written. c. The Hon'le and Environment 1. Home a. Ownership-check the appropria te box b. Constru ction materials is used-Check the appropriate box. Light-refers to such materials as bamboo, nipa, sawali, coconut leaves or cardboard 1-ti. xed-refers to ai combination of light materials, wood and/ or concrete Strong-refers to. a predominantly concrete house. c. Number of rooms used for sleeping-This refers to the number of rooms in the house, not necessarily private bedrooms that are used as sleeping areas. Write the number. d. Llghting facilities-Check the appropriate box. e. ~neral sanitary condition-Vvrite your impression of the general state of cleanliness of the house. Include objective data to support your impression. E. xample: House dirty and disorderly. Unwashed dirty clothes, pots and pans scattered in lone multi­ purpose room. 2. Water Supply a. Drinking Water Source-Check the appropriate box. Potability-Specify if safe for drinking purposes. Distance from h. ou~-Write the distance of the water source from the house in meters. lncludeifthereis a faucet connected to a public or private source inside the house Storage-Check the appropriate box. 3. Kitchen a. Cooking facility-Check the appropriate box b. Sanitary Condition.-Describe briefly the state of cleanliness of the kitchen area. Support your impression with objective data. Example: Generally clean. Pots and pans washed and kept in cupboards. No flies or <;QQqoacbes noted. c. Drainage facility-Check the appropriate box. None-When there is no drainage system. Waste water from kitchen nows directly to the ground, oftentimes forming a nearly permanent pool. Open drainage-Waste water flows through a system of pipes (could be improvised from bamboo) to an open pit or canal. Blind drainage-Waste water flows through a system of closed pipes t,o an underground pit or covered canal 4 Waste Disposal a. Refuse and garbage Container-Check the appropriate box Method of disposal-Check the appropriate box. If more than one method iis used, check the two most commonly utilized methods: Hog feeding-Garbage is used as bog feed Open dumping-Refuse and/or garbage piled in a dumping place (with or without pit) with no soil covering 463 I 