Questionnaire Text

Burkina Faso 2014 Congo (Democratic Republic) 2017b Ghana 2016 Nigeria 2014b
Burkina Faso 2015 Cote d'Ivoire 2017 Ghana 2017 Nigeria 2015a
Burkina Faso 2016a Cote d'Ivoire 2018 India 2017b Nigeria 2015b
Burkina Faso 2016b Ethiopia 2014a Kenya 2014a Nigeria 2016
Burkina Faso 2017 Ethiopia 2014b Kenya 2014b Nigeria 2017a
Congo (Democratic Republic) 2013 Ethiopia 2015 Kenya 2015a Nigeria 2017b
Congo (Democratic Republic) 2014 Ethiopia 2016 Kenya 2017 Nigeria 2018
Congo (Democratic Republic) 2015a Ethiopia 2017 Niger 2015 Uganda 2014
Congo (Democratic Republic) 2015b Ethiopia 2018 Niger 2016a Uganda 2015a
Congo (Democratic Republic) 2015c Ghana 2013 Niger 2016b Uganda 2015b
Congo (Democratic Republic) 2016a Ghana 2014a Niger 2017 Uganda 2016
Congo (Democratic Republic) 2016b Ghana 2014b Niger 2018 Uganda 2017
Congo (Democratic Republic) 2017a Ghana 2015 Nigeria 2014a Uganda 2018
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Burkina Faso 2014
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Burkina Faso 2015
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Burkina Faso 2016a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Burkina Faso 2016b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Burkina Faso 2017
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2013
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2014
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2015a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2015b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2015c
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2016a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2016b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2017a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Congo (Democratic Republic) 2017b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Cote d'Ivoire 2017
Questionnaire form view entire document:  text 

402. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.

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 -99

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Cote d'Ivoire 2018
Questionnaire form view entire document:  text 

402. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.

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 -99

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Ethiopia 2014a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Ethiopia 2014b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Ethiopia 2015
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Ethiopia 2016
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Ethiopia 2017
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Ethiopia 2018
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 2014a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 2014b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 2015
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 2016
Questionnaire form view entire document:  text 

402. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.

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 -99

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Ghana 2017
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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India 2017b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Kenya 2014a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Kenya 2014b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 2017
Questionnaire form view entire document:  text 

402. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.

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 -99

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Niger 2015
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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 

402. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.

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 -99

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Nigeria 2014a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Nigeria 2014b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Nigeria 2015a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Nigeria 2015b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
Piped Water
[] Piped into dwelling/indoor 1
[] Pipe to yard/plot 2
[] Public tap/standpipe 3

[] Tube well or borehole 4
Dug Well
[] Protected Well 5
[] Unprotected Well 6

Water from Spring
[] Protected Spring 7
[] Unprotected Spring 8

[] Rainwater 9
[] Tanker Truck 10
[] Cart with Small Tank 11
[] Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel) 12
[] Bottled Water 13
[] Sachet Water 14
[] No response -99

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Nigeria 2016
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Nigeria 2017a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Nigeria 2017b
Questionnaire form view entire document:  text 

402. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.

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 -99

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Nigeria 2018
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Uganda 2014
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Uganda 2015a
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Uganda 2015b
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Uganda 2016
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Uganda 2017
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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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Uganda 2018
Questionnaire form view entire document:  text 

19. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?
Read out all types and check all that are used. Scroll to the bottom to see all choices.
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