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1 2
1 2
1 2
3 4
5 6
7 8
9 10
1 2
3 4
5 6
7 8
9
2.22
2.23
2.24
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3 4
5 6
7 8
9 10
11
2.25 2.26
2.27
2.28
2.29
In the past 30 days, what has been the households main source
of lighting?
In the past 30 days, what has been the households main source of
cooking fuel?
What is the main source of heating for this house in winter?
How much did this household spend in the last month for each type of fuel
used in the household? AfghanisiIf did not spend anything put 0
ELECTRICITY GAS
FUEL OIL FIREWOOD
CHARCOAL COAL
STRAW, PING, MANURE
Which main toilet facility does your household use?
Is your toilet facility located within the compound of your household?
Is the toilet facility shared with other households?
Is your dwelling connected to a sewage system?
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1 2
1 2
1 2
1 2
1 2
1 2
1 2
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1 2
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1 2
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1 2
2.30 2.31
2.32
SECTION 2: HOUSING AND UTILITES WATER
What are ALL the sources of drinking water that your household has used in the last 12
months? What has been the main
source of drinking water in the past 30 days?
What has been the second most important source of drinking water
in the past 30 days? Interviewer: Read each source and mark yes
or no for every source YES
NO MAIN SOURCE
Secondary SOURCE
Shallow open wells-public Shallow open wells-in compound
Hand pump- Public Hand pump- In compound
Bored wells- hand pump Bored wells- motorized
Spring- unprotected Spring protected
Pipe scheme - gravity Pipe scheme- motorized
Piped municipal Arhad
Kariz River, Lake, Channel
Kanda Nawar Dan Dam
Pool Howz Drainage
Bowser Water tanker Bottled water mineral water
Other specify______ 7489456867
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1 2
1 2
1 2
3 4
5 6
1 2
3 4
5 6
1 2
3
1 2
1 2
3 4
5 6
7 8
9 10
2.33
2.34
2.35
2.36
2.37
2.38 2.39
2.40
2.41
2.42
2.43 2.44
2.45
2.46
2.47
2.48
2.49
How much did you pay or will you pay for water from this MAIN
DRINKINGWATER SOURCE for the last month? IF WILL PAY NOTHING, PUT
Afghanis How many minutes does it take to
walk, one way, to this main source of water? IF DO NOT HAVE
TO WALK, PUT 0
Minutes How many minutes, on average, do
you spend waiting in queue each time you go for water at this
MAIN SOURCE OF WATER?
Minutes Are you able to access this main
water source whenever you want?
SURVEYOR: Is there a secondary source of water marked in 2.32?
How much did you pay or will you pay for water from this
SECONDARY WATER SOURCE for the last month ?
Afghanis per month How many minutes does it take to
walk, one way, to this second source of water? IF DO NOT WALK,
PUT 0
How many minutes, on average, do you spend waiting in queue each time you
go for water at this SECONDARY SOURCE OF WATER?
Minutes
Minutes Do you have another dwelling
that you own or occupy at other times of the year?
Where is this other dwelling located?
How did you acquire second this dwelling or what is your occupancy
status? Do you have any document that
shows ownership of this dwelling?
Do you pay rent to live in this dwelling?
How much money per month does your household pay to live in this
dwelling? If pay in goods or services , estimate the value per
month
AFS PER MONTH 2.48 If you were to purchase this
dwelling today, how much would it cost? IF DO NOT KNOW, PUT 888.
AFS Do you rent this second dwelling
to others when you are not occupying it?
For which months do you live in the second dwelling?
March April
May June
July Aug
Sept Oct
Nov Dec
Jan Feb
Never
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3.1 3.2
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