1 - ESDS

Quest ~onnalrm Rmf
— QumstLOn No
PERsON
IDENTIFICATION
Q1
Q2
Q3(A)
COLLECTED MONEY
(LAST 12 MONTHS)
Coding Sheet
Rafarmnce
IDNO
H/H NO
PER
FU
Q1
Q2
COLL (A)
VOLWMY WOSN SECTION
No of
Boxes/
Characters
5
2
2
2
2
2
2
Cc.dang Instructions/Rmmarks
v~s
5 d~g~tm - rammnhar load >ng
zeros ( check numhar LS the
same a* on front page of
houamhold schedule) .
Valu.s 01-0~
Entar housahold numb-r.
ValUeS 01-2L
Check parson numbsr LS
corract: ●nter par~on number.
V41U*S 1-7
Enter numhr of Fsnuly Unit
~ues
---
‘\
My voluntary work m last ‘.
12 months?
Yes ................... ..01
No ...... ........ ... ....02
~z
--
Any voluntary work lxnkod to
a Church or othar ral~g~ous
organimat Len?
Y*S ..................... .01
No ....... ... ........ .02
-es
-.
a
Colloctad money an last
12 months?
Yen ...... .. ....... ....01
NO ..... ..... ...... .....00
I
116