JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

Questionnaire for Sample Household Survey

Section A. Personal Information of the Respondent

Section B. Information of the Household

JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

Section C. Existing Water Source for the Household

(Multiple answer. Please tick the box.)

(multiple answer)

JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

To the enumerator: ask the respondent to show you the vessel to check its capacity.

(multiple answer)

(multiple answer)

JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

Section D. Existing Sanitation Facilities and Hygiene Practices of the Household

(multiple answer)

Section E. Health Status of Members of Household

(multiple answer)

JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

(multiple answer)

(multiple answer)

(multiple answer)

(multiple answer)

Section F. Maintenance of Water and Sanitation Facilities

(please choose a mode of payment which is applicable.)

JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

for a borehole with handpump

JICA Study Team

The Project for Rural Water Supply (Phase III) in the Republic of The Gambia

(Please choose a mode of payment which the household prefer to.)

for a water scheme with motor pump which supplies water at the borehole (no extension of distribution pipes in the village)

Please choose a mode of payment which the household prefer to

for a piped water scheme with motor pump which supplies water from public taps locate in the village

Please choose a mode of payment which the household prefer to

Section G. Economic Status of the Household

(multiple answer)

(Multiple answer. Please tick in the box)