Literal question
<span class="em">This section to be completed by supervisor</span>
<br />1. Status of questionnaire _
<br />2. Status of data entry _</p>
<div class="i1">Response status<br /><br />[ ] 1. Completed<br />[ ] 2. Partially completed<br />[ ] 3. Not at Home<br />[ ] 4. Refused<br />[ ] 5. Household not located<br />[ ] 6. Moved away<br />[ ] 7. Other (specify)</div>