top

Burkina Faso 2014

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Burkina Faso 2015

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Burkina Faso 2016a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Burkina Faso 2016b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Burkina Faso 2017

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Burkina Faso 2018

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Congo (Democratic Republic) 2014

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Congo (Democratic Republic) 2015a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Congo (Democratic Republic) 2015b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Congo (Democratic Republic) 2015c

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Congo (Democratic Republic) 2016a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Congo (Democratic Republic) 2016b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Congo (Democratic Republic) 2017a

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Congo (Democratic Republic) 2017b

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Congo (Democratic Republic) 2018a

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Congo (Democratic Republic) 2018b

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Cote d'Ivoire 2017

No questionnaire text is available for this sample.

top

Cote d'Ivoire 2018

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Ethiopia 2014a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ethiopia 2014b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ethiopia 2015

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ethiopia 2016

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ethiopia 2017

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ethiopia 2018

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ethiopia 2019

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ghana 2013

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ghana 2014a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ghana 2014b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ghana 2015

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Ghana 2016

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Ghana 2017

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

India 2016

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
Selections from HQ19: [ODK will list water sources selected for HQ19]
Read out HQ19 selections only.

[] Piped Water / Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole
[] Dug Well Protected Well
[] Unprotected Well
[] Water from Spring Protected Spring
[] Unprotected Spring
[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No response

top

India 2017a

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from 402: [ODK will list water sources selected for 402]

Read out 402 selections only.

Piped Water
[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole
Dug Well
[] Protected Well
[] Unprotected Well
Water from Spring
[] Protected Spring
[] Unprotected Spring
[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream /Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No response

top

India 2017b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

India 2018

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Indonesia 2015

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
Selections from HQ19: [ODK will list water sources selected for HQ19]
Read out HQ19 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe

[] Tube well or borehole
Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Refill Water
[] No response

top

Indonesia 2016

Questionnaire form view entire document: text

What is the main source of drinking water for members of your household? Selections from HQ402: [ODK will list water sources selected for HQ402]
Read out HQ402 selections only. Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring
[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond /Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Refill Water
[] No response

top

Kenya 2014a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Kenya 2014b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Kenya 2015a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Kenya 2015b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
Selections from HQ19: [ODK will list water sources selected for HQ19]
Read out HQ19 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe

[] Tube well or borehole
Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No response

top

Kenya 2016

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe

[] Tube well or borehole
Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No response

top

Kenya 2017

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Kenya 2018

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Niger 2015

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Niger 2016a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Niger 2016b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Niger 2017

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Niger 2018

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Nigeria 2014a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Nigeria 2014b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
Selections from HQ19: [ODK will list water sources selected for HQ19]
Read out HQ19 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe

[] Tube well or borehole
Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Nigeria 2015a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Nigeria 2015b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
Selections from HQ19: [ODK will list water sources selected for HQ19]
Read out HQ19 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe

[] Tube well or borehole
Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No response

top

Nigeria 2016

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Nigeria 2017a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Nigeria 2017b

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?
Selections from Q402: [ODK will list water sources selected for Q402]
Read out Q402 selections only.

Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart or Bicycle with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No Response

top

Nigeria 2018

Questionnaire form view entire document: text

403. What is the main source of drinking water for members of your household?

Selections from 402:
{source_labels}

Read out 402 selections only.

You did not select that choice in 402.

[] Piped Water: Piped into dwelling/indoor
[] Piped Water: Pipe to yard/plot
[] Piped Water: Public tap/standpipe
[] Tube well or borehole
[] Dug Well: Protected Well
[] Dug Well: Unprotected Well
[] Water from Spring: Protected Spring
[] Water from Spring: Unprotected Spring
[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel)
[] Bottled Water
[] Sachet Water
[] No response

top

Uganda 2014

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Uganda 2015a

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Uganda 2015b

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Uganda 2016

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Uganda 2017

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Uganda 2018

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

top

Uganda 2019

Questionnaire form view entire document: text

20. What is the main source of drinking water for members of your household?
[ODK will populate the list of water sources selected for HQ19]
Selections from HQ19:
Piped Water

[] Piped into dwelling/indoor
[] Pipe to yard/plot
[] Public tap/standpipe
[] Tube well or borehole

Dug Well

[] Protected Well
[] Unprotected Well

Water from Spring

[] Protected Spring
[] Unprotected Spring

[] Rainwater
[] Tanker Truck
[] Cart with Small Tank
[] Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel)
[] Bottled Water
[] Sachet Water

Burkina Faso 2014	Cote d'Ivoire 2017	India 2017a	Niger 2018
Burkina Faso 2015	Cote d'Ivoire 2018	India 2017b	Nigeria 2014a
Burkina Faso 2016a	Ethiopia 2014a	India 2018	Nigeria 2014b
Burkina Faso 2016b	Ethiopia 2014b	Indonesia 2015	Nigeria 2015a
Burkina Faso 2017	Ethiopia 2015	Indonesia 2016	Nigeria 2015b
Burkina Faso 2018	Ethiopia 2016	Kenya 2014a	Nigeria 2016
Congo (Democratic Republic) 2014	Ethiopia 2017	Kenya 2014b	Nigeria 2017a
Congo (Democratic Republic) 2015a	Ethiopia 2018	Kenya 2015a	Nigeria 2017b
Congo (Democratic Republic) 2015b	Ethiopia 2019	Kenya 2015b	Nigeria 2018
Congo (Democratic Republic) 2015c	Ghana 2013	Kenya 2016	Uganda 2014
Congo (Democratic Republic) 2016a	Ghana 2014a	Kenya 2017	Uganda 2015a
Congo (Democratic Republic) 2016b	Ghana 2014b	Kenya 2018	Uganda 2015b
Congo (Democratic Republic) 2017a	Ghana 2015	Niger 2015	Uganda 2016
Congo (Democratic Republic) 2017b	Ghana 2016	Niger 2016a	Uganda 2017
Congo (Democratic Republic) 2018a	Ghana 2017	Niger 2016b	Uganda 2018
Congo (Democratic Republic) 2018b	India 2016	Niger 2017	Uganda 2019

Questionnaire Text