Literal question
IDENTIFICATION
GOVERNORATE: _______________
DISTRICT: ______________
SUB-DISTRICT: _______________
LOCALITY: _________________
AREA: ________________
SUB-AREA: _______________
STRATUM: _____________
URBAN/RURAL
URBAN 1
RURAL 2
QUESTIONAIRE NO.: _____
BLOCK NO:. ___
BUILDING NO.: __________
HOUSING UNIT NO.: _________
CLUSTER NO.: ___
HOUSEHOLD NO.: ___
TELEPHONE/MOBILE NO. (IF AVAILABLE)
___________________