME ___
RESULT___
TOTAL NUMBER OF VISITS ____
TOTAL IN HOUSEHOLD ___
TOTAL NUMBER-ELIGIBLE WOMEN ___
TOTAL NUMBER-ELIGIBLE MEN ___
LINE NUMBER OF HOUSEHOLD RESPONDENT ___
FIELD EDITED BY
NAME ____
DATE ____
OFFICE EDITED BY
NAME ____
DATE ____
KEYED BY
NAME ____
DATE ____
KEYED BY ___