Literal question
IDENTIFICATION
PROVINCE
DISTRICT
VILLAGE/NAHIA
CONTROLLER AREA
CLUSTER NUMBER
TYPE OF LOCATION
URBAN=1
RURAL=2
STRUCTURE/BUILDING NUMBER/GATE NUMBER
HOUSEHOLD NUMBER
NAME OF HOUSEHOLD HEAD
NAME AND LINE NUMBER OF MAN
INTERVIEWER VISITS
FIRST VISIT
DATE
INTERVIEWER'S NAME
RESULT
RESULT CODING:
1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER_________
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
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