Questionnaire Text

Questionnaire form view entire document: text image

7. Water source

[Question 7 was asked of persons in occupied private dwellings, per Questions 1 and 2.]

[] 1 Public or private system
[] 2 Well or water wheel
[] 3 River, lake, spring or stream
[] 4 Delivery vehicle
[] 5 Other (specify) ____

Questionnaire instructions view entire document: text image

Question 7. Source of water (for drinking and cooking).

1. Public or Private System. If the water service comes from the public supply, or from a private distribution network.

2. Well or water wheel

3. River, lake, spring, or irrigation ditch

4. Delivery truck

5. Other. For example: tanks, small ponds, rainwater, etc. In this case, you should specify.