Questionnaire Text

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4. Water supply in the dwelling

A. What is the supply system?

[] 1 By pipe inside the dwelling
[] 2 By pipe outside the dwelling but inside the building, lot or grounds
[] 3 By pipe outside of the building, lot or grounds
[] 4 Does not get water via pipe


B. What is the normal means of supply?

[] 1 Public system
[] 2 Well
[] 3 River, spring, stream or canal
[] 4 Delivery truck
[] 5 Other

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B. What is the normal water supply system?

1. Public water system -- when there is system for collecting, treating, and distributing water to the dwelling.

2. Well -- when the dwelling extracts subterranean water with a pump or bucket, etc.

3. River, water fall, irrigation ditch, or channel -- when the water supply in manual or direct from a river, water fall, irrigation ditch, or channel.

4. Delivery truck -- when the water supply is from a delivery truck (public or private).

5. Other -- when the water supply is a different method from the above mentioned, for example: rain water.

Mark only one box in each section according to the answer from the informant.

4. Water supply
A. What is the water system?

[ ] 1 Piped water inside the dwelling
[ ] 2 Piped water outside the dwelling, but inside the building, plot or land
[ ] 3 Piped water outside the plot or land
[ ] 4 No piped water


B. What is the normal water supply system?

[ ] 1 Public water system
[ ] 2 Well
[ ] 3 River, water fall, irrigation ditch, or channel
[ ] 4 Delivery truck
[ ] 5 Other