Literal question
<span class="h3">Household questionnaire </span></p>
<p>1. Region _ _
<br />2. Department _ _
<br />3. Sub-prefecture (S/P) _ _
<br />4. Commune (municipality) _ _
<br />5. Census district number _ _ _ _
<br />6. Village _ _ _
<br />7. Neighborhood / camp _ _ _ _
<br />8. Lot number _ _ _ _</p>
<div class="i1">____ Building number<br />____ Dwelling number</div><p>9. Household number _ _ _ _
<br />10. Type of establishment (collective household) _
<br />11. Record type _
<br />12. Number of residents in household _ _ _
<br />13. Number of persons surveyed in household _ _ _</p>
<div class="i1">____ Questionnaire number<br />____ Total number of questionnaires</div>