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  2. 2014
  3. March
  4. W
  5. WaSH Survey
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Exit Survey
 
 
Where do you collect water?
 
Dam
 
Pond
 
Rain Harvest
 
Bore Hole
 
Tap
 
 
 
Who collects water?
 
Mother
 
Children
 
Mother/Children
 
 
 
How often do you collect water?
 
1 - day
 
2 - day
 
3 - day
 
4 - day
 
 
 
When do you collect water?
 
Morning
 
Afternoon
 
Evening
 
Night
 
 
 
How do you store water:
   
 
 
 
How do you treat water:
   
 
 
 
Where is your latrine:
   
 
 
 
Extra notes:
   
 
 
 
Details of Latirne:
   
 
 
 
Details of Latrine: