Survey Text
Bangladesh 1994
No questionnaire text is available for this sample.
Bangladesh 1997
No questionnaire text is available for this sample.
Bangladesh 2000
No questionnaire text is available for this sample.
Bangladesh 2004
No questionnaire text is available for this sample.
Bangladesh 2007
No questionnaire text is available for this sample.
Bangladesh 2011
No questionnaire text is available for this sample.
Benin 1996
No questionnaire text is available for this sample.
Burkina Faso 1993
Survey form
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OUAGA, BOBO/KOUD, OTHER CITIES, OR RURAL AREA?
OUAGA 1
BOBO/KOUD 2
OTHER CITIES 3
RURAL 4
Burkina Faso 1998
Survey form
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OUAGA/BOBO/OTHER CITIES/RURAL:
OUAGA 1
BOBO 2
OTHER CITIES 3
RURAL 4
Burkina Faso 2003
Survey form
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BIG CITY/OTHER CITY/RURAL:
OUAGADOUGOU 1
OTHER CITY 2
RURAL 3
Burkina Faso 2010
Survey form
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MILIEU:
OUAGADOUGOU 1
OTHER CITIES 2
RURAL 3
Burkina Faso 2014
No questionnaire text is available for this sample.
Burkina Faso 2018
No questionnaire text is available for this sample.
Burundi 1987
No questionnaire text is available for this sample.
Cameroon 1991
No questionnaire text is available for this sample.
Cameroon 1998
No questionnaire text is available for this sample.
Cameroon 2004
No questionnaire text is available for this sample.
Cameroon 2011
No questionnaire text is available for this sample.
Cameroon 2018
No questionnaire text is available for this sample.
Central African Republic 1995
No questionnaire text is available for this sample.
Chad 1996
No questionnaire text is available for this sample.
Chad 2004
Survey form
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REPUBLIC OF CHAD
MINISTRY OF PLANNING, DEVELOPMENT, AND COOPERATION
NATIONAL INSTITUTE OF STATISTICS, ECONOMIC STUDY, AND DEMOGRAPHY
SECOND DEMOGRAPHIC AND HEALTH SURVEY
WOMAN'S QUESTIONNAIRE
IDENTIFICATION
NAME OF LOCALITY__________
NAME OF HEAD OF HOUSEHOLD___________
DEPARTMENT:___
SUBPREFECTURE: ___
MUNICIPALITY:___
CLUSTER NUMBER (EDST):___
STRUCTURE NUMBER:___
HOUSEHOLD NUMBER IN THE STRUCTURE: ___
SEQUENTIAL NUMBER OF SELECTED HOUSEHOLD (01-24 URBAN; 01-33 RURAL:___
Urban/rural
URBAN 1
RURAL 2
Residence
N'DJAMENA=1
ABECHE/MOUNDOU/SARH=2
OTHER DEPARTMENTAL ADMINISTRATIVE CENTER=3
OTHER SMALL CITIES=4
RURAL=5
WOMAN'S NAME AND LINE NUMBER (FROM HOUSEHOLD QUESTIONNAIRE)_______
Comoros 1996
No questionnaire text is available for this sample.
Congo (Democratic Republic) 2007
No questionnaire text is available for this sample.
Congo (Democratic Republic) 2013
No questionnaire text is available for this sample.
Congo Brazzaville 2005
No questionnaire text is available for this sample.
Congo Brazzaville 2011
No questionnaire text is available for this sample.
Cote d'Ivoire 1994
Survey form
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LARGE CITY, SMALL CITY, OR COUNTRYSIDE?
LARGE CITY 1
SMALL CITY 2
COUNTRYSIDE 3
Cote d'Ivoire 1998
Survey form
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ABIDJAN/OTHER CITIES/RURAL:
ABIDJAN 1
OTHER CITIES 2
RURAL 3
Cote d'Ivoire 2011
Survey form
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LARGE CITY/CITY/SMALL CITY/RURAL/ CITY_______
LARGE CITY 1
CITY 2
SMALL CITY 3
RURAL 4
Egypt 1988
No questionnaire text is available for this sample.
Egypt 1992
Survey form
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Egypt 1995
Survey form
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LARGE CITY 1
SMALL CITY 2
TOWN 3
VILLAGE 4
Egypt 2000
Survey form
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text
Egypt 2003
No questionnaire text is available for this sample.
Egypt 2005
Survey form
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LOCALITY
LARGE CITY 1
SMALL CITY 2
TOWN 3
VILLAGE 4
Egypt 2008
Survey form
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LOCALITY
LARGE CITY 1
SMALL CITY 2
TOWN 3
VILLAGE 4
Eswatini (Swaziland) 2006
No questionnaire text is available for this sample.
Ethiopia 2000
Survey form
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LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE___
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRYSIDE 4
Ethiopia 2005
Survey form
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LARGE CITY/SMALL CITY/TOWN/RURAL (2)
LARGE CITY=1
SMALL CITY=2
TOWN=3
RURAL=4
Gabon 2000
No questionnaire text is available for this sample.
Gabon 2012
Survey form
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IDENTIFICATION
NAME OF PROVINCE______
NAME OF LOCATION______
NAME OF HEAD OF HOUSEHOLD_____
CLUSTER NUMBER_____
STRUCTURE NUMBER______
HOUSEHOLD NUMBER______
WOMAN'S NAME AND LINE NUMBER____
CHECK HOUSEHOLD QUESTIONNAIRE (Q 300):
WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE:
Yes 1
No
Ghana 1988
No questionnaire text is available for this sample.
Ghana 1993
Survey form
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LARGE CITY/MEDIUM CITY/SMALL CITY/TOWN/VILLAGE ____
LARGE CITY 1
MEDIUM CITY 2
SMALL CITY 3
TOWN 4
VILLAGE 5
large city 1,000,000,000 and over
medium city 500,000 -- 999,999
small city 50,000 -- 499,999
town 5,000 -- 49,999
village less than 5,000
Ghana 1998
Survey form
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CITY/TOWN/VILLAGE _____
LARGE CITY 1
MEDIUM CITY 2
SMALL CITY 3
TOWN 4
VILLAGE 5
Guinea 1999
Survey form
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CONAKRY/CAPITAL NATURAL REGION/OTHER CITY/RURAL:
CONAKRY 1
CAPITAL REGION 2
OTHER CITY 3
RURAL 4
Guinea 2005
Survey form
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CONAKRY/CAPITAL NATURAL REGION/OTHER CITY/RURAL:
CONAKRY 1
CAPITAL REGION 2
OTHER CITY 3
RURAL 4
Guinea 2012
Survey form
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CONAKRY/NATURAL CAPITAL REGION/OTHER CITY/RURAL
CONAKRY 1
CAPITAL REGION 2
OTHER CITY 3
RURAL 4
Guinea 2018
No questionnaire text is available for this sample.
Guinea 2021
Survey form
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IDENTIFICATION (1)
NAME OF LOCALITY: ______
NAME OF HEAD OF HOUSEHOLD: ______
CLUSTER NUMBER ______
HOUSEHOLD NUMBER ______
NAME AND LINE NUMBER OF WOMAN ______
ADMINISTRATIVE REGION ______
NATURAL REGION ______
HEALTH DISTRICT NUMBER ______
AREA OF RESIDENCE (1 = CITY OF CONAKRY, 2 = OTHER CITY, 3 = RURAL)
______
India 1992
Survey form
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LARGE CITY/SMALL CITY/TOWN/RURAL AREA ______
LARGE CITY 1
SMALL CITY 2
TOWN 3
RURAL AREA 4
India 1998
Survey form
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LARGE CITY/SMALL CITY/TOWN/RURAL AREA _______
LARGE CITY 1
SMALL CITY 2
TOWN 3
RURAL AREA 4
India 2005
Survey form
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MEGA CITY/LARGE CITY/SMALL CITY/LARGE TOWN/SMALL TOWN/RURAL _____
MEGA CITY 1
LARGE CITY 2
SMALL CITY 3
LARGE TOWN 4
SMALL TOWN 5
RURAL 6
Jordan 1990
No questionnaire text is available for this sample.
Jordan 1997
No questionnaire text is available for this sample.
Kenya 1989
No questionnaire text is available for this sample.
Kenya 1993
Survey form
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NAIROBI/MOMBASA 1, SMALL CITY 2, TOWN 3, RURAL 4
NAIROBI/MOMBASA 1
SMALL CITY 2
TOWN 3
RURAL 4
Kenya 1998
Survey form
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NAIROBI/MOMBASA 1
SMALL CITY 2
TOWN 3
RURAL 4
Kenya 2003
Survey form
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LOCATION
NAIROBI/MOMBASA/KISUMU 1
NAKURU/ELDORET/THIKA/NYERI 2
SMALL TOWN 3
RURAL 4
Kenya 2008
Survey form
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LOCATION/TOWN ____________
NAIROBI/MOMBASA/KISUMU 1
NAKURU/ELDORET/THIKA/NYERI 2
SMALL TOWN 3
RURAL 4
Liberia 1986
No questionnaire text is available for this sample.
Liberia 2007
No questionnaire text is available for this sample.
Liberia 2009
No questionnaire text is available for this sample.
Liberia 2011
No questionnaire text is available for this sample.
Liberia 2016
No questionnaire text is available for this sample.
Madagascar 1992
No questionnaire text is available for this sample.
Madagascar 1997
No questionnaire text is available for this sample.
Madagascar 2003
No questionnaire text is available for this sample.
Malawi 1992
Survey form
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LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE **
LARGE CITY 1
SMALL CITY 2
TOWN 3
RURAL 4
Malawi 2000
Survey form
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LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRYSIDE 4
Malawi 2004
Survey form
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text
LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRYSIDE 4
Malawi 2010
No questionnaire text is available for this sample.
Mali 1987
No questionnaire text is available for this sample.
Mali 1995
Survey form
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ARRONDISSEMENT__
BAMAKO 1
OTHER COMMUNE 2
OTHER CITIES 3
RURAL 4
Mali 2001
Survey form
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BAMAKO, OTHER CITIES, OTHER VILLAGES, RURAL?
BAMAKO 1
OTHER CITIES 2
OTHER VILLAGES 3
RURAL 4
Mali 2006
Survey form
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ARRONDISSEMENT__
BAMAKO 1
OTHER CITIES 2
OTHER VILLAGES 3
RURAL 4_____
Mali 2015
No questionnaire text is available for this sample.
Morocco 1987
No questionnaire text is available for this sample.
Morocco 1992
No questionnaire text is available for this sample.
Morocco 2003
No questionnaire text is available for this sample.
Mozambique 1997
Survey form
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LARGE CITY/SMALL CITY/VILLAGE/RURAL AREA:
LARGE CITY 1
SMALL CITY 2
VILLAGE 3
RURAL AREA 4
Mozambique 2003
No questionnaire text is available for this sample.
Namibia 1992
No questionnaire text is available for this sample.
Namibia 2006
No questionnaire text is available for this sample.
Nepal 1996
No questionnaire text is available for this sample.
Nepal 2001
No questionnaire text is available for this sample.
Nepal 2006
No questionnaire text is available for this sample.
Niger 1992
Survey form
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VILLAGE/QUARTER ___
NIAMEY 1
AGADEZ, MARADI, TAHOUA, ZINDER 2
OTHER CITY 3
RURAL 4
Niger 1998
Survey form
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NIAMEY/OTHER CITY/RURAL:
NIAMEY 1
OTHER CITY 2
RURAL 3
Niger 2006
Survey form
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NIAMEY/OTHER REGION CAPITAL/OTHER CITY/RURAL:
NIAMEY 1
OTHER REGION CAPITAL 2
OTHER CITY 3
RURAL 4
Niger 2012
Survey form
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text
NIAMEY/REGIONAL ADMINISTRATIVE CENTER/OTHER CITY/RURAL
NIAMEY 1
REGIONAL ADMINISTRATIVE CENTER 2
OTHER CITY 3
RURAL 4
Nigeria 1990
Survey form
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CITY/TOWN/RURAL __
CITY 1
TOWN 2
RURAL(VILLAGE) 3
Nigeria 1999
Survey form
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LARGE TOWN/MEDIUM TOWN/SMALL TOWN/VILLAGE:
LARGE TOWN 1
MEDIUM TOWN 2
SMALL TOWN 3
VILLAGE 4
Nigeria 2003
Survey form
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LARGE TOWN/MEDIUM TOWN/SMALL TOWN/VILLAGE __
LARGE TOWN 1
MEDIUM TOWN 2
SMALL TOWN 3
VILLAGE 4
Pakistan 1991
Survey form
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IDENTIFICATION
PLACE NAME_______________
NAME OF HOUSEHOLD____________
PROVINCE ____
URBAN/RURAL
URBAN 1
RURAL 2
MAJOR CITY/DIVISION/DISTRICT ____
CLUSTER NUMBER ___
HOUSEHOLD NUMBER ___
MAJOR CITY/SMALL CITY, TOWN/VILLAGE
MAJOR CITY 1
SMALL CITY, TOWN 2
VILLAGE 3
NAME AND LINE NUMBER OF WOMEN______________
NAME AND LINE NUMBER OF HUSBAND (IF ELIGIBLE)
Pakistan 2006
No questionnaire text is available for this sample.
Pakistan 2012
No questionnaire text is available for this sample.
Rwanda 1992
Survey form
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KIGALI, OTHER CITY, OR RURAL?
KIGALI 1
OTHER CITY 2
RURAL 3
Rwanda 2000
Survey form
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text
LARGE CITY, OTHER CITY, OR RURAL?
KIGALI 1
OTHER CITY 2
RURAL 3
Rwanda 2005
Survey form
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text
KIGALI CITY/OTHER TOWN/RURAL ____
KIGALI CITY 1
OTHER TOWN 2
RURAL 3
Rwanda 2008
No questionnaire text is available for this sample.
Senegal 1992
Survey form
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REGION:
DAKAR (REGION OF DAKAR NOT RURAL) 1
LARGE CITY (THIES, KAOLACK, ZIGUINCHOR, SAINT-LOUIS, DJOURB) 2
CITY (OTHER COMMUNES) 3
COUNTRYSIDE (RURAL) 4
Senegal 1997
Survey form
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DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL?
DAKAR (DAKAR REGION NOT RURAL) 1
REGIONAL CAPITAL (THIES, KAOLACK, ZIGUINCHOR, ST. LOUIS, DIOURBEL) 2
OTHER CITY 3
RURAL 4
Senegal 2005
Survey form
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DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL:
DAKAR 1
REGIONAL CAPITAL 2
OTHER CITY 3
RURAL 4
Senegal 2006
Survey form
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IDENTIFICATION
NAME OF LOCALITY ______
NAME OF HEAD OF HOUSEHOLD ______
HOUSEHOLD NUMBER ______
CONCESSION NUMBER ______
CLUSTER NUMBER ______
HEALTH DISTRICT ______
URBAN/RURAL (URBAN = 1, RURAL = 2) ENVIRONMENT ______
DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL
(DAKAR = 1, REGIONAL CAPITAL = 2, OTHER CITY = 3, RURAL = 4) DETAILED ENVIRONMENT ______
NAME AND LINE NUMBER OF WOMAN ______
CLUSTER NUMBER IN DHS-IV 2005 ______
HOUSEHOLD SURVEYED IN DHS-IV 2005? (YES = 1, NO = 2) ______
HOUSEHOLD NUMBER IN DHS-IV 2005 ______
WOMAN SURVEYED IN DHS-IV 2005? (YES = 1, NO = 2) ______
WOMAN'S LINE NUNBER IN DHS-IV ______
Senegal 2008
Survey form
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IDENTIFICATION
REGION______
HEALTH DISTRICT ______
DISTRICT MUNICIPALITY/RURAL COMMUNITY ______
CLUSTER NUMBER ______
NAME OF HEAD OF CONCESSION ______
NAME OF HEAD OF HOUSEHOLD ______
HOUSEHOLD NUMBER IN SAMPLE ______
NAME OF LOCALITY (DISTRICT MUNICIPALITY IN DAKAR, MUNICIPALITY, RURAL COMMUNITY) ______
URBAN/RURAL (URBAN = 1, RURAL = 2) ENVIRONMENT ______
DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL
(DAKAR = 1, REGIONAL CAPITAL = 2, OTHER CITY = 3, RURAL = 4) DETAILED ENVIRONMENT ______
NAME AND LINE NUMBER OF WOMAN ______
HOUSEHOLD SAMPLE (OF THE 30 IN CLUSTER)? (YES = 1, NO = 2) ______
HOUSEHOLD CHOSEN FOR ANEMIA/MALARIA TEST? (YES = 1, NO = 2) ______
Sierra Leone 2008
Survey form
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FREETOWN, OTHER CITY, TOWN, RURAL
FREETOWN 1
OTHER CITY (50,000-1 MLN) 2
TOWN (LESS THAN 50,000) 3
RURAL 4
South Africa 1998
No questionnaire text is available for this sample.
Sudan 1989
No questionnaire text is available for this sample.
Tanzania 1991
Survey form
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LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE ___
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRYSIDE 4
Tanzania 1996
Survey form
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ENUMERATION AREA _______________ ___
LARGE CITY 1
SMALL CITY* 2
TOWN 3
COUNTRYSIDE 4
Tanzania 1999
Survey form
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DAR ES SALAAM, SMALL CITY, TOWN, RURAL/VILLAGE
DAR ES SALAAM 1
SMALL CITY* 2
TOWN 3
RURAL/VILLAGE 4
*(Small cities are: Mwanza, Arusha, Morogoro, Dodoma, Moshi, Tanga, Iringa, Mbeya and Tabora. All other urban areas are towns.)
Tanzania 2004
Survey form
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LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRYSIDE 4
LARGE CITIES ARE; DAR ES SALAAM AND MWANZA. SMALL CITIES ARE; ARUSHA, MOROGORO, DODOMA, MOSHI, TANGA, IRINGA MBEYA, SHINYANGA, TABORA, MIJINI MAGHARIBI - ZANZIBAR. ALL OTHER URBAN AREAS ARE TOWN
Tanzania 2010
Survey form
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LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRYSIDE 4
LARGE CITIES ARE : DAR ES SALAAM, MWANZA, MBEYA AND TANGA.SMALL CITIES ARE: MOROGORO, DODOMA, MOSHI, IRINGA, SHINYANGA, SINGIDA, SONGEA ,MTWARA, TABORA, MUSOMA, SUMBAWANGA, BUKOBA, KIGOMA NA MJINI MAGHARIBI . MIJI MINGINE NI MIJI MIDOGO
Togo 1998
No questionnaire text is available for this sample.
Tunisia 1988
Survey form
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104) For most of the time until you were 12 years old, did you live in the countryside, in a town, or in a city?
LARGE CITY 1
SMALL CITY 2
COUNTRYSIDE 3
Uganda 1988
No questionnaire text is available for this sample.
Uganda 1995
Survey form
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CITY/MUNICIPALITY/TOWN/COUNTRYSIDE
CITY 1
MUNICIPALITY 2
TOWN 3
COUNTRYSIDE 4
Uganda 2001
Survey form
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LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE ___
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRY SIDE 4
Uganda 2006
No questionnaire text is available for this sample.
Yemen 1991
No questionnaire text is available for this sample.
Zambia 1992
Survey form
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text
LUSAKA/OTHER CITY/TOWN/VILLAGE
LUSAKA 1
OTHER CITY 2
TOWN 3
VILLAGE 4
Zambia 1996
Survey form
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text
LUSAKA/OTHER CITY/TOWN/VILLAGE
LUSAKA 1
OTHER CITY 2
TOWN 3
VILLAGE 4
Zambia 2001
Survey form
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text
LUSAKA/OTHER CITY/TOWN/VILLAGE
LUSAKA 1
OTHER CITY 2
TOWN 3
VILLAGE 4
Zambia 2007
Survey form
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text
LUSAKA/OTHER CITY/TOWN/VILLAGE
LUSAKA 1
OTHER CITY 2
TOWN 3
VILLAGE 4
Zimbabwe 1988
No questionnaire text is available for this sample.
Zimbabwe 1994
Survey form
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text
MAIN TOWN/OTHER URBAN/RURAL
MAIN TOWN 1
OTHER URBAN 2
RURAL 3
Zimbabwe 1999
Survey form
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text
LARGE CITY/SMALL CITY/TOWN/COUNTRYSIDE
LARGE CITY 1
SMALL CITY 2
TOWN 3
COUNTRYSIDE 4
Zimbabwe 2005
Survey form
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text
LARGE CITY/SMALL CITY/TOWN/RURAL
HARARE 1
SMALL CITY 2
TOWN 3
RURAL 4