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School Observation 2 -Form Fill
School identification
Q01
Name of the Observer/Enumerator
Q02
Name of the School
Q02A
School EMIS Code
Q03
Unique Identification number of the School
Q04
Code of the village
Q05
Code of the Municipality
Q05A
Name of the District
Q06
Code of the district
Q06A
School Code
Q07
Type of school
WASH +SMP
WASH +SMP +EGR
Non-intervention school
Q08
Is the school benefitting from any light touch intervention
SIDP
Digital Literacy
HGSF
None of the above
School Infrastructure Observation
A01
Is there a library/reading room in the school?
Yes
No
A02
What is the kind of library observed in the school
Standard Library
Reading Corner
Mobile Library
Others (Specify)
A03
Number of books for early grades (grade 1-5) present in the library)
Less than- 50
51-150
151-250
251-350
More than 351
A04
Is there a book ledger in the library?
Yes
No
A05
Was the ledger updated till the last working day?
Yes
No
A06
Is there a borrowing ledger in the library?
Yes
No
A07
Was the ledger updated till the last working day?
Yes
No
A08
Are students allowed to borrow books from the library (take them out of the library)?
Yes
No
A09
Is there a kitchen within the school premises?
Yes
No
A10
Does the kitchen have an energy-saving/improved cooking stove?
Yes
No
A11
Is the stove functional?
Yes
No
A12
Does the School have dish-washing soap?
Yes
No
A13
Is there stock of food items meant for preparing the school meals?
Yes
No
A14
The food items are stored off the ground?
Yes
No
A15
Are there signs of leakage/pilferage of the food items?
Yes
No
A16
Is there a record book for keeping records of the food items?
Yes
No
A17
Record the date when the record was last updated
A18
Is there a record book to track the contribution of food items by the community?
Yes
No
A19
Record the date when the record was last updated
A20
Does the school have a functional toilet/latrine facility meant for use by the students and teachers/staff?
Yes
No
A21
Is there a separate toilet facility for boys,girls and teachers/ staff?
Yes
No
A22
Is the boys toilet functional?
Yes
No
A23
Is the girls toilet functional?
Yes
No
A24
Is the teachers/ staff toilet functional?
Yes
No
A25
What kind of toilet facility is available for the boys?
Flush/pour flush to piped sewer system
Flush/pour flush to piped septic tank
Flush/pour flush to pit latrine
Flush/pour flush to elsewhere
Ventilated improved pit latrine
Pit latrine with slab
Pit latrine without slab
Pit latrine without slab/open put/
Composting toilet
Bucket
No facility/bush/field
Others (Specify)
A26
What kind of toilet facility is available for the girls?
Flush/pour flush to piped sewer system
Flush/pour flush to piped septic tank
Flush/pour flush to pit latrine
Flush/pour flush to elsewhere
Ventilated improved pit latrine
Pit latrine with slab
Pit latrine without slab
Pit latrine without slab/open put/
Composting toilet
Bucket
No facility/bush/field
Others (Specify)
A27
What kind of toilet facility is available for the teachers/staff?
Flush/pour flush to piped sewer system
Flush/pour flush to piped septic tank
Flush/pour flush to pit latrine
Flush/pour flush to elsewhere
Ventilated improved pit latrine
Pit latrine with slab
Pit latrine without slab
Pit latrine without slab/open put/
Composting toilet
Bucket
No facility/bush/field
Others (Specify)
A28
What is the kind of toilet facility for boys, girls and teachers/staff? (in case there is a common toilet for boys,girls and teachers/staff)
Flush/pour flush to piped sewer system
Flush/pour flush to piped septic tank
Flush/pour flush to pit latrine
Flush/pour flush to elsewhere
Ventilated improved pit latrine
Pit latrine with slab
Pit latrine without slab
Pit latrine without slab/open put/
Composting toilet
Bucket
No facility/bush/field
Others (Specify)
A29
Does the school have hand washing station/ “tippy taps”?
Yes
No
A30
Do the hand‐washing station/ “tippy taps” have water for washing?
Yes
No
A31
Do the hand-washing station/ “tippy taps” have a soap?
Yes
No
A32
What is the main source of drinking water in the school?
Piped water into school
Piped water into yard/plot
Public Tap/Standpipe
Open well in school
Open well in yard/plot
Open public well
Protected well in school
Protected well in yard/plot
Protected public well
Spring
River/stream
Pond/lake
Dam
Rainwater
Tanker truck
Water vendor
Bottled water
Other (Specify)
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