Questionnaire Text

Questionnaire form view entire document:  text  image
[Questions 3 to 10 were asked of private households]

III. Household information


7. Toilet facilities

A. Type of facility

[] 1 W.C. connected to public network
[] 2 W.C. with another system of wastewater removal
[] 3 Municipal-type toilet
[] 4 Common latrine, etc.
[] 5 Doesn?t have


B. Use
[] 1 Exclusive to this household
[] 2 Shared with another household

Questionnaire instructions view entire document:  text  image
III. Information about the household


7. Sanitary service:

a) Type of service:

Mark box 1, when the service has a drain connected to a public network or sewer (type called CORPOSANA).
Mark box 2, when the drain is connected to another system of sewer, which can be a septic tank or sewage pit.
Mark box 3, when it is a Municipal-type latrine, which means, when the excavation is covered with bricks, covered by a cement slab or wood board, and protected by a fabric or wood shelter.
Mark box 4, when it is a common outhouse or latrine, which means a simple excavation covered with logs or boards, with or without an isolating shelter.
Mark box 5, when the "household" does not have sanitary service.


7. Sanitary service
A. Type of service
[] 1 Toilet connected to a public network
[] 2 Toilet connected to another sewage system (septic tank)
[] 3 Municipal-type latrine
[] 4 Common latrine
[] 5 Does not have


b) Use: mark box 1, when the service is used only the members of the "Household". If it is shared with another "household", mark box 2.

7. Sanitary service
b. Use
[] 1 For exclusive use of this household
[] 2 Shared with another household