I 2. Drloklng Water Supply Source: ( ) private ( ) public Potability: _______ _ ____ _ Distance from house: Storage: ( ) none (direct from faucet or pipe) ( ) large covered container with faucet ( ) lar1e uncovered container without faucet ( ) others, specify _______ _ 3. Kitchen Cooking facility: ( ) electric stove ( ) gas stove ( ) firewood/ charcoal Sanitary condition: ________ _ Drainage facility: ( ) open drainage( ) l:!llnd drainage ( ) none 4, Waste Disposal a. Refuse and garbage Container: ( ) covered Method of dlspo,sal: ( l hog feeding ( l open dumping , ( ) burial In pit ( ) composting b. Toilet Type: ' ( ) open ( ) none ( ) open burning l I garbage collection ( ) others. specify: ___ _ 459 