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LABOUR FORCE SURVEY QUESTIONNAIRE

Batch Sequence Number: UGANDA BUREAU OF STATISTICSTHE REPUBLIC OF UGANDA1 REGION:2 DISTRICT:3 COUNTY:4 SUB-COUNTY5 PARISH:6EA7LC NAME:8 RESIDENCE (Urban =1; Other Urban = 2, Rural = 3)9 SAMPLE NO.:10 NAME OF HOUSEHOLD HEAD:11 HOUSEHOLD CODE:12 ADDRESS:13IS THE HOUSEHOLD RESIDING IN AN INTERNALLY DISPLACED PEOPLES' (IDP) CAMP? (Yes = 1 No = 2)THE UGANDA BUREAU OF BOX 7186 KAMPALA, UGANDATEL: 256 414 706000 Fax: 256 414 237553E-mail: Version SURVEY IS BEING CONDUCTED BY THE UGANDA BUREAU OF STATISTICS UNDER THE AUTHORITY OF THE UGANDA BUREAU OF STATISTICS ACT, 1998. LABOUR FORCE SURVEY QUESTIONNAIRESECTION 1A: IDENTIFICATION PARTICULARSSECTION 1B: STAFF DETAILS AND SURVEY of of InterviewFirst AttemptSecond AttemptThird TimeFirst AttemptSecond AttemptThird TimeFirst AttemptSecond AttemptThird CodeFirst Attempt1 Completed2 Partially completed3 Not doneSecond Attempt1 Completed2 Partially completed3 Not doneThird Attempt1 Completed2 Partially completed3 Not of of Inspection by SupervisorDDMMYYYYFor Office Use of Office of Data Entry of EntryRemarks by interviewer:_____Remarks by interviewer:_____Remarks by interviewer:_____HOUSEHOLD ROSTERA dditional roster pages may be added as necessaryNamesResidence StatusAgeMarried, spouse , spouse.

SECTION 1B: STAFF DETAILS AND SURVEY TIME 1. Name of Interviewer D D M M Y Y Y Y D D M M Y Y Y Y D D M M Y Y Y Y 2. Date of Interview First Attempt Second Attempt Third Attempt

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