Questionnaire Text

Questionnaire form view entire document:  text  image

5. Water service for the dwelling


6. Availability of shower or bath in the household

A) Shower or bath, for the exclusive use

[] 1 with hot water
[] 2 without hot water


B) Shower or bath, shared use
[] 3 with hot water
[] 4 without hot water


C) [] 5 Has neither shower nor bath
Questionnaire instructions view entire document:  text  image

Question No. 6--Household's access to shower or bathtub

A. Exclusive use shower or bathtub

You should mark box 1 only if the household has a shower or bathtub that is for their exclusive use and which has hot water.

You should mark box 2 only if the household has a shower or bathtub that is for their exclusive use but which does not have hot water.

B. Common use shower or bathtub

You should mark box 3 if the shower or bathtub is used by 2 or more households that live in the same dwelling and has hot water.

You should mark box 4 if the shower or bathtub is used by 2 or more households that live in the same dwelling but does not have hot water.

C. No shower or bathtub

You should mark box 5 when the household's occupants don't have any type of shower or bathtub.