Comprehensive Water Safety Check

1. What is the main source of your household's drinking water?

Piped water / Bottled water / Tanker truck Public tap / Borehole / Protected well Unprotected well / River / Pond / Lake

2. Before drinking, how is your water typically treated?

We boil it, use a filter, or add chlorine We do not treat our water

3. How often do you wash your hands with soap before preparing food or eating?

Always Sometimes Rarely or Never

4. What kind of toilet facility does your household primarily use?

Flush toilet (to sewer or septic tank) Pit latrine with a slab (covered pit) No facility / Open defecation

5. In the last 7 days, have you or anyone in your household had diarrhea?

No Yes

6. How do you store your drinking water at home?

In a clean, covered, narrow-mouth container (e.g., jerrycan) In a covered, wide-mouth container (e.g., bucket with lid) In an open container

7. Has your living area or water source experienced flooding in the last month?

No Yes

8. How is your household's garbage disposed of?

Collected by a waste service Burned or buried in a designated pit Disposed in an open pile, street, or river

9. How often do you wash your hands with soap after using the toilet?

Always Sometimes Rarely or Never

10. How do you wash fruits and vegetables before eating them raw?

With treated/bottled/boiled water With tap water from the main source With untreated water, or just wipe them clean

11. Are animals (like cows, goats, chickens) kept or do they roam within 15 meters (about 50 feet) of your water source?

No Yes

12. Are many other people in your immediate community or neighborhood currently sick with diarrhea?

No, not that I'm aware of A few people seem to be sick Yes, it seems to be widespread

Your Result: Low Risk