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Exit Survey
 
 
District
 
Ludhiana
 
 
 
Block
 
Ludhiana 1
 
Ludhiana 2
 
Pakhowal
 
Jagraon
 
Raikot
 
Sudhar
 
Sidhwan bet
 
Khanna
 
Samrala
 
Macchiwara
 
Doraha
 
Dehlon
 
 
 
Village
   
 
 
 
Name
   
 
 
 
Father/Husband name
   
 
 
 
Mobile Number
   
 
 
 
Number of family members including children
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
Other
 
 
 
 
Do You have latrine in the hosues
 
Yes
 
No
 
 
 
How many people use toliet
 
All
 
Some
 
None
 
Other
 
 
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