| Ghana 1988 |
| Ghana 1993 |
| Ghana 1998 |
| Ghana 2003 |
| Ghana 2008 |
| Ghana 2014 |
| Ghana 2016 |
| Ghana 2019 |
PLACE NAME _____
CLUSTER NUMBER _____
HOUSEHOLD NUMBER ______
LINE NUMBER OF WOMAN _____
NAME OF WOMAN ______
PLACE NAME __________
NAME OF HOUSEHOLD HEAD ____________
EA NUMBER _____________
STRUCTURE NUMBER ___________
HOUSEHOLD NUMBER ___________
REGION ____________________
PLACE NAME ____
REGION ____
EA NUMBER ____
STRUCTURE NUMBER ____
HOUSEHOLD NUMBER _____
PLACE NAME__
NAME OF HOUSEHOLD HEAD__
CLUSTER NUMBER___
HOUSEHOLD NUMBER______
REGION__
LOCALITY NAME _______________
NAME OF HOUSEHOLD HEAD ______________
EA NUMBER _______
STRUCTURE NUMBER _____
HOUSEHOLD NUMBER _____
REGION ____
DISTRICT ____
LOCALITY NAME _____
NAME OF HOUSEHOLD HEAD ____
CLUSTER NUMBER _____
STRUCTURE NUMBER _____
HOUSEHOLD NUMBER _____
REGION _____
DISTRICT _____
URBAN/RURAL
NAME AND LINE NUMBER OF WOMAN:
MINISTRY OF HEALTH
GHANA STATISTICAL SERVICES
IDENTIFICATION
LOCALITY NAME __________________
NAME OF HOUSEHOLD HEAD _____________________
REGION ________
DISTRICT ___________
CLUSTER NUMBER __________
HOUSEHOLD NUMBER ___________
NAME AND LINE NUMBER OF WOMAN ____________________