Form B household questionnaire part 4
Housing conditions, amenities and assets possessed by household
6. Main source of drinking water supply
[] 1. Piped into dwelling
[] 2. Piped into compound, yard or plot
[] 3. Public tap, standpipe
[] 4. Tube well, borehole
[] 5. Protected well
[] 6. Unprotected well
[] 7. Protected spring
[] 8. Unprotected spring
[] 9. Rainwater collection
[] 10. Tanker-truck
[] 11. Cart with small tank, drum
[] 12. Surface water (river, stream, dam, lake)
[] 13. Bottled water
[] 14. Other (specify): ____