1 - ESDS

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/
Characters
Coding Instructions/Remarks
Q1l(A)-(G) Paraffin Applies to all who use
GRID paraffin
Paraffin
Q1l(A) USE 2 Values -3-1
Use fuel - enter 01
Q1l(B)
GRID (B)
Q1l(c)
GRID (C)
Winter
Q1l(C)
GRID (C)
Summer
WATER
WINTER
SUMMER
Q1l(D) CODK
GRID (D)
,,
Q1l(E) Qty
Q1l(F) cost
GRID (F)
Q1l(G) Wks
GRID (G)
I
2
2
2
Values -3-1
Use paraffin to heat water
enter 01
Values -3-1
Uses paraffin for heating in
winter enter 01
Values -3-1
Uses paraffin for heating in
summer - enter 01
2 Values -3-1
Uses paraffin for cooking -
enter 01
4 Values -3-100
Quantity
enter quality in litres
5
3=E Z=p
2
NB If gallons convert to
litres (4.5 Litres =
1 gallon)
● If more than 10 gallons
refer to supervisor
Values -3-03000
enter cost of last purchase
Values -3-53.
enter number of weeks last
purchase will last
r
L?