Literal question
Interviewer's name ____
<br />Interviewer's code _ _ _
<br />Supervisor's code _ _ _
<br />Survey month: _ _
<br />Survey year: _ _
<br />HU MS number: _ _
<br />HU listed: _ _ _ _
<br />HU sampled: _ _
<br />HH listed: _ _ _ _
<br />HH sampled: _ _