Questionnaire Text

Questionnaire form view entire document:  text  image

4. Availability of water service
[Question 4 was asked of persons in private dwellings, per Question 1.]


4.2 Source of the water

[] 1 Public system
[] 2 Private system
[] 3 Well or pump
[] 4 Rain water tank
[] 5 River, lake, spring or stream
[] 6 Delivery vehicle
[] 7 Other (specify) ____

Questionnaire instructions view entire document:  text  image

Question 4. Availability of water service

This question consists of two parts: the supply system and the origin of water.


4.2 Origin of water

Write down if the water comes from a public system, a private system, well, waterwheel, etc.