Survey Text

Senegal 1986
Senegal 1992
Senegal 1997
Senegal 2005
Senegal 2010
Senegal 2012
Senegal 2014
Senegal 2015
Senegal 2016
Senegal 2017
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Senegal 1986

No questionnaire text is available for this sample.


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Senegal 1992

No questionnaire text is available for this sample.


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Senegal 1997

No questionnaire text is available for this sample.


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Senegal 2005
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IDENTIFICATION

PLACE NAME__
NAME OF HOUSEHOLD HEAD__
CLUSTER NUMBER___
HOUSEHOLD NUMBER______
REGION__


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Senegal 2010
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IDENTIFICATION

PLACE NAME_____
NAME OF HEAD OF HOUSEHOLD_____
HOUSEHOLD NUMBER_____
CONCESSION NUMBER _____
CLUSTER NUMBER _____
REGION _____
DEPARTMENT_____
SANITARY DISTRICT______


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Senegal 2012
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IDENTIFICATION

PLACE NAME ________________
NAME OF HEAD OF HOUSEHOLD ______________
PLOT NUMBER ___________
CLUSTER NUMBER ____________
REGION ___________


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Senegal 2014

No questionnaire text is available for this sample.


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Senegal 2015
Survey form view entire document:  text 

IDENTIFICATION

PLACE NAME _______
NAME OF HEAD OF HOUSEHOLD
HOUSEHOLD NUMBER ______
PLOT NUMBER _____
CLUSTER NUMBER ______
REGION ______

URBAN/RURAL

URBAN 1
RURAL 2

LOCATION


DAKAR 1
REGIONAL CAPITAL 2
OTHER CITY 3
RURAL 4

LOCATION (DETAIL) ______

WOMAN'S NAME AND LINE NUMBER _____


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Senegal 2016
Survey form view entire document:  text 

IDENTIFICATION

PLACE NAME _____

NAME OF HEAD OF HOUSEHOLD ______

HOUSEHOLD NUMBER ____

PLOT NUMBER ____

CLUSTER NUMBER _____

REGION ____

DEPARTMENT ____

SANITATION DISTRICT ____

URBAN/RURAL

URBAN 1
RURAL 2

MILIEU ____

DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL

DAKAR 1
REGIONAL CAPITAL 2
OTHER CITY 3
RURAL 4

WOMAN'S NAME AND LINE NUMBER _____

CHECK COVER PAGE OF THE HOUSEHOLD QUESTIONNAIRE

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2

IF HOUSEHOLD SELECTED FOR DV, CHECK WOMEN'S SELECTION TABLE (Q157A OF HOUSEHOLD QUESTIONNAIRE)

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2

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Senegal 2017
Survey form view entire document:  text 

IDENTIFICATION

PLACE NAME _____

NAME OF HEAD OF HOUSEHOLD ______

HOUSEHOLD NUMBER ____

PLOT NUMBER ____

CLUSTER NUMBER _____

REGION ____

DEPARTMENT ____

SANITATION DISTRICT ____

URBAN/RURAL

URBAN 1
RURAL 2

MILIEU ____

DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL

DAKAR 1
REGIONAL CAPITAL 2
OTHER CITY 3
RURAL 4

WOMAN'S NAME AND LINE NUMBER _____

CHECK COVER PAGE OF THE HOUSEHOLD QUESTIONNAIRE

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2

IF HOUSEHOLD SELECTED FOR DV, CHECK WOMEN'S SELECTION TABLE (Q157A OF HOUSEHOLD QUESTIONNAIRE)

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE (DV)?

YES 1
NO 2