Interview completed
PSU number
Data collector
Building ID
Household ID
Problem when completing the form
If yes, specify
Deciding on Category of the Building
Uncooperative household
Identify a non-permanent building
Any other issues with the cover page
Any difficult when answering household roster
Identify all household members
Decide which code to use
Specify or remembering any disability
Specify or remembering any injury
Other problems with filling in the roster
Specify problem with filling in the roster
General comments on data collectors' skills
Any difficult when answering
Social capital of UN-Habitat
All difficulties when answering of respondents