Questionnaire Text

Questionnaire form view entire document:  text  image

Household and living unit information


9. Drinking water is from

[] Pipe
[] Pump
[] Well
[] Spring
[] River
[] Rain
[] Other

Questionnaire instructions view entire document:  text  image

6.12. Question 9: Drinking water
Procedure of asking question:
"What type of water is used for drinking?"

Fill the answer in the pertinent box for this question. If the household uses more than one type of water for drinking, fill the type of drinking water that is used most.