Research Questionnaire: Water and Sanitation Focus
Project Title: Informal Settlement Research – Kennedy Road
Participant number: ____________
Question 1
1. Where do you get your water from?
A) Communal Tap (Standpipe)
B). Water Tanker (Truck)
C) Yard Connection (Tap in your own yard)
* Other: _______________________
2. How long do you have to queue or walk to get water?
A)Less than 10 minutes
B) 10 – 30 minutes
C) More than 30 minutes
3. How often is the water supply interrupted (water cuts)?
A)Never
B)Once a week
C)Daily / Most days
Question 2
1. What type of toilet facility do you use?
A)Chemical Toilet (Portable)
B)Pit Latrine
C)Ablution Block (Shared container with toilets/showers)
D) No formal facility (Open field/bush)
2. How many households share the same toilet?
A) 1 (Private)
B) 2 – 5 households
C)More than 5 households
3. How would you describe the cleanliness of the toilet facilities?
A)Very Clean
B) Acceptable
C) Dirty / Unusable
Question 3
1. Have you or your family members experienced health issues (like
diarrhea or skin rashes) due to water or sanitation problems here?
Yes / No
2. What is the biggest challenge regarding water and sanitation in this
settlement?
____________________________________________________________
________
____________________________________________________________
______
__________________
3. What is one thing the eThekwini Municipality could do to improve these
services?
____________________________________________________________
___________
__________________________________