Questionnaire Text

Questionnaire form view entire document: text image

H1 to H9 should be answered by the head of the household.
Note that the dwelling refers to the living quarters occupied by this household. See definition in instruction booklet.

H6. Is there piped running water in this dwelling?

[] Yes, both hot and cold
[] Yes, cold only
[] No

Questionnaire instructions view entire document: text image

H6. Do not include water from a hand-pump as "piped running water". If this is your only source of water, fill the circle opposite "No".