Literal question
INTERVIEWER VISITS:
FIRST VISIT
DATE ____
INTERVIEWER'S NAME ____
RESULT CODE**
NEXT VISIT:
DATE ____
TIME ____
SECOND VISIT
DATE ____
INTERVIEWER'S NAME ____
RESULT CODE**
NEXT VISIT:
DATE ____
TIME ____
THIRD VISIT
DATE ____
INTERVIEWER'S NAME ____
RESULT CODE**
FINAL VISIT
DAY ____
MONTH ____
YEAR 2014
INT. NUMBER ____
RESULT CODE**
TOTAL NUMBER OF VISITS ____