Literal question
IDENTIFICATION
STATISTICAL CONFIDENTIALITY: BY THE TERMS GIVEN IN ARTICLE 11 OF THE LAW NO. 3/11, FROM THE 14TH OF JANUARY, LAW OF THE NATIONAL STATISTICS SYSTEM, ALL INDIVIDUAL DATA COLLECTED BY OFFICIAL STATISTICS ORGANIZATIONS, IN THIS CASE THE INE, ARE STRICTLY CONFIDENTIAL. COLLECTED DATA IS PROTECTED FROM ANY NON-STATISTICAL PURPOSES OR FROM ANY UNAUTHORIZED DISSEMINATION, ONLY TO BE USED FOR THE PRODUCTION OF OFFICIAL STATISTICS.
PLACE NAME/ADDRESS________
NAME OF HOUSEHOLD HEAD________
PROVINCE ____
MUNICIPALITY ____
COMMUNE ____
NEIGHBORHOOD/VILLAGE ____
CENSUS SECTION ____
HOUSEHOLD AREA ____
URBAN 1
RURAL 2
CLUSTER NUMBER (ID. IIMS) ____
HOUSEHOLD NUMBER ____
HOUSEHOLD SELECTED FOR MAN'S SURVEY?
YES 1
NO 2
HOUSEHOLD SELECTED FOR CHILDREN'S SURVEY?
YES 1
NO 2