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 RESPONDENT ____________
NAME AND LINE NUMBER OF FIRST ELIGIBLE WIFE ___________
NAME AND LINE NUMBER OF SECOND ELIGIBLE WIFE ________