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Appendix E: Identification Sheet

Note: Keep separate from all other records of the inteview

Monitoring Site:

Interview Code:

A possible Interview Code would be AF-RW-ER-A-04. This code would be put together as follows: AF= first 2 characters for all interviews in the Africa Region; RW= country where the interview takes place (e.g. Rwanda); ER= first two letters of the monitoring site where the interview takes place (e.g. East Region); A = letter designating the pair of monitors who conducted this interview (e.g. John and Mary); 04 = means that it was the fourth interview conducted by monitoring Pair A.

Remember to also state Interview Code at beginning and end of audio recording

Name of Interviewee:

Interviewee Phone Number:

Interviewee Address:

Situation #1 - Follow-Up Contact Information

Name:

Contact Details (Phone, Email or Address):

Situation #2 - Follow-Up Contact Information

Name:

Contact Details (Phone, Email or Address):

Situation #3 - Follow-Up Contact Information

Name:

Contact Details (Phone, Email or Address):

Another Person to Interview

Name:

Sex: Male or Female (circle one)

Type of Disability:

Contact Details (Phone, Email or Address):

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