Household Tracking Form

Att I - Household Tracking Form.docx

Assessment to Estimate the Effect of Community-Wide Vector Control Initiatives on Zika Virus Transmission in Puerto Rico, 2016

Household Tracking Form

OMB: 0920-1137

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PR Zika Investigation — Household Tracking Form

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






C






D






E






F






G






H






I






J






K






J






L






M






N






O






P






Q






R






S






T






U






V






W






X






Y






Z








File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCluster: ___________________/Date: _______________________/Study Team: _________________
AuthorTim Dignam
File Modified0000-00-00
File Created2021-01-23

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