12.07.2015 Views

Final Report (PDF, 2132K) - Measure DHS

Final Report (PDF, 2132K) - Measure DHS

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.CHECK:3ust to make sure that I hove this right:I) Are there shy other persons such mssmall children or infants that wehave not listed?YES [ ] > CORRECT AND ENTER NAMESNO [ )2) In addition, ere there any other peoplewho say not be members of your family, suchis domestic servants, lodgers or friendswho usually live here that we have notlisted?3) Are there shy guests or visitors whoare temporary staying with the family andwho spent the night here that are notlisted?YES ( )NO t )YES ( )NO [ )CORRECT AND ENTER NAMES> CORRECT AND ENTER NAME~RECAPITULATION:CIRCLE LINE NUMBER FOR ALL ELIGIBLE WOMEN AGED 15-49, AND ENTER TOTAL .........ENTER TOTAL NUMBER OF CHILDREN AGE 5 AND UNDER ................................ENTER TOTAL NUMBER OF CHILDREN UNDER AGE 15 IN HOUSEHOLDWHOSE NATURAL MOTHER AND FATHER BOTH LIVE ELSEWHERE ............................|alREMINDER:WOMEN ELIGIBLE FOR INDIVIDUAL INTERVIEW ARE ALL WOMEN AGED 15-49 YEARS OFAGE WHO SPENT THE PREVIOUS NIGHT IN THE HOUSEHOLD EVEN IF THEY DO NOTUSUALLY LIVE IN THE HOUSEHOLD.]02

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