Questionnaire Text

Questionnaire form view entire document:  text  image
Household module

Part 3: Facilities available to the household
[Applies to questions 10 - 18]

14. What is the main type of water supply for this household?

N.B.: Please provide only one answer.

[] 1 Tap water, indoor
Supplied by:
[] 1 SWM (Surinaamsche Waterleiding Maatschappij)
[] 2 Natural resources
[] 3 other
[] 2 Tap water, outdoor 200m and under
Supplied by:
[] 1 SWM (Surinaamsche Waterleiding Maatschappij)
[] 2 Natural resources
[] 3 other
[] 3 Tap water, outdoor over 200m
Supplied by:
[] 1 SWM (Surinaamsche Waterleiding Maatschappij)
[] 2 Natural resources
[] 3 other
[] 4 Rain water in barrel / basin or tank
Is it protected?
[] 1 Yes
[] 2 No
[] 5 Well
Is it protected?
[] 1 Yes
[] 2 No
[] 6 Creek or river
[] 7 Supply by water tank / water truck
[] 8 Other, namely
[] 97 Don't know
[] 99 No response