Questionnaire Text

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Chapter II Dwelling Information

10. What is the source of drinking water for the dwelling?

[] 1 Piped from public system
[] 2 Piped from private system

By other means:

[] 3 From a well with a mechanical pump (malacate)
[] 4 From a well with a manual pump
[] 5 From a well with an electrical pump
[] 6 From a river
[] 7 Watershed
[] 8 Street vendors
[] 9 Other

11. Is there a piped system for water installed?

[] 1 Inside the dwelling
[] 2 Outside the dwelling but within the property
[] 3 Off of the property within 100 meters
[] 4 Off of the property farther than 100 meters
[] 5 None

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11. Is there a piped system for water installed?
An "X" is marked in the corresponding circle.

[A graphic illustrates the possible answers to question 11]