WATER
SCHOOLS
QUESTIONNAIRE
School
Name:
Country:
Address:
Number
of
Pupils:
Age
Range:
Faith
connection?
Contact
Name
Email:
Phone:
ONE:
WATER
RESOURCES
1.1
What
is
your
school’s
primary
water
source?
Piped
Municipal
Water
Supply
Rainwater
Harvesting
Pump
River
or
lake
Bore
Well
Spring
Other
(Please
State)
Please
give
details
1.
2
How
would
you
rate
your
school’s
water
resources
in
terms
of:
A.
Safety
to
drink
and
use?
Excellent
Good
Adequate
Poor
Terrible
B.
Reliability
of
water
source?
Excellent
Good
Adequate
Poor
Terrible
C.
Ease
of
use?
Excellent
Good
Adequate
Poor
Terrible
Please
give
details
1.3
When
did
you
last
experience
a
water
shortage
at
school,
what
was
the
reason
and
what
was
the
impact?
1.
4
What
treatment
is
given
to
your
school’s
water
before
drinking?
Filtered
&
Boiled
Filtered
Boiled
Unfiltered
&
Unboiled
Is
this
adequate?
If
not
what
improvements
are
needed?
Who
is
responsible?
TWO:
SANITATION
2.1
What
type
of
toilets
do
you
have?
Are
they
adequate?
2.2
Where
does
waste
go?
2.3
What
type
of
hand
washing
facilities
do
you
have?
2.4
If
the
water
source
is
not
from
a
piped
supply
how
often
is
hand
washing
water
replaced?
2.5
How
would
you
rate
your
school’s
sanitation
facilities
in
terms
of:
A.
Safety?
Excellent
Good
Adequate
Poor
Terrible
B.
Cleanliness?
Excellent
Good
Adequate
Poor
Terrible
C.
Availability?
Excellent
Good
Adequate
Poor
Terrible
Please
give
details:
Are
there
any
particular
issues
for
girl
pupils
that
could
be
better
addressed?
If
you
have
not
marked
Good
or
Excellent
in
one
of
more
of
the
categories,
what
improvements
could
be
made,
and
what
are
the
obstacles?
THREE:
CURRICULUM
AND
TEACHING
3.1
How
does
the
topic
of
Water
form
part
of
the
school
curriculum?
Do
you
include
it
in
your
religious
education
as
a
spiritual
issue
as
well
as
in
your
geography,
environment
or
science
lessons?
If
not,
could
you
do
so?
3.2
What
resources
do
you
have
for
water-‐related
learning
and
what
would
you
like?
Would
it
be
helpful,
for
example,
to
have
a
booklet
of
good,
engaging
stories
about
water
and
how
people
have
protected
it
and
looked
after
it
and
needed
it?
What
age
range
would
that
be
most
useful
for?
Would
you
be
interested
in
water
sourcing?
3.3
Does
your
school
celebrate
World
Water
Day
on
March
22nd?
Or
do
you
celebrate
a
water-‐
related
day
through
your
faith?
If
not,
could
you
do
so?
If
so,
how
do
you
celebrate
it?
Would
some
activity
ideas
be
useful?
Some
prayers?
Do
you
have
any
to
share?
3.4
At
what
age
do
the
children
learn
to
wash
their
hands?
Is
this
part
of
a
faith-‐related
ritual?
3.5
Do
the
children
understand
about
how
water
reaches
them?
And
how
it
is
piped
or
dammed
or
filtered?
If
not,
how
could
this
be
taught
and
experienced?
3.6
Are
there
any
extra-‐curricular
activities
involved
with
the
environment?
What
are
they?
Clean
ups?
Monitoring
of
the
natural
world?
Eco-‐clubs?
Other?
FOUR:
WIDER
BACKGROUND
4.1
What
kind
of
water
supply
and
sanitation
issues
do
the
children
have
in
their
own
homes?
Do
they
all
have
running
water?
Is
it
easy
for
them
to
have
their
clothes
cleaned?
What
kind
of
toilet
facilities
are
they
accustomed
to
using?
What
are
the
key
home
issues?
4.2
What
are
the
key
climate
and
environment
challenges
facing
your
area?
(e.g.
drought,
flooding,
forest
fires,
pollution,
sewage
facilities,
rubbish
disposal)
4.3
Which
religious
groups
are
working
on
water
in
your
area
and
what
are
they
doing?
4.4
How
is
the
Government
working
on
water
issues
in
your
area?
4.5
Which
NGOs
are
working
on
water/sanitation
issues
in
your
area?
If
you
would
like
any
further
information
about
the
Water
Schools
programme,
then
please
contact
Nicki
Mchugh
at:
[Link]@[Link]
to
sign
off
for
Tel:
+44
(0)1225
758
004
Fax:
+44
(0)1225
442
962
Or
visit:
[Link]
and
[Link]