Questionnaire Text

Questionnaire form view entire document:  text  image
"Household - - Dwelling Unit" Questionnaire

B: Dwelling Unit

Characteristics of the dwelling unit

Specify the characteristics of the head of household's building by checking the appropriate box in columns (a) to (f). Indicate in the last column (g) the total number of rooms in which the household resides.

Water provisioning

[] Running water
[] Piped water faucet (shared/public)
[] Well
[] Spring
[] River, creek
[] Other
Questionnaire instructions view entire document:  text  image
B. How to fill out the form "Household- Dwelling unit"

Dwelling Characteristics

Column (e): Water provisioning
Ask household members and check the box corresponding to the main water provisioning method. Do not check 'running water' before verifying that there is running water in the faucets of the kitchen and bathrooms.
Water pumps are found in the streets of city neighborhoods.