Questionnaire Text

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Chapter B. Main characteristics of the dwelling

7. Does the water used in this dwelling come primarily from...?

[] 1 Public utility pipes
[] 2 Public wash basin
[] 3 Water truck
[] 4 Well or waterwheel with pump
[] 5 Well or waterwheel with no pump
[] 6 Rainwater, river, spring, stream
[] 7 Lake, pond, wetland
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Chapter B. Main characteristics of the dwelling

Water supply
7. Water supply system
Mark the appropriate circle or bubble.
8. Water distribution within the dwelling
Mark the appropriate circle or bubble.