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WASH

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Questions marked with a * are required Exit Survey
 
 
What is thw source of your Water?
 
TAp
 
Hand Pump
 
Borehole
 
Spring
 
Well
 
Rain Water tank
 
River
 
 
 
How many litres of water did you collect yesterday?
   
 
 
 
How far is your household from the borehole?
   
 
 
 
How long do you have to wait to collect water at a water point?
 
5-10
 
10-20
 
20-30
 
30-1 hour
 
more than 1 hour
 
 
 
DO you treat water you use for drinking?
 
Yes
 
No
 
 
 
What do you usaully do to make water safer for drinking (Select all that apply)?
 
boil
 
solar disinfection
 
let it stand and settle
 
strain/filter
 
nothing

 
 
 
* Beneficiary Number
   
 
 
 
* zone
   
 
 
 
* Village
   
 
 
 
How many People slept here last night?