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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A. What is the water system?

Mark box 1, for piped water inside the dwelling, is the pipes are in the interior of the dwelling and the dwelling has direct access to the water.

Mark box 2, piped water outside the dwelling, but inside the building, plot or land, when to get water, the persons must leave the dwelling to the building or lot where there are water faucets of spigots.

Mark box 3, for piped water outside the plot or land, when to get water, it is necessary to go someplace to get water from a source other than the plot or land where the dwelling is located.

Mark box 4, no piped water, when the dwelling gets water that is not piped. For example: manual water supply or directly from a river, irrigation ditch, well, or delivery truck, etc.