Rainfresh Technical Evaluation

This is a post-distribution monitoring tool for the Rainfresh units (including ceramic filters).

Date survey was taken?

Province

Leyte

Eastern Samar

Municipality

Barangay

Name of Interviewer:

First Name :
Last Name :

Name of Interviewee:

First Name :
Last Name :

For how many weeks has the RF unit been used?

Was the RF unit correctly installed?

Yes

No

If the RF unit was NOT correctly installed, provide details:

Was the RF unit placed in the correct location?

Yes

No

If the RF unit was NOT placed in the correct location, provide details:

How many ceramic filters were installed?

Were the ceramic filters correctly installed?

Yes

No

If the ceramic filters were NOT correctly installed, provide details:

Was the flow of water regular or slow?

Regular

Slow

What is the source of water used for RF filtration (select all that apply)?

What was the colour of the ceramic filter?

Clean (pale)

Unclean (yellow to brown)

Other

Is the RF bucket being cleaned?

Yes

No

If the RF bucket is NOT being cleaned, provide details:

If the RF bucket IS being cleaned, how often is it being cleaned?

Is the RF ceramic filter being cleaned?

Yes

No

If the RF ceramic filter is NOT being cleaned, provide details:

If the RF ceramic filter IS being cleaned, how often is it being cleaned?

Are the RF ceramic filters being cleaned correctly?

Yes

No

If the RF ceramic filters are NOT being cleaned correctly, provide details:

What is your overall rating of usage and maintenance?

Click Back if you want to edit any of your responses otherwise click Continue to finalize your responses.