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Final Report (PDF, 2132K) - Measure DHS

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CONTINUED FROM PREVIOUS PAGENAME OF USUAL RESIDENTSAND VISITORS(RECORD NAME OF HEADOF HOUSEHOLD FIRST)RESIDENCEDidDoes (NAME)(NAME) .,leepumumlly herelive lasthere? night?SEXAGEIs(NAME) Row•,mle or old 1.,re,ale? he/.,he?mFOR CHLDREN UNDERAGE 15 ONLY:STATE WHETHERNATURAL PARENTSLIVE IN HOUSEHOLDOR ELSE'WEERE.(TO PROBE: ASKNAME OF PARENTS)ILINENOYES NO YES NOM F [N YEARS,3 ........................ 1 , 2 1 , 2 1 , 2 1 ,. ........................ i1 21, 2i,s ........................ 1121~21,211, ........................ I, ~.11 211 21IN HOUSEHOLD [ )ELSEWHERE [ ]IN HOUSEHOLD [ ]ELSEWHERE [ ]IN HOUSEHOLD [ ]ELSEWHERE [ ]IN HOUSEHOLD [ ]ELSEWHERE [ ]IN HOUSEHOLD [ ]ELSEWHERE [ ],8 ........................ I , ~ 1 , 2 1 , 2 119 ........................ 1 , 2 1 , 2 1 , 2 1IN HOUSEHOLD [ ]ELSEWHERE [ ]IN HOUSEHOLD [ ]ELSEWHERE [ ]I I I I i~ HoosE.oLo , ,20 ........................ ,2 ,~ ~2 ELGEw.~E,J21 ........................ 1 1 2 1 1 2 1 , ~ I2~ ........................ 1 , 2 1 1 2 1 , 2 123 ........................ I 1 2 1 , 2 1 , 2 1I, 211 21IN HOUSEHOLD [ IELSEWHERE [ ]IN HOUSEHOLD ( ]ELSEWHERE [ ]IN HOUSEHOLD [ ]ELSEWHERE [ ]IN HOUSEHOLD [ ]ELSEWHERE [ ]I01 TICK HERE IF CONTINUATION SHEET USED ( ]

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