Literal question
INTERVIEWER VISITS
1 2 3
DATE
INTERVIEWER'S NAME
RESULT
RESULT CODES:
<I1>
1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY)
</I1>
NEXT VISIT
DATE
TIME
FINAL VISIT
DAY
MONTH
YEAR
INT. NUMBER
RESULT
TOTAL NO. OF VISITS