RURAL WATER, SANITATION AND ENVIRONMENTAL HEALTH PROJECT QUESTIONNAIRE FOR HAMMAM FACILITIES AND MANAGEMENT A. GENERAL INFORMATION 1. Community: ___________________________________________________ 2. Village: _______________________________________________________ 3. Union Council: _________________________________________________ 4. Population concerned:_______________________________________________ 5. Date of questionnaire: ___________________________________________ B. HAMMAM AND WASH AREAS 1. Please describe the current condition of the facility: Yes No Observations Is there a good super-structure? Does it provide adequate privacy? Does the stall door close completely? Is it used? Is it clean? Is it in good condition? Is it free from smell? Is there trash around it? Are there vectors inside of it (flies, cockroaches)? Are there domestic animals around it? Is there hot/warm water available? Is there soap available for use? Are there sandals available for use? Is there a mirror available for shaving or personal use? Is the wastewater drainage system functioning? Is the water inlet/connection protected? Is the wastewater drainage protected and covered? Is it within 50 m. of a STC location? C. HAMMAM MANAGEMENT 1. How much water is supplied for personal bathing to each individual? 2. How much water is supplied for laundry/washing to each individual? 3. Is a manager present? YES ( ) NO ( ) 4. Has this person been trained in their duties? YES ( ) NO ( ) 5. Do they feel that they require additional training? YES ( ) NO ( ) 6. If so, in what specific area: 7. Have they been provided with a cleaning procedure and materials? YES ( ) 8. Have there been any problems with the facility? YES ( ) NO ( ) NO ( ) 9. If yes, which: D. GENERAL COMMENTS Handout – W9: Water facilities W9.4