Questionnaire Text

Questionnaire form view entire document:  text  image
15. Water supply

a) Is there piped running water installed?
[] 1 Inside the dwelling and water arrives
[] 2 Inside the dwelling and water does not arrive
[] 3 Outside the dwelling but within 100 meters
[] 4 Does not have
b) Where does the water used come from?
[] 1 Aqueduct
[] 2 Aqueduct and cistern
[] 3 Spring
[] 4 River or stream
[] 5 Rain, collection tank
[] 6 Well
[] 7 Tank truck
[] 9 Others
Questionnaire instructions view entire document:  text  image
Question 15: Water Supply
a) Does the dwelling have a plumbed water supply?

If there is plumbing inside of the dwelling, with water, circle 1 is filled in; if there is plumbing with no water, circle 2 is filled in.

If the water supply is outside of the dwelling but within 100 meters of the dwelling, circle 3 is filled in.

If the water supply is farther than 100 meters from the dwelling, circle 4, "Does not have", is filled in.
b) Where does the water come from?

Fill in the corresponding circle

[The instructions refer to graphic illustrations]