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This is a bilingual community self-survey system. It consists of four basic units which are designed to assess the real level of living and the culture of poverty of any community, rural or urban. The interview schedule developed for this system differs from most interview schedules in two ways: (1) it is written in two languages, and (2) the objectives of each question are included on the schedule. The schedule deals with nine central topics: (1) Places of work, residence and migration, (2) Employment and unemployment, (3) Family organization and family planning, (4) Income and expenditures, (5) Dietary patterns and stability, (6) Health and medical experience, (7) Level of living, (8) Experiences with and knowledge of public and private social agencies, (9) Status of minority groups. (Author)