Questionnaire Text

Questionnaire form view entire document:  text  image

6. Connection to public services
Is this house connected to:

a) Running water?

[] 1 yes
[] 2 no


b) Sewer?

[] 1 yes
[] 2 no


c) Electricity?

[] 1 yes
[] 2 no

Questionnaire instructions view entire document:  text  image

Question No. 6 Connection to public services.

[Below the text is a form.]

Read each one of the three parts that the question is composed of and wait each time for the response of the person.

a) Does this dwelling have a connection to a water system?

Mark "x" in the box yes, when a dwelling is connected to a system of pipes of water, whether property of the State or private. In the contrary case mark "x" in the box no.


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b) Does this dwelling have a connection with a sewer system?

Mark "x" in the box yes when a dwelling is connected to a drainage sewer system that permits the elimination of residues and sewage. In the contrary case mark "x" in the box no.

c) Does this dwelling have a connection to electric energy?

Mark "x" in the box yes when a dwelling is connected to a public or privately owned electrical system. In the contrary case, mark "x" in the box no.