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Bangladesh 1993-1994 Demographic and Health ... - Measure DHS

Bangladesh 1993-1994 Demographic and Health ... - Measure DHS

Bangladesh 1993-1994 Demographic and Health ... - Measure DHS

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BANGLADESH DEMOGRAPHIC AND HEALTH SURVEY <strong>1993</strong>-94HOUSEHOLD SCHEDULEDIVISIONDISTRICTUPAZILA/THANAUNIONVILLAGE/MOHALLA/BLOCKCLUSTER NUMBER ..........................................HOUSEHOLD NUMBER ........................................DHAKA/CHITTAGONG=I,NAME OF HOUSEHOLDHEADSMALL CITY=2, TOWN=3,VILLAGE=4 .....IS HOUSEHOLD SELECTED FOR HUSBAND SURVEY?(YES=l; NO=2).INTERVIEWERVISITS1 2FINAL VISITDATEDAYMONTH * *YR 19 9INTERVIEWER'SRESULT *NEXT VISIT:NAMEDATETIMENAMERESULTiiiiiiiiiiiiiiiiii!!!!!!!!!! TOTAL NUMBER[----q.. ~!~i~i~!~!!!!OF VISITS I I* RESULT CODES:1 COMPLETED2 NO HOUSEHOLD MEMBER AT HOME OR NO COMPETENTRESPONDENT AT HOME AT TIME OF VISIT3 ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD4 POSTPONED5 REFUSED6 DWELLING VACANT OR ADDRESS N~ ~OT A DWELLING7 DWELLING DESTROYED8 DWELLING NOT FOUND9 OTHER(SPECIFYTOTAL INHOUSEHOLDI I 1TOTALELIGIBLE I 1 lWOMEN ' ' 'TOTALELIGIBLEMENiLINE NO.OF RESP{ I {TO HOUSE-HOLD SCHEDULENAMEDATEFIELD EDITED BY OFFICE EDITED BY KEYED BY KEYED BY** MONTH: 01 JANUARY 05 MAY02 FEBRUARY 06 JUNE03 MARCH 07 JULY04 APRIL 08 AUGUST|7709 SEPTEMBERi0 OCTOBERii NOVEMBER12 DECEMBER

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