6.c SURVEY PAPER (100 in no.)

 

WATER : ‘THE NEED & MANAGEMENT’

Data is being collected for  the purpose of study only.

 

Survey Number.

 

Member Name.

 

Date.

 

Area.

 

 

 

SURVEY

  1. Source of water.

Municipality / Hand pump / Jet / Submersible
  1. Capacity of over head / underground tank

 
  1. How many times it is filled during 24 hrs.

 
  1. Use of water.

Domestic / Commercial
  1. Occupancy.

 
  1. Plot area.

 
  1. Covered area.

 
  1. Open area.

 
  1. Open paved area.

 
  1. Open kuccha area.

 
  1. Number of toilets.

 
  1. Wastage of water.

Leakage / Overflow / Both
  1. Where does storm water drains go?

Street Nala / Lawn
  1. Where does waste water drains go?

Street Nala / Soak pit
  1. Where does soil water drains go?

Street Nala / Soak pit
  1. Do you have septic tanks?

Yes / No
  1. Do you have soak pits?

Yes / No
  1. Do you have harvest surface water?

Yes / No
  1. Drainage facility in the area.

 
  1. What is the system of the drainage in the neighbourhood.

 
  1. Source of fresh water in the neighbourhood

 
  1. Recurring flooding during rains?

Yes / No
  1. Causes?

Low lying / Choking in the drains / No kuccha area around
  1. Does ever felt shortage of water?

Yes / No
  1. In which system do you waste more water?

Water pipes and taps / Hand pumps and buckets

 

Any other observation :

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