Items:

1. In the past 12 months, did you fetch water?

Response Options:
Yes- 1
No- 2

2. Was fetching water MAINLY performed…?

Response Options:
For own useconsumption of the household- 1
For sale profit- 2
Wage work- 3

3. In the past 12 months, did you individually make any incomemonetary gains from activities?

Response Options:
Yes- 1
No- 2

4. What is the approximate share of your individual income that came from …? (include income from selling, trading and handling these materials)

Insert percentage [ ]

5. During the last 12 months, have you ever felt unsafe or worried about your surroundings in the process of water or firewood collection?

Response Options:
Yes, I have felt unsafe at least once- 1
Yes, I have often felt unsafe- 2
No, I have never felt unsafe when collecting fuel or water- 3
Prefer not to answer- 4

6. Do you participate in any water management committees?

Response Options:
Yes- 1
No- 0