Survey Text

Liberia 2019
top
Liberia 2019
Survey form view entire document:  text 
IDENTIFICATION

PLACE NAME
NAME OF HOUSEHOLD HEAD
CLUSTER NUMBER
HOUSEHOLD NUMBER
NAME AND LINE NUMBER OF WOMAN
CHECK COVER PAGE OF HOUSEHOLD QUESTIONNAIRE: HOUSEHOLD SELECTED FOR MAN'S SURVEY AND BIOMARKERS?

YES 1
NO 2

CHECK HOUSEHOLD QUESTIONNAIRE Q.61: WOMAN SELECTED FOR DV MODULE?

YES 1
NO 2