PHU name/ID

Device name/ID

Can You nominate 8 people from outside of Your household You often talk to?	P.:	1.:	2.:	3.:	4.:	5.:	6.:	7.:	8.:
What is his/her gender?	Male Female	Male Female	Male Female	Male Female	Male Female	Male Female	Male Female	Male Female	Male Female
Is he/she from the same village?
Is he/she Your friend?
Is he/she Your worker?
Is he/she Your boss?
Is he/she from Your Close family? Yes.
Remote family
No
Don't know or refuse to answer
Question?