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Address: ____________________________________________________
How many members are there in the household including the respondent?
_____ 1 _____ 4- 5
_____ 2-3 _____ 6 and more
_____ 5,000 and below _____ 10, 001 to 15, 000 _____ 20, 000 and above
_____ 5, 001 t0 10,000 _____ 15, 001 to 20,000