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—<br />

)<br />

Questaonnazre Ref<br />

Quastaon NO<br />

PERSON<br />

IDENTIFICATION<br />

CHECK A<br />

Q1<br />

Codang Sheet<br />

Rmfmrmncm<br />

ID NO<br />

HH NO<br />

Per<br />

m<br />

CHK/A<br />

Q1<br />

INCOKS AND BEN’SFITS<br />

No of<br />

BOHS1<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

Codzng In8ta_uctlons/Ramarks<br />

values 00001-49999<br />

5 dig~ts - remember lead~ng<br />

zeros [ch*ck that the<br />

number IS the same as that<br />

on the front pmge of the<br />

Housahold Schadule] .<br />

Values 1-5<br />

Enter houcehold number.<br />

Values l-~<br />

Chock that tha Interviewer<br />

has r-corded the corract<br />

person numb-r before<br />

●ntering.<br />

-a 1-7<br />

En’car number of fanuly unit.<br />

Values 1-02<br />

Informant is<br />

if no Lncctno<br />

HOH ).<br />

HoH (or spouse<br />

mectaon for<br />

Y* S .......... . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . . . . ...02<br />

Values -3-14<br />

Enter code for total<br />

household income.<br />

NE This ehould only be<br />

f>lled Ln for one psrson m<br />

the housahold.<br />

,,<br />

,/

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