Questionnaire Text

Burkina Faso 2014
Ghana 2013
Uganda 2014
Uganda 2015a
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Burkina Faso 2014
Questionnaire form view entire document:  text 
21. What is the main source of water used by your household for other purposes such as cooking and hand washing?
[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


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Ghana 2013
Questionnaire form view entire document:  text 
21. What is the main source of water used by your household for other purposes such as cooking and hand washing?
[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 2014
Questionnaire form view entire document:  text 
21. What is the main source of water used by your household for other purposes such as cooking and hand washing?
[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 
21. What is the main source of water used by your household for other purposes such as cooking and hand washing?
[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