Final Report (PDF, 2132K) - Measure DHS

I ~ould Flrmt llke to hmve some inlormItion mbout the people whousumlly 11ve In thls household, or who are now Itmylng here.NAME OF USUAL RESIDENTSAND VISITORS(RECORD NAME OF NEADOF HOUSEHOLD FIRST)| mDoes(NAME)umumIlylivehere?RESIDENCEOld(NAME)sleephereImstnight?LINENO YES NO YES NOSEXIs(NAME)mmle or:Eemal@?mAGEHowold Ishe/she?mmmmmM F [N YEARSI IFOR CHLDREN UNDERAGE 15 ONLY:STATE WHETHERNATURAL PARENTSLIVE IN HOUSEHOLDOR ELSEWHERE.(TO PROBE: ASKNAME OF PARENTS)IN HOUSEHOLD [ ]°~ ........................ 1121121121ELSEWHERE [ ]I I I I i. ~0usEHoL0, ~02 ........................ 1 2 ! 2 1 2 ELSEWHERE [ ]03 ........................ 1 2 1 2 l 2 ELSEWHERE [ ]I I I I ~"°°~°~° ~ ~04 ........................ 1 2 1 2 1 2 ELSEWHERE ( ]05 ........................ 1 2 1 2 I 2 ELSEWHERE [ ]06 ........................ 1 2 ! 2 1 2 ELSEWHERE [ ]I I I I ~""°°~°~° ~ ~07 ........................ 1 2 I 2 1 2 ELSEWHERE [ ]08 ........................ 1 2 I 2 1 2 ELSEWHERE [ ]09 ........................ I 2 1 2 I 2 ELSEWHERE [ ]I I I I ~"°°~°~° ~ ~10 ........................ 1 2 I 2 I 2 ELSEWHERE [ ]II ........................ 1 2 I 2 1 2 ELSEWHERE [ ]IN HOUSEHOLD ( ]ELSEWHERE [ ]IO0 CONTINUE NEXT PAGE