How would you categorize this sampling area?
1 = Non-slum
2 = Slum
3 = Mixed
4 = Distinct slum and non slum areas in one sampling area

Single residential dwelling, not connected
1 = Yes
2 = No

Majority of households of the sampling area suffer/not suffer from over-crowding
1 = Yes, suffer from over-crowding
2 = No, donot suffer over-crowding

What is the level of air pollution in the sampling area compared to the average
1 = There is less air pollution than the average level across the city
2 = The air pollution is similar to the average level across the city
3 = The air pollution is worse than the average level across the city

Did you need additional time in the PSU in order to complete this form, if so pl
1 = Need an additional 30 minutes time
2 = No need of additional time