Cluster (e.g., SJ-1): ____-____ Date: _____/_____/__________ Investigation Team: ____________
House ID |
Not a home/Vacant |
Occupied, but no one home |
Occupied, present, refused |
Occupied, present, participated |
Other: specify |
B |
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C |
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D |
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E |
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F |
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G |
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H |
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I |
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J |
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K |
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J |
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L |
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M |
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N |
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O |
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P |
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Q |
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R |
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S |
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T |
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U |
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V |
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W |
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X |
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Y |
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Z |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Cluster: ___________________/Date: _______________________/Study Team: _________________ |
| Author | Tim Dignam |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |