Literal question
IDENTIFICATION
PLACE NAME_______________
NAME OF HOUSEHOLD____________
PROVINCE ____
URBAN/RURAL
URBAN 1
RURAL 2
MAJOR CITY/DIVISION/DISTRICT ____
CLUSTER NUMBER ___
HOUSEHOLD NUMBER ___
MAJOR CITY/SMALL CITY, TOWN/VILLAGE
MAJOR CITY 1
SMALL CITY, TOWN 2
VILLAGE 3
NAME AND LINE NUMBER OF WOMEN______________
NAME AND LINE NUMBER OF HUSBAND (IF ELIGIBLE)