10. Have you sought training or information for the BSF outside of that which was
provided to you? Yes No (if no, please go to question 12)
11. If you received additional training, from whom did you receive the training?
(please read the options and circle all that apply)
a) A family member
b) A community member
c) The community facilitator trained in BSF
d) An organization
e) Other, please specify: _____________________________________
12. Have you had to maintain the filter to restore the flow-rate in the BSF since you
had it? Yes (if yes, go to 13) No (if no, go to 16)
13. How many times have you maintained the filter in the BSF? (Put N/A if never
cleaned) _________________
14. When was the last time you performed the maintenance procedure to restore the
flow rate? (N/A if never) Day:__________/Month:_____________/Year:__________
15. Who usually does the process of maintaining the filter?
(1) Interviewee
(2) Other, please specify: _____________________________________
(3) N/A
16. Do you clean the filter spout? Yes No (if no, go to 18)
17. How often do you clean the filter spout?
18. How many times do you use BSF each week?_______________________
19. What is the main drinking water source you use in the BSF?
20. Do you use the BSF-treated water to drink (please read and select only one)?
(1) Yes, always
(2) Yes, sometimes
(3) Yes, not very often
(4) No
21. When was the last time you filtered water (list number of days ago)?__________
22. Do you use the same container to collect untreated water and to store BSF
treated water? Yes No
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