Nepali Household Family Census
All information record in this survey will be stored for Rocky Mountain Friends of Nepal (RMFN) Official Business ONLY. Please answer the following questions to the best of you ability.
Who is/are the Point of Contact(s) (POC) in the Household? *
Your answer
What is the POC's phone number? *
Your answer
What is the POC email?
Your answer
*Example for answering the question below*
(First & Last Name, Gender)
Amitabh Bachchan, M
Jaya Bhaduri Bachchan, F
Shweta Bachchan-Nanda, F
Abhishek Bachchan, M
Who are your household family members? *
Your answer
How many in your family are 18 years of age or older? *
What is your mailing address? *
Your answer
Which City and zip-code do you currently live in? *
Your answer
Where is the Country and City of origin for your family? (optional question)
Your answer
Any other missed information that may be important. Thank you for your time.
Your answer
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