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Water use in the Household House name: Date:

1.How many people live in your house? Please give approx ages

1

2.Do you have a rainwater tank?

Yes /

2

3

4

5

6

7

more

No

2.1.If yes, what do you use the collected water for?

3. How many bathrooms do you have?

1

2

3

4

5

6

7

more

4. How many sinks/troughs do you have indoors?

1

2

3

4

5

6

7

more

5. How many toilets do you have?

1

2

3

4

5

6

7

more

6. Do you have a dishwasher? If so, how many loads of dishes do you do per day?

Yes / 1

2

3

4

5

6

7

more

6.1. If no, how many times a day do you ‘hand wash’ dishes?

1

2

3

4

5

6

7

more

No


7. How many loads of laundry do you do: a)

Per day?

1

2

3

4

5

6

7

more

b)

Per week?

1

2

3

4

5

6

7

more

8. Do you water any plants, and how often: a.

Inside the house?

Yes /

No

b.

Outside?

Yes /

No

9. Do you actively collect water around the house? explain

Yes /

No

9.1. If yes, what is the collected water used for?

Yes /

No


Household water questionaire