Submission Time

S0q1_Start time

S0q2_End time

S0q3_Today's Date

S1q1_Enumerators name

S1q3_Select Ward

S1q4_Select Village

S1q5_Consent received

S2q1_How many people live in this household?

S2q2_How many are adults?

S2q3_How many are children aged 5 to 17 years?

S2q4_How many are children under 5 years

S2q7_How much time does it take you now to get potable water?

S2q8_How much time does it take you during the dry season to get potable water

S2q9_**OBSERVE**: Presence of hand washing facility at home

S2q10_**OBSERVE**:Presence of a toilet/latrine in the household

S2q11_Did you treat your drinking water yesterday?

S2q12_Did you treat your drinking water in the last 7 days?

S2q14_**OBSERVE**: Is there soap and water available outside the latrines?

S2q15_**OBSERVE**: Are there any visible animal faeces in the compound?