Literal question
NAME AND CODE OF REGION* ______________
NAME OF VILLAGE/TOWN/CITY _____________
DHS CLUSTER NUMBER _____
URBAN/RURAL (URBAN = 1, RURAL = 2)
LARGE CITY/SMALL CITY/TOWN/RURAL
(LARGE CITY=1, SMALL CITY=2, TOWN=3, RURAL=4)
HOUSEHOLD NUMBER __________
NAME AND LINE NUMBER OF MAN ___________