109) Usually, what kind of toilet facility do members of your household use? IF NOT POSSIBLE TO DETERMINE, ASK PERMISSION TO OBSERVE THE FACILITY. INSIDE THE HOUSE FLUSH TO PIPED SEWER SYSTEM 11 FLUSH TO SEPTIC TANK 12 FLUSH TO OPEN CESSPIT (DITCH OR RIVER) 13 LATRINE FLUSH TO PIPED SEWER SYSTEM 14 LATRINE FLUSH TO SEPTIC TANK 15 OUTSIDE THE HOUSE BUT ON PLOT/YARD FLUSH TO PIPED SEWER SYSTEM 21 FLUSH TO SEPTIC TANK 22 FLUSH TO OPEN CESSPIT (DITCH OR RIVER) 23 LATRINE FLUSH TO PIPED SEWER SYSTEM 24 LATRINE FLUSH TO SEPTIC TANK 25 LATRINE FLUSH TO OPEN CESSPIT (DITCH OR RIVER) 26 OUTSIDE PLOT/YARD FLUSH TO PIPED SEWER SYSTEM 31 FLUSH TO SEPTIC TANK 32 FLUSH TO OPEN CESSPIT (DITCH OR RIVER) 33 LATRINE FLUSH TO PIPED SEWER SYSTEM 34 LATRINE FLUSH TO SEPTIC TANK 35 LATRINE FLUSH TO OPEN CESSPIT (DITCH OR RIVER) 36 BUCKET OR OTHER CONTAINER TOILET 41 NO FACILITY/BUSH/FIELD 61 (GO TO 113) OTHER (SPECIFY)___ 96

110) Do you share this toilet facility with other households? YES 1 NO 2 (GO TO 112)

111) Including your own household, how many households use this toilet facility? NUMBER OF HOUSEHOLDS IF LESS THAN 10 ____ 10 OR MORE HOUSEHOLDS 95 DON'T KNOW 98

102) What is the main source of water used by your household for other purposes such as cooking and handwashing? PIPED WATER PIPED INTO DWELLING 11 (GO TO 106) PIPED TO YARD 12 (GO TO 106) PIPED INTO NEIGHBOR 13 (GO TO 106) PUBLIC TAP 14 WELL WATER/ DUG WELL PROTECTED WELL 21 UNPROTECTED WELL 22 HOLE WITH PUMP 23 WATER FROM SPRING PROTECTED SPRING 31 UNPROTECTED SPRING 32 RAINWATER/RAINWATER RESERVOIR 41 TANKER TRUCK 51 (THREE WHEELED) MOTORCYCLE 61 CART WITH SMALL TANK 71 SURFACE WATER (RIVER/DAM/LAKE/POND/STREAM/CANAL/IRRIGATION CHANNEL) 81 BOTTLED WATER 91 OTHER (SPECIFY) ____ 96 (GO TO 103)

SECTION 7: WATER, SANITATION AND OTHER HOUSEHOLD CHARACTERISTICS 101) What is the principal source of drinking water for members of your household? PIPED WATER PIPED INTO DWELLING 11 (GO TO 106) PIPED TO YARD 12 (GO TO 106) PIPED INTO NEIGHBOR 13 (GO TO 106) PUBLIC TAP 14 (GO TO 106) WELL WATER/ BOREHOLE PROTECTED WELL 21 (GO TO 103) UNPROTECTED WELL 21 (GO TO 103) HOLE WITH PUMP 23 (GO TO 103) WATER FROM SPRING PROTECTED SPRING 31 (GO TO 103) UNPROTECTED SPRING 32 (GO TO 103) RAINWATER/RAINWATER RESERVOIR 41 (GO TO 103) TANKER TRUCK 51 (GO TO 103) (THREE WHEELED) MOTORCYCLE 61 (GO TO 103) CART WITH SMALL TANK 71 (GO TO 103) SURFACE WATER (RIVER/DAM/LAKE/POND/STREAM/CANAL/IRRIGATION CHANNEL) 81 (GO TO 103) BOTTLED WATER 91 OTHER (SPECIFY) ___ 96 (GO TO 103)

103) Where is that water source located? IN OWN DWELLING 1 (GO TO 105) IN OWN YARD/PLOT 2 (GO TO 105) ELSEWHERE 3

104) How long does it take to go there, get water, and come back? MINUTES___ DON'T KNOW 998

104) How long does it take to go there, get water, and come back? MINUTES___ DON'T KNOW 998

106) In the past two weeks, was the water from this source not available for at least one full day? YES 1 NO 2 DON'T KNOW 8

107) Do you do anything to treat drinking water? YES 1 NO 2 (GO TO 109) DON'T KNOW 8 (GO TO 109)

108) What do you usually do to treat drinking water? Anything else? RECORD ALL MENTIONED BOIL A ADD BLEACH/CHLORINE B USE WATER FILTER (CERAMIC/SAND/COMPOSITE/ETC.) C ANOTHER METHOD OF FILTERING WATER D SOLAS DISINFECTION E LET IT STAND AND SETTLE F OTHER (SPECIFY)___ X

108) What do you usually do to treat drinking water? Anything else? RECORD ALL MENTIONED BOIL A ADD BLEACH/CHLORINE B USE WATER FILTER (CERAMIC/SAND/COMPOSITE/ETC.) C ANOTHER METHOD OF FILTERING WATER D SOLAS DISINFECTION E LET IT STAND AND SETTLE F OTHER (SPECIFY)___ X

108) What do you usually do to treat drinking water? Anything else? RECORD ALL MENTIONED BOIL A ADD BLEACH/CHLORINE B USE WATER FILTER (CERAMIC/SAND/COMPOSITE/ETC.) C ANOTHER METHOD OF FILTERING WATER D SOLAS DISINFECTION E LET IT STAND AND SETTLE F OTHER (SPECIFY)___ X

108) What do you usually do to treat drinking water? Anything else? RECORD ALL MENTIONED BOIL A ADD BLEACH/CHLORINE B USE WATER FILTER (CERAMIC/SAND/COMPOSITE/ETC.) C ANOTHER METHOD OF FILTERING WATER D SOLAS DISINFECTION E LET IT STAND AND SETTLE F OTHER (SPECIFY)___ X

108) What do you usually do to treat drinking water? Anything else? RECORD ALL MENTIONED BOIL A ADD BLEACH/CHLORINE B USE WATER FILTER (CERAMIC/SAND/COMPOSITE/ETC.) C ANOTHER METHOD OF FILTERING WATER D SOLAS DISINFECTION E LET IT STAND AND SETTLE F OTHER (SPECIFY)___ X