1.1 State 1.2 District 1.3 Primary Sampling Unit Cluster 1 Cluster name 1.4 Cluster 2 1.5 Household Number 1.6 Landmark 1.7 Name of Head of the household 1.8 Phone Number of head of the household 1.9 Alternative phone number Less than six months Duration of stay-village/town 1.10 Greater than six months 1.11 Number of Family members 1.12 Young children (0-23 months) 1.13 Children (24-59 months) 1.14 School age children (5-9 years) 1.15 Adolescent girls (10-19 years) 1.16 Adolescent boys (10-19 years) 1.17 Adult men (20-59 years) 1.18 Adult women (20-59years) 1.19 Elderly population (≥60 years) 1.20 Total 1.21 Pregnant women 1.22 Lactating Women (<one year lactation)