What type of toilet facility is available in your household?
☐ Private toilet
☐ Shared toilet
☐ Public/community toilet
☐ No toilet
What is the main issue with sanitation facilities in your area?
☐ Lack of toilets
☐ Poor maintenance
☐ Water shortage
☐ Overcrowding
What is your main source of drinking water?
☐ Tap water
☐ Hand pump
☐ Well
☐ River/pond
How do you store drinking water at home?
☐ Covered clean containers
☐ Open containers
☐ Plastic cans
☐ No proper storage
6. How do you usually dispose of household waste?
☐ Collected by services
☐ Dumped in open
☐ Burned
☐ Thrown in water bodies
[Link] is the most common sanitation problem in your village?
☐ Open defecation
☐ Poor drainage
☐ Waste accumulation
☐ Water contamination
[Link] mainly causes poor sanitation in your area?
☐ Lack of awareness
☐ Poor infrastructure
☐ Lack of funds
☐ Negligence
[Link] often do drainage systems overflow or get blocked?
☐ Frequently
☐ Sometimes
☐ Rarely
☐ Never
[Link] you received any benefit under government sanitation schemes?
☐ Yes, toilet constructed
☐ Yes, awareness programs
☐ Applied but no benefit
☐ No benefit
[Link] has sanitation improved after government initiatives?
☐ Significantly improved
☐ Moderately improved
☐ Slightly improved
☐ No improvement
[Link] satisfied are you with government sanitation efforts?
☐ Very satisfied
☐ Satisfied
☐ Unsatisfied
☐ Very unsatisfied
[Link] improvement is most needed in your area?
☐ More toilets
☐ Better water supply
☐ Waste management
☐ Drainage system
[Link] should take responsibility for sanitation improvement?
☐ Government
☐ Local bodies
☐ Community
☐ NGOs
[Link] would encourage people to maintain cleanliness?
☐ Awareness campaigns
☐ Fines and penalties
☐ Better facilities
☐ Community efforts
[Link] long-term solution is most effective?
☐ Infrastructure development
☐ Education
☐ Strict rules
☐ Public participation