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SANITATION
S-1: Use of Latrine:
Type: 1. Ring slab, 2. Septic tank, 3. Biogas, 4. Off-set, 5. Drain/direct, 6. Hanging/open/bamboo, 7. Ditch & drains, 8.
Closed hole/partition or closed with slab, 9. Open but fixed place, 10. Others
S-2:
Is your latrine connected with a biogas system? Yes=1, No=2
If yes, then
a. How much money have you spent for a biogas connection? ____________________________
b. What amount did the community/you share for your biogas system which is installed in your area? _________
c. What are the advantages in a latrine that is connected to a biogas system? ______________
If the latrine is not connected with a biogas system,
a. Why didn’t you take the connection with a biogas system? ____________________________
b. Do you agree to spend money for your latrine to be connected to a biogas system? Yes=1, No=2
S-3: Have you got a biogas connection for cooking? Yes=1, No=2.
If yes, then
a. How much money have you spent for getting a biogas line connection for cooking? ______________
b. How many families have taken a biogas connection from the biogas facility that you use? ______________
S-4: Please write down the information about the agencies who supplied water and sanitation services.
HYGIENE
H-1: a. Do you wash
your
hands
before eating?
1. Don’t wash, 2. One-hand, 3. Two-hands
b. What do you use?
1. Soap, 2. Ash, 3. Mud, 4. Only water
H-2: a. Do you wash your hands after latrine use?
1. Don’t
wash,
2. One hand,
3. Two
hands
b. What do
you use?
1. Soap,
2. Ash,
3. Mud,
4. Only water
H-3:
Do you wash
your hands
before making
food?
1. Don’t
wash,
2. One-hand,
3. Two-hands
H-4:
Do you know
what
kind of
diseases
can affect
you if
you drink
polluted
water? ______________
From
whom
did you
learn this?
____________________________
H-5:
Do you know
what
kind
of diseases
can
affect you
when
do not
use a sanitary
latrine?
______________
From whom did you learn this? ____________________________
H-6: Do you know about arsenic? 1. Yes, 2. No
If yes,
then from
whom
did
you learn about it? __________________________________________
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