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World Water Day 2006
Household Survey of Water Usage Among ADB Water Sector Network Members
This survey has been completed.
Name
E-mail
Division
On a scale of 1-4 (1 being low and 4 being high), rate the water situation at your home
Reliability of supply
Consistency of pressure
Quality
Cost
What do you use for drinking water at home?
Straight tap water
Boiled tap water
Bottled water
How do you rate your household water costs?
Free (never been billed)
Inexpensive
Fair
Expensive
Do you know the natural water source of your tap water (the reservoir/lake/river)?
Yes
No
What are the major uses of water at your home other than household use, i.e. drinking, cooking, bathing, laundering? (Check as many answers)
Gardening
Washing cars
Swimming Pool
Have you ever been ill with a waterborne disease or illness in the last 24 months?
Yes
No
If yes, where do you suspect you acquired the illness?
Within the country of residence
Own home
Outside the home
Outside the country of residence
If yes, how did the experience change your behavior/attitude related to water?