Sociodemographic questionnaire
I. Identification data
Questionnaire number ___ of ___ of total questionnaires
State or entity ____
Municipality or district ____
Locality ____
Neighborhood or housing subdivision ____
Street ____
Outside unit number ____
Inside unit number ____
Telephone number ____
Control number _ _ _ _ _ _
UPM _ _ _ _ _
Weekly distribution number _ _ _
Household's order number on the list _ _ _ _
Selected household _ _
House number _
Moved home _