Unique EA identifier in wave 1
Unique EA identifier in wave 2
Region Code
Zone Code
Woreda Code
Town Code
Subcity Code
Kebele/FA Code
EA
Supervisor name
Supervisor Date (Day)
Supervisor Date (Month)
Supervisor Date (Year)
Coordinator/Statistician name
Coordinator/Statistician Date (Day)
Coordinator/Statistician Date (Month)
Coordinator/Statistician Date (Year)
Data Entry Clerk name
Data Entry Clerk Date (Day)
Data Entry Clerk Date (Month)
Data Entry Clerk Date (Year)
Date of First Interview (Day)
Date of First Interview (Month)
Date of First Interview (Year)
Time of First Interview Start (Hour)
Time of First Interview Start (Minute)
Time of First Interview End (Hour)
Time of First Interview End (Minute)
Missing / Incomplete Sections 1st Interview (Section A)
Missing / Incomplete Sections 1st Interview (Section 1B)
Missing / Incomplete Sections 1st Interview (Section 2)
Missing / Incomplete Sections 1st Interview (Section 3)
Missing / Incomplete Sections 1st Interview (Section 4)
Missing / Incomplete Sections 1st Interview (Section 5)
Missing / Incomplete Sections 1st Interview (Section 6)
Missing / Incomplete Sections 1st Interview (Section 7)
Missing / Incomplete Sections 1st Interview (Section 8)
Missing / Incomplete Sections 1st Interview (Section 9)
Missing / Incomplete Sections 1st Interview (Section 10A)
Missing / Incomplete Sections 1st Interview (Section 10B)
Date of Second Interview (Day)
Date of Second Interview (Month)
Date of Second Interview (Year)
Time of Second Interview Start (Hour)
Time of Second Interview Start (Minute)
Time of Second Interview End (Hour)
Time of Second Interview End (Minute)
Missing / Incomplete Sections 2nd Interview (Section A)
Missing / Incomplete Sections 2nd Interview (Section 1B)
Missing / Incomplete Sections 2nd Interview (Section 2)
Missing / Incomplete Sections 2nd Interview (Section 3)
Missing / Incomplete Sections 2nd Interview (Section 4)
Missing / Incomplete Sections 2nd Interview (Section 5)
Missing / Incomplete Sections 2nd Interview (Section 6)
Missing / Incomplete Sections 2nd Interview (Section 7)
Missing / Incomplete Sections 2nd Interview (Section 8)
Missing / Incomplete Sections 2nd Interview (Section 9)
Missing / Incomplete Sections 2nd Interview (Section 10A)
Missing / Incomplete Sections 2nd Interview (Section 10B)
Date of Third Interview (Day)
Date of Third Interview (Month)
Date of Third Interview (Year)
Time of Third Interview Start (Hour)
Time of Third Interview Start (Minute)
Time of Third Interview End (Hour)
Time of Third Interview End (Minute)
Missing / Incomplete Sections 3rd Interview (Section A)
Missing / Incomplete Sections 3rd Interview (Section 1B)
Missing / Incomplete Sections 3rd Interview (Section 2)
Missing / Incomplete Sections 3rd Interview (Section 3)
Missing / Incomplete Sections 3rd Interview (Section 4)
Missing / Incomplete Sections 3rd Interview (Section 5)
Missing / Incomplete Sections 3rd Interview (Section 6)
Missing / Incomplete Sections 3rd Interview (Section 7)
Missing / Incomplete Sections 3rd Interview (Section 8)
Missing / Incomplete Sections 3rd Interview (Section 9)
Missing / Incomplete Sections 3rd Interview (Section 10A)
Missing / Incomplete Sections 3rd Interview (Section 10B)
Branch Office Name
Branch Office Code