.

Sanitation and Health Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

Do you believe access to basic sanitation facilities is important for public health?

Please select the option that best represents your opinion.
2

Rate the importance of sanitation on a scale of 1 to 10 for public health.

Please rate the importance of sanitation for public health, with 1 being least important and 10 being most important.
3

How has access to sanitation facilities impacted your health or the health of your community?

Please provide your thoughts and experiences regarding the impact of sanitation on health.
4

Are you satisfied with the sanitation services provided in your area?

Please select the option that best describes your satisfaction level with sanitation services.
5

How often do you wash your hands with soap?

Please select the frequency that best represents your handwashing habits.
6

Do you think adequate sanitation facilities can reduce the spread of diseases?

Please select the option that best represents your opinion.
7

On a scale of 1 to 10, how would you rate the cleanliness of public sanitation facilities in your area?

Please rate the cleanliness of public sanitation facilities, with 1 being very dirty and 10 being very clean.
8

Have you ever faced health issues due to poor sanitation conditions?

Please select the option that best describes your experience.
9

In your opinion, what improvements could be made to enhance sanitation services in your area?

Please share any suggestions or ideas for improving sanitation services.
10

How often do you clean the water storage containers in your home?

Please select the frequency that best represents your cleaning habits for water storage containers.