# in, HEALTH NEEDS ASSESSMENT OF THE MARSHALL ISLANDS FIA HA KK KKK II KKK KIKI IK IIR RI I IIR RRR RRA KIA ARIAS ISI RR IR III RR IIR RRR KARI IRR RRR RRA TO BE FILLED OUT BY INTERVIEWER Date Atoll Name Island Name Nearest Dispensary Name Interviewer Name NOTES TO INTERVIEWER: 1) Exclude from sample any non-Marshallese citizen (i.e. Australian, American, Japanese, Filipino, etc.) who is not a permanent resident. Permanent residents from other Micronesian Islands are to be included (i.e. Ponape, Guam, Saipan, Kusai, Truk, etc.)

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