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LANGINTERVIEWIR (V045B)
Language of women's interview

Survey Text

Afghanistan 2015 Guinea 2018 Mali 2021 Sierra Leone 2019
Angola 2015 Guinea 2021 Mozambique 2018 South Africa 2016
Benin 2017 India 2019 Myanmar 2015 Tanzania 2015
Burkina Faso 2018 Jordan 2017 Nepal 2016 Tanzania 2017
Burundi 2016 Kenya 2020 Niger 2021 Togo 2017
Cameroon 2018 Liberia 1986 Nigeria 2018 Uganda 2016
Cameroon 2022 Liberia 2019 Nigeria 2021 Uganda 2018
Ethiopia 2016 Madagascar 2016 Pakistan 2017 Zambia 2018
Ethiopia 2019 Madagascar 2021 Rwanda 2017 Zimbabwe 2015
Gambia 2019 Malawi 2016 Rwanda 2019
Ghana 2016 Malawi 2017 Senegal 2021
Ghana 2019 Mali 2018 Sierra Leone 2016
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Afghanistan 2015
Survey form view entire document:  text 
INTERVIEWER VISITS

FIRST VISIT
DATE
INTERVIEWER'S NAME
RESULT

RESULT CODING:

COMPLETED 1
NO HOUSEHOLD MEMBER AT HOME OR NO COMPETENT RESPONDENT 2
ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD OF TIME 3
POSTPONED 4
REFUSED 5
DWELLING VACANT OR ADDRESS NO A DWELLING 6
DWELLING DESTROYED 7
DWELLING NOT FOUND 8
OTHER_________ 9

NEXT VISIT
DATE
TIME

SECOND VISIT
DATE
INTERVIEWER'S NAME
RESULT

NEXT VISIT
DATE
TIME

THIRD VISIT
DATE
INTERVIEWER'S NAME
RESULT

FINAL VISIT
DAY
MONTH
YEAR
INT. NO.
RESULT

TOTAL NUMBER OF VISITS

TOTAL PERSONS IN HOUSEHOLD

TOTAL ELIGIBLE WOMEN

TOTAL ELIGIBLE MEN

LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE

LANGUAGE OF INTERVIEW

DARI 1
PASHTO 2
OTHER________6

NATIVE LANGUAGE OF RESPONDENT

DARI 1
PASHTO 2
OTHER________6

TRANSLATOR USED?

YES 1
NO 2

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Angola 2015
Survey form view entire document:  text 
INTERVIEWER VISITS

FIRST VISIT
DATE_________
DAY___
MONTH___
INTERVIEWER'S NAME_________
RESULT

COMPLETED 1
ABSENT 2
POSTPONED 3
REFUSED 4
INCOMPLETE 5
INCAPACITATED 6
OTHER (SPECIFY) ________ 7

NEXT VISIT:
DATE_________
TIME_________

SECOND VISIT
DATE____
DAY____
MONTH____
INTERVIEWER'S NAME____
RESULT

COMPLETED 1
ABSENT 2
POSTPONED 3
REFUSED 4
INCOMPLETE 5
INCAPACITATED 6
OTHER (SPECIFY) ________ 7

NEXT VISIT:
DATE____
TIME____

THIRD VISIT
DATE____
DAY____
MONTH____
INTERVIEWER'S NAME____
RESULT

COMPLETED 1
ABSENT 2
POSTPONED 3
REFUSED 4
INCOMPLETE 5
INCAPACITATED 6
OTHER (SPECIFY) ________ 7

FINAL VISIT
DAY_________
MONTH_________
YEAR_____
INT. NO._________
RESULT

COMPLETED 1
ABSENT 2
POSTPONED 3
REFUSED 4
INCOMPLETE 5
INCAPACITATED 6
OTHER (SPECIFY) ________ 7

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Benin 2017
Survey form view entire document:  text 
Language of questionnaire 01

Language of interview

Native language of respondent


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Burkina Faso 2018
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LANGUAGE OF QUESTIONNAIRE 01
LANGUAGE OF INTERVIEW ______
NATIVE LANGUAGE OF RESPONDENT ______
TRANSLATOR (YES = 1, NO = 2) ______
LANGUAGE OF QUESTIONNAIRE FRENCH

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Burundi 2016
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE

LANGUAGE OF INTERVIEW

NATIVE LANGUAGE OF RESPONDENT

TRANSLATOR USED

YES 1
NO 2

LANGUAGE OF QUESTIONNAIRE

LANGUAGE CODES:


FRENCH 01
OTHER (SPECIFY) 96
OLD KIRUNDI (FROM PAPER)


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Cameroon 2018
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LANGUAGE OF QUESTIONNAIRE** 01 ENGLISH
LANGUAGE OF INTERVIEW**
NATIVE LANGUAGE OF RESPONDENT**

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Cameroon 2022
Survey form view entire document:  text 
FIRST VISIT
DATE
INTERVIEWER'S NAME
RESULT*

NEXT VISIT: DATE
TIME

SECOND VISIT
DATE
INTERVIEWER'S NAME
RESULT*

NEXT VISIT: DATE
TIME

THIRD VISIT
DATE
INTERVIEWER'S NAME
RESULT*

FINAL VISIT
DAY
MONTH
YEAR 2022
INT. NO.
RESULT*

TOTAL VISITS

*RESULT CODES:
1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY)

LANGUAGE OF QUESTIONNAIRE** 01
LANGUAGE OF INTERVIEW**
NATIVE LANGUAGE OF RESPONDENT**
TRANSLATOR USED (YES = 1, NO = 2)
LANGUAGE OF QUESTIONNAIRE** ENGLISH
**LANGUAGE CODES:
01 ENGLISH
02 FRENCH
03 FUFULDE
04 PIDGIN
96 OTHER (SPECIFY)

TEAM
NUMBER

TEAM SUPERVISOR
NAME
NUMBER


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Ethiopia 2016
Survey form view entire document:  text 
LANGUAGE OF INTERVIEW

01 ENGLISH
02 AMHARIC
03 TIGRINGNA
04 OROMIFFA
05 LANGUAGE 5
06 LANGUAGE 6

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Ethiopia 2019
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LANGUAGE OF QUESTIONNAIRE___

01 AMARIGNA
02 OROMIGNA
03 TIGRIGNA
04 ENGLISH
06 OTHER

LANGUAGE OF INTERVIEW ___
NATIVE LANGUAGE OF RESPONDENT___
TRANSLATED USED___

YES 1
NO 2

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Gambia 2019
Survey form view entire document:  text 
INTERVIEWER VISITS

DATE
INTERVIEWER'S NAME
RESULT

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) 7

NEXT VISIT
DATE
TIME
FINAL VISIT
DAY
MONTH
YEAR
INT. NO.
RESULT

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) 7

TOTAL NUMBER OF VISITS
LANGUAGE OF QUESTIONNAIRE
LANGUAGE OF INTERVIEW
NATIVE LANGUAGE OF RESPONDENT
TRANSLATOR USED

YES 1
NO 2

LANGUAGE OF QUESTIONNAIRE: ENGLISH
LANGUAGE CODES

ENGLISH 01
MANDINKA 02
WOLLOF 03
FULA 04
JOLA 05
SARAHULE 06
SERERE 07
MANJANGO 08
CREOLE/AKU MARABOUT 09
BAMBARA 10
OTHER LANGUAGE (SPECIFY) 11

SUPERVISOR
NAME
CODE


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Ghana 2016
Survey form view entire document:  text 
LANGUAGE OF INTERVIEWER

ENGLISH 01
AKAN 02
GA 03
EWE 04
OTHER ____________(SPECIFY) 06

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Ghana 2019
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LANGUAGE OF INTERVIEW:

ENGLISH 01
AKAN 02
GA 03
EWE 04
DAGBANI 05
OTHER ________________(SPECIFY) 06

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Guinea 2018
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE: FRENCH 01

LANGUAGE OF INTERVIEW

FRENCH 01
SOUSSOU 02
PEUL 03
MALINKE 04
KISSI 05
LOMA 06
KPELE 07
OTHER (SPECIFY) ___ 08

NATIVE LANGUAGE OF RESPONDENT

FRENCH 01
SOUSSOU 02
PEUL 03
MALINKE 04
KISSI 05
LOMA 06
KPELE 07
OTHER (SPECIFY) ___ 08

TRANSLATOR USED

YES 1
NO 2

LANGUAGE OF QUESTIONNAIRE: FRENCH 01


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Guinea 2021
Survey form view entire document:  text 
INTERVIEWERS? VISITS

(Repeat up to 3 visits)

DATE ______
NAME OF INTERVIEWER ______
RESULT ______

NEXT VISIT:
DATE ______
TIME ______

FINAL VISIT
DAY ______
MONTH ______
YEAR 2020
RESPONDENT NUMBER______
RESULT CODE ______

TOTAL NUMBER OF VISITS ______

RESULT CODES:

1 COMPLETED
2 NOT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) ______

LANGUAGE OF QUESTIONNAIRE 1
LANGUAGE OF INTERVIEW ______
NATIVE LANGUAGE OF RESPONDENT ______
INTERPRETER (YES = 1, NO = 2) ______
LANGUAGE OF QUESTIONNAIRE FRENCH

LANGUAGE CODES:

01 FRENCH
02 SUSU
03 PEUL
04 MALINKE
05 KISII
04 TOMA
07 KPELLE
08 OTHER (SPECIFY) ______

TEAM NUMBER ______

TEAM LEADER
NAME ______
NUMBER ______

CAPI SUPERVISOR
NAME ______
NUMBER ______


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India 2019
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**LANGUAGE CODES:

ASSAMESE 01
BENGALI 02
GUJARATI 03
HINDI 04
KANNADA 05
KASHMIRI 06
KONKANI 07
MALAYALM 08
MANIPURI 09
MARATHI 10
NEPALI 11
ORIYA 12
PUNJABI 13
SINDHI 14
TAMIL 15
TELUGU 16
URDU 17
ENGLISH 18
GARO 19
KHASI 20
OTHER 96 (SPECIFY) __

**LANGUAGE OF QUESTIONNAIRE HINDI 04
**RESPONDENT'S MOTHER TONGUE __
**LANGUAGE OF INTERVIEW __

TRANSLATOR USED? (YES =1, NO =2) __

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Jordan 2017

No questionnaire text is available for this sample.


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Kenya 2020
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE: ENGLISH 01

LANGUAGE OF INTERVIEW

ENGLISH 01
KISWAHILI 02
BORANA 03
EMBU 04
KALENJIN 05
KAMBA 06
KIKUYU 07
KISII 08
LUHYA 09
MARAGOL 10
LUO 11
MAASAI 12
MERU 13
MIJIKENDA 14
POKOT 15
SOMALI 16
TURKANA 17
OTHER ___________________(SPECIFY) 96

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Liberia 1986
Survey form view entire document:  text 
902) IN WHAT LANGUAGE DID YOU CONDUCT THE INTERVIEW?

BASSA 1
BELLE 2
DEY 3
GBANDI 4
GIO 5
GOLA 6
GREBO 7
KISSI 8
KPELLE 9
KRAHN 10
KRU/SAPO 11
LORMA 12
MANDINGO 13
MANO 14
MENDE 15
VAI 16
ENGLISH 17
OTHER 18

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Liberia 2019

No questionnaire text is available for this sample.


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Madagascar 2016
Survey form view entire document:  text 
INTERVIEWER VISITS:

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)

DATE _______
INTERVIEWER'S NAME _________
RESULT* ____

NEXT VISIT

DATE ____
TIME ____

FINAL VISIT

DAY ____
MONTH ____
YEAR _____

TOTAL NUMBER OF VISITS ______

*RESULT CODES

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTIALLY COMPLETED 5
UNABLE 6
OTHER (SPECIFY) ____ 7

QUESTIONNAIRE LANGUAGE** ____

QUESTIONNAIRE LANGUAGE** ____

LANGUAGE OF INTERVIEW** ____

NATIVE LANGUAGE OF RESPONDENT** ___

TRANSLATOR USED

YES 1
NO 2

**LANGUAGE CODES

FRENCH 01
MALGACHE 02
OTHER (SPECIFY) ____ 03

SUPERVISOR

NAME ____
NUMBER ___

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Madagascar 2021
Survey form view entire document:  text 
INTERVIEWER VISITS 1, 2, 3

DATE: ____
INTERVIEWER'S NAME ______
RESULT* ____

NEXT VISIT

DATE ____
TIME ____

FINAL VISIT

DAY ____
MONTH ____
YEAR ____
INT. NUMBER ____
RESULT* ____

TOTAL NUMBER OF VISITS _____

*RESULT CODES:

COMPLETED 1
NOT HOME 2
POSTPONED 3
REFUSED 4
PARTIALLY COMPLETED 5
UNABLE 6
OTHER ____ (SPECIFY) 7

QUESTIONNAIRE LANGUAGE** ____ (LANGUAGE CODE)

QUESTIONNAIRE LANGUAGE** ____ (LANGUAGE NAME)

LANGUAGE OF INTERVIEW** ____

NATIVE LANGUAGE OF RESPONDENT** ___

TRANSLATOR USED

YES 1
NO 2

**LANGUAGE CODES

FRENCH 01
MALAGASY 02
LANGUAGE 03
LANGUAGE 04
LANGUAGE 05
LANGUAGE 06

TEAM SUPERVISOR

NAME ____
NUMBER ____


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Malawi 2016
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LANGUAGE OF QUESTIONNAIRE:

ENGLISH 01
CHICHEWA 02
TUMBUKA 03
OTHER (SPECIFY) 09

LANGUAGE OF QUESTIONNAIRE ___

LANGUAGE OF INTERVIEW:

ENGLISH 01
CHICHEWA 02
TUMBUKA 03
OTHER (SPECIFY) 09

NATIVE LANGUAGE OF RESPONDENT:

ENGLISH 01
CHICHEWA 02
TUMBUKA 03
OTHER (SPECIFY) 09

TRANSLATOR USED?

YES 1
NO 2

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Malawi 2017
Survey form view entire document:  text 
INTERVIEWER VISITS

DATE
INTERVIEWER'S NAME
RESULT

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) 7

NEXT VISIT
DATE
TIME
FINAL VISIT
DAY
MONTH
YEAR
INT. NO.
RESULT

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) 7

TOTAL NUMBER OF VISITS
LANGUAGE OF QUESTIONNAIRE 01
LANGUAGE OF INTERVIEW
NATIVE LANGUAGE OF RESPONDENT
TRANSLATOR USED

YES 1
NO 2

LANGUAGE OF QUESTIONNAIRE: ENGLISH
LANGUAGE CODES

ENGLISH 01
CHICHEWA 02
TUMBUKA 03
OTHER (SPECIFY) 06

SUPERVISOR
NAME
NUMBER


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Mali 2018
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE: FRENCH 01
LANGUAGE OF INTERVIEW

FRENCH 01
BAMBARA/MALINKE 02
SONRAI/DJERMA 03
PEUHL/FOULFOULDE 04
SENOUFO 05
MARKA/SONINKE 06
DOGON 07
MINIANKA 08
TAMACHECK 09
BOBO/DAFING 10
BOZO/SOMONO 11
OTHER (SPECIFY) 96

NATIVE LANGUAGE OF RESPONDENT

FRENCH 01
BAMBARA/MALINKE 02
SONRAI/DJERMA 03
PEUHL/FOULFOULDE 04
SENOUFO 05
MARKA/SONINKE 06
DOGON 07
MINIANKA 08
TAMACHECK 09
BOBO/DAFING 10
BOZO/SOMONO 11
OTHER (SPECIFY) 96

TRANSLATOR USED

YES 1
NO 2

LANGUAGE OF QUESTIONNAIRE: FRENCH 01


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Mali 2021
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE 01
LANGUAGE OF INTERVIEW ______
NATIVE LANGUAGE OF RESPONDENT ______
INTERPRETER USED (YES = 1, NO = 2) ______
LANGUAGE OF QUESTIONNAIRE FRENCH

CODE

01 FRENCH
02 BAMBARA/MALINKE
03 SONRAI/DJERMA
04 PEUL/FULFULDE
05 SENOUFO
06 MARKA/SONINKE
07 DOGON
08 MINIANKA
09 TAMASHEK
10 BOBO/DAFING
11 BOZO
96 OTHER (SPECIFY) ______

TEAM LEADER
NAME ______
NUMBER ______


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Mozambique 2018
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INTERVIEWER VISITS

DATE ____
INTERVIEWER'S NAME ____
NEXT VISIT: DATE ___
TIME: ____
NOTES ____
FINAL VISIT

DAY __ __
MONTH __ __
YEAR __ __ __ __

TOTAL NUMBER OF VISITS ___
TOTAL NUMBER OF ELIGIBLE CHILDREN ___
LANGUAGE OF QUESTIONNAIRE 01
LANGUAGE OF INTERVIEW ___
NATIVE LANGUAGE OF RESPONDENT ___
TRANSLATOR USED (YES = 1, NO = 2) ___
LANGUAGE OF QUESTIONNAIRE: PORTUGUESE
LANGUAGE CODES:

01 PORTUGUESE
02 ENGLISH
03 EMAKHUWA 08 CINYANJA 09 CINDAU
04 XICHANGANA 10 XITSWA
05 CISENA 11 CINYUNGWE
06 ELOMWE 12 CIYAO
07 ECHUWABO
96 SHONA

SUPERVISOR
NAME
NUMBER __ __ __ __


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Myanmar 2015
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LANGUAGE OF INTERVIEW

MYANMAR 1
ENGLISH 2
OTHER_____ 6

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Nepal 2016
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LANGUAGE OF QUESTIONNAIRE**

ENGLISH 01

LANGUAGE OF INTERVIEW

NATIVE LANGUAGE OF RESPONDENT

TRANSLATOR USED

YES 1
NO 2

LANGUAGE CODES

ENGLISH 01
NEPALI 02
MAITHALI 03
BHOJPURI 04
OTHER 05

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Niger 2021
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE 01
LANGUAGE OF QUESTIONNAIRE FRENCH

INTERVIEW LANGUAGE ______
NATIVE LANGUAGE OF RESPONDENT ______
INTERPRETER (YES = 1, NO = 2) ______

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Nigeria 2018
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LANGUAGE OF QUESTIONNAIRE**

ENGLISH 01
LANGUAGE OF INTERVIEW**_____
NATIVE LANGUAGE OF RESPONDENT**_____

LANGUAGE CODES:

ENGLISH 01
HAUSA 02
YORUBA 03
IGBO 04

TRANSLATOR USED?

YES 1
NO 2

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Nigeria 2021
Survey form view entire document:  text 
INTERVIEWER VISITS

DATE
INTERVIEWER'S NAME
RESULT
NEXT VISIT
DATE
TIME
FINAL VISIT
DAY
MONTH
YEAR
INT. NO.
RESULT
RESULT CODES:

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) 7

TOTAL NUMBER OF VISITS
LANGUAGE OF QUESTIONNAIRE
LANGUAGE OF INTERVIEW
NATIVE LANGUAGE OF RESPONDENT
TRANSLATOR USED

YES 1
NO 2

LANGUAGE OF QUESTIONNAIRE: ENGLISH
LANGUAGE CODES:

ENGLISH 01
HAUSA 02
YORUBA 03
IGBO 04
OTHER 06

TEAM NUMBER__
TEAM SUPERVISOR
NAME__
NUMBER__


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Pakistan 2017
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LANGUAGE OF QUESTIONNAIRE** 01
LANGUAGE OF QUESTIONNAIRE** ENGLISH
LANGUAGE OF INTERVIEW** ______
NATIVE LANGUAGE OF RESPONDENT** __________

TRANSLATOR USED

YES 1
NO 2

**LANGUAGE CODES

ENGLISH 01
URDU 02
SINDHI 03
PUNJABI 04
SARAIKI 05
BALUCHI 06
PUSHTO 07
OTHER 08

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Rwanda 2017
Survey form view entire document:  text 
INTERVIEWER VISITS

FIRST VISIT

DATE __
INTERVIEWER'S NAME __
RESULT* __

NEXT VISIT:

DATE __
TIME __

SECOND VISIT

DATE __
INTERVIEWER'S NAME __
RESULT* __

NEXT VISIT:

DATE __
TIME __

THIRD VISIT

DATE __
INTERVIEWER'S NAME __
RESULT* __

FINAL VISIT

DAY __
MONTH __
YEAR __
INT. NO. __
RESULT* __

TOTAL NUMBER OF VISITS __

*RESULT CODES:

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER 7 (SPECIFY) __

LANGUAGE OF QUESTIONNAIRE** 01
LANGUAGE OF INTERVIEW** __
NATIVE LANGUAGE OF RESPONDENT** __
TRANSLATOR USED (YES = 1, NO = 2) __
LANGUAGE OF QUESTIONNAIRE** ENGLISH

**LANGUAGE CODES:

ENGLISH 01
KINYARWANDA 02

SUPERVISOR
NAME __
NUMBER __

OFFICE EDITOR
NUMBER __

KEYED BY
NUMBER __


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Rwanda 2019
Survey form view entire document:  text 
INTERVIEWER VISITS

FIRST VISIT
DATE __
INTERVIEWER'SNAME __
RESULT* __

NEXT VISIT:
DATE __
TIME __

SECOND VISIT
DATE __
INTERVIEWER'S NAME __
RESULT* __

NEXT VISIT:
DATE __
TIME __

THIRD VISIT
DATE __
INTERVIEWER'S NAME __
RESULT* __

FINAL VISIT
DAY __
MONTH __
YEAR __
INT. NO. __
RESULT* __

TOTAL NUMBER OF VISITS __

*RESULT CODES:

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER 7 (SPECIFY) __

LANGUAGE OF QUESTIONNAIRE 01
LANGUAGE OF INTERVIEW __
NATIVE LANGUAGE OF RESPONDENT __
TRANSLATOR USED (YES = 1, NO = 2) __
LANGUAGE OF QUESTIONNAIRE ENGLISH
LANGUAGE CODES:

ENGLISH 01
KINYARWANDA 02

TEAM LEADER
NAME __
NUMBER __
FIELD EDITOR
NAME __
NUMBER __
OFFICE EDITOR
NUMBER __
KEYED BY
NUMBER __


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Senegal 2021
Survey form view entire document:  text 
INTERVIEWERS VISITS

(Repeat up to 3 visits)

DATE ______
NAME OF INTERVIEWER ______
RESULT ______

NEXT VISIT:
DATE ______
TIME ______

FINAL VISIT
DAY ______
MONTH ______
YEAR 202______
RESPONDENT NUMBER______
RESULT CODE ______

TOTAL NUMBER OF VISITS ______

RESULT CODES:
1 COMPLETED
2 NOT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) ______

LANGUAGE OF QUESTIONNAIRE 1
LANGUAGE OF INTERVIEW ______
NATIVE LANGUAGE OF RESPONDENT ______
INTERPRETER (YES = 1, NO = 2) ______
LANGUAGE OF QUESTIONNAIRE FRENCH

LANGUAGE CODES:
01 FRENCH
02 WOLOF
03 PULAR
04 SERER
05 MANDINKA
06 DIOLA
07 OTHERS

TEAM LEADER
NAME ______
NUMBER ______
DATE ______


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Sierra Leone 2016
Survey form view entire document:  text 
INTERVIEWER VISITS

FIRST VISIT

DATE __
INTERVIEWER'S NAME __
RESULT* __

NEXT VISIT:

DATE __
TIME __

SECOND VISIT

DATE __
INTERVIEWER'S NAME __
RESULT* __

NEXT VISIT:

DATE __
TIME __

THIRD VISIT

DATE __
INTERVIEWER'S NAME __
RESULT* __

FINAL VISIT

DAY __
MONTH __
YEAR 2016
INT. NO. __
RESULT* __

TOTAL NUMBER OF VISITS __

*RESULT CODES:

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER 7 (SPECIFY) __

LANGUAGE OF QUESTIONNAIRE** 01
LANGUAGE OF INTERVIEW** __
NATIVE LANGUAGE OF RESPONDENT** __
TRANSLATOR USED (YES = 1, NO = 2) __
LANGUAGE OF QUESTIONNAIRE** ENGLISH

**LANGUAGE CODES:

ENGLISH 01
KRIO 02
MENDE 03
TEMNE 04
MADINGO 05
LOKO 06
SHERBRO 07
LIMBO 08
KISSI 09
KONO 10
SUSU 11
FULLAH 12
KRIM 13
YALUNKA 14
KORANKO 15
VAI 16
OTHER 96

SUPERVISOR
NAME __
NUMBER __


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Sierra Leone 2019
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE: 01
LANGUAGE OF INTERVIEW____

01 ENGLISH
02 CREOLE
03 TEMNE
04 LANGUAGE 4
05 LANGUAGE 5
06 LANGUAGE 6

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South Africa 2016
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LANGUAGE OF QUESTIONNAIRE: ENGLISH 01

LANGUAGE OF QUESTIONNAIRE: ENGLISH 01

LANGUAGE OF INTERVIEW ____

ENGLISH 01
AFRIKAANS 02
isiXHOSA 03
isiZULU 04
seSOTHO 05
seTSWANA 06
sePEDI 07
siSWATI 08
tshiVENDA 09
xiTSONGA 10
isiNDEBELE 11

HOME LANGUAGE OF RESPONDENT ____

ENGLISH 01
AFRIKAANS 02
isiXHOSA 03
isiZULU 04
seSOTHO 05
seTSWANA 06
sePEDI 07
siSWATI 08
tshiVENDA 09
xiTSONGA 10
isiNDEBELE 11

TRANSLATOR USED

YES 1
NO 2

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Tanzania 2015
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LANGUAGE OF QUESTIONNAIRE _____

ENGLISH 01
KISWAHILI 02

LANGUAGE OF INTERVIEW _____

ENGLISH 01
KISWAHILI 02

TRANSLATOR USED

YES 1
NO 2

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Tanzania 2017
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE** 01
LANGUAGE OF INTERVIEW**_
NATIVE LANGUAGE OF CORRESPONDANT**_
TRANSLATOR USED (YES = 1, NO = 2)_
LANGUAGE OF QUESTIONNAIRE** ENGLISH

** LANGUAGE CODES:
01 ENGLISH
02 KISWAHILI


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Togo 2017
Survey form view entire document:  text 
INTERVIEWER VISITS

VISITS 1, 2, 3
DATE ____________
INTERVIEWER'S NAME ____________
RESULT ____*

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) _____ 7

FINAL VISIT

DAY ______
MONTH ______
YEAR 2017
INTERVIEWER NUMBER _________
RESULT ____*

*RESULT CODES

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTIALLY COMPLETED 5
UNABLE 6
OTHER _____ (SPECIFY) 7

NEXT VISIT:
DATE ___________
HOUR ____________

TOTAL NUMBER OF VISITS _______________

QUESTIONNAIRE LANGUAGE (LANGUAGE CODE) **: ____

QUESTIONNAIRE LANGUAGE (NAME OF LANGUAGE): ____

LANGUAGE OF INTERVIEW: ____

**LANGUAGE CODES

FRENCH 01
EWE/MINA 02
KABYE 03
KOTOKOLI/TEM 04
AKPOSSO/AKEBOU 05
IFE/ANA 06
MOBA-GOURMA 07
TCHOKOSSI 08
BASSAR/KONKOMBA 09
OTHER NATIONAL LANGUAGE ________________(SPECIFY) 96
OTHER FOREIGN LANGUAGE _______________(SPECIFY) 97

NATIVE LANGUAGE OF RESPONDENT: ____

FRENCH 01
EWE/MINA 02
KABYE 03
KOTOKOLI/TEM 04
AKPOSSO/AKEBOU 05
IFE/ANA 06
MOBA-GOURMA 07
TCHOKOSSI 08
BASSAR/KONKOMBA 09
OTHER NATIONAL LANGUAGE ________________(SPECIFY) 96
OTHER FOREIGN LANGUAGE _______________(SPECIFY) 97

TRANSLATOR USED?

YES 1
NO 2

FIELD EDITOR

NAME _______________
NUMBER _____________


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Uganda 2016
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE ____

ENGLISH 01
LUGANDA 02
LUO 03
LUGBARA 04
ATESO 05
NGAKARIMOJONG 06
RUNYANKOLE/RUKIGA 07
RUNYORO/RUTORO 08
LUSOGA 09
OTHER (SPECIFY) ________ 96

LANGUAGE OF INTERVIEW ____

ENGLISH 01
LUGANDA 02
LUO 03
LUGBARA 04
ATESO 05
NGAKARIMOJONG 06
RUNYANKOLE/RUKIGA 07
RUNYORO/RUTORO 08
LUSOGA 09
OTHER (SPECIFY) ________ 96

NATIVE LANGUAGE OF RESPONDENT ____

ENGLISH 01
LUGANDA 02
LUO 03
LUGBARA 04
ATESO 05
NGAKARIMOJONG 06
RUNYANKOLE/RUKIGA 07
RUNYORO/RUTORO 08
LUSOGA 09
OTHER (SPECIFY) ________ 96

TRANSLATOR USED

YES 1
NO 2

LANGUAGE OF QUESTIONNAIRE ______

ENGLISH 01
LUGANDA 02
LUO 03
LUGBARA 04
ATESO 05
NGAKARIMOJONG 06
RUNYANKOLE/RUKIGA 07
RUNYORO/RUTORO 08
LUSOGA 09
OTHER (SPECIFY) ________ 96

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Uganda 2018
Survey form view entire document:  text 
TOTAL PERSONS IN HOUSEHOLD__
TOTAL ELIGIBLE WOMEN__
TOTAL ELIGIBLE CHILDREN__
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE__

LANGUAGE OF QUESTIONNAIRE*

01 ENGLISH

**LANGUAGE CODES

01 ENGLISH
02 LUGANDA
03 LUO
04 LUGBARA
05 ATESO
06 RUNYANKOLE/ RUKIGA
07 RUNYORO/ RUTORO
96 OTHER__(SPECIFY)

LANGUAGE OF INTERVIEW**__
NATIVE LANGUAGE OF RESPONDENT**__

TRANSLATOR USED

1 YES
2 NO

SUPERVISOR

NAME__
NUMBER____


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Zambia 2018
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE:

ENGLISH 01
LANGUAGE CODES:
01 ENGLISH
02 BEMBA
03 KAONDE
04 LOZI
05 LUNDA
06 LUVALE
07 NYANJA
08 TONGA

LANGUAGE OF INTERVIEW__

ENGLISH 01
LANGUAGE CODES:
01 ENGLISH
02 BEMBA
03 KAONDE
04 LOZI
05 LUNDA
06 LUVALE
07 NYANJA
08 TONGA

NATIVE LANGUAGE OF RESPONDENT __

ENGLISH 01
LANGUAGE CODES:
01 ENGLISH
02 BEMBA
03 KAONDE
04 LOZI
05 LUNDA
06 LUVALE
07 NYANJA
08 TONGA

TRANSLATOR USED

YES 1
NO 2

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Zimbabwe 2015
Survey form view entire document:  text 
LANGUAGE OF QUESTIONNAIRE

ENGLISH 01
NDEBELE 02
SHONA 03