Upazilla
serial
student sex
school code
mobile number
class
age
household ID
Do you or your parents treat water to drink
Do you or your parents boiled water yesterday to drink
Do you or your parents filtered water yesterday to drink
means of obtaining water from container
Is there soap in the house
fetch water from outside
trips for water collection yesterday from outside
trips for water collection in last three days from outside
trips for water collection last seven days from outside
time takes to fetch water from outside to house
buy water to drink at school
Tk. spend on drinking water at last school day
Tk. spend on drinking water last 3 days at school
Tk. spend on drinking water last 5 days at school
how many times in house bathing in last 7 days
bathing in sea/river/stream/lake/canal in last 7 days
if yes no. of bathing in sea/river/stream/lake/canal in last 7 days
reason 1 for washing hands yesterday
reason 2 for washing hands yesterday
reason 3 for washing hands yesterday
reason 4 for washing hands yesterday
reason 5 for washing hands yesterday
reason 6 for washing hands yesterday
how you washed hands last time
Presence of toilet/latrine in house
Access to Public tap/Standpipe last 7 days
Access to Borehole/Pump/Tube well last 7 days
Access to Rain water  last 7 days
Access to Well  last 7 days
Access to Sachet/bottled water  last 7 days
Access to Tanker supply/Vendor provided  last 7 days
Access to River/Stream  last 7 days
Access to Dugout/Pong/lake/dam/canal  last 7 days
participated in WASH education program
if yes, when participated in WASH education program last time
how you rate your health
have you fallen sick in last 30 days
if yes, sickness type 1
if yes, sickness type 2
if yes, sickness type 3
if yes, sickness type 4
do you fall sick often
whether have diarrhea in last 2 weeks
if yes, no. of days in last 2 weeks you had diarrhea
if no, last time when you had diarrhea (how many days ago)
Have you had Mucus or blood in the stool in the past 2 weeks
Have you had stomach pain or cramps in the past 2 weeks
Have you had Vomit in the past 2 weeks
Have you had skin itching on the body or scalp in the past 2 weeks
Have you had constant cough in the past 2 weeks
Have you had head ache/pain in the past 2 weeks
Over last 2 weeks did you have malaria/fever
If yes, no. of days in the last 2 weeks you had malaria/fever
Last night, did you sleep under bed net/ mosquito net
In last 30 days have you visited hospital for illness
Do you have livestock (cows, goats, pigs, and sheep) at home
diarrhea preventive action 1
diarrhea preventive action 2
diarrhea preventive action 3
malaria preventive action 1
malaria preventive action 2
malaria preventive action 3
Have you ever registered with health insurance scheme
Do you have a valid health insurance scheme card for this year
how do you rate your school/academic performance
Since school re-opened have you been absent from school
If yes, how many times/days you missed school
In last 5 school days were you absent from school
In last 2 weeks, have you been absent from school
In last 30 days, have you been absent from school
Reason 1 for being absent from school
Reason 2 for being absent from school
household activities after closing from school: 1
household activities after closing from school: 2
household activities after closing from school: 3
household activities after closing from school: 4
Means of transport from home to school
Distance from your house to school
Number of minutes it takes to reach school from house