关于全球目标第6个，清洁饮水与卫生设施。[复制]
亲爱的朋友：
感谢您认真完成这份调查问卷！您的真实反馈是我们发现问题、解决问题的关键，每一个选项都在为改善清洁饮水与卫生设施添砖加瓦。
您的时间和意见无比珍贵，祝您生活愉快，万事顺遂！
1. 您的年龄段是？
What is your age group?
未成年
成年人
2.
您是否了解联合国可持续发展目标6（清洁饮水与卫生设施）的具体内容？
Do you understand the specific content of UN Sustainable Development Goal 6 (Clean Water and Sanitation)?
我不知道啊
知道一点
全知道
听说过
3. 您所在地区是否存在水资源短缺或水质污染问题？
Does your region face water shortage or water pollution issues
A. 经常出现，严重影响生活A. Frequently occurs, seriously affecting daily life
B. 偶尔发生，有一定影响B. Occurs occasionally, with certain impacts
C. 听说过相关问题，但未亲身经历C. Have heard of such problems but never experienced them personally
D. 完全没有此类问题D. No such problems at all
4.
您家庭主要的饮用水来源是？
What is the main source of drinking water for your household?
A. 市政自来水（烧开饮用）A. Municipal tap water (boiled before drinking
B. 桶装水/瓶装水B. Bottled water/jugged water
C. 净水器过滤水C. Water filtered by a water purifier
D. 井水/河水等天然水源D. Natural water sources such as well water/river water
E. 其他E. Others
5.
您认为以下哪些问题与缺乏清洁饮水和卫生设施直接相关？（可多选）
Which of the following problems do you think are directly related to the lack of clean drinking water and sanitation facilities? (Multiple choices allowed)
A. 肠道传染病、霍乱等疾病传播A. Spread of intestinal infectious diseases such as cholera
B. 儿童营养不良与发育迟缓B. Malnutrition and stunted growth in children
C. 女性因取水耗时错过教育机会C. Missing educational opportunities due to time spent fetching water for women
D. 水资源枯竭与生态破坏D. Water depletion and ecological damage
E. 农村劳动力流失与经济落后E. Rural labor outflow and economic backwardness
6.
您对当前饮用水质量的满意度是？
呃呃呃这啥啊(
0
)
牛逼克拉斯(
100
)
7.
您家中是否配备以下卫生设施？（可多选
Does your household have the following sanitation facilities? (Multiple choices allowed)
A. 冲水式厕所A. Flush toilet
B. 独立洗手台（配备洗手液/肥皂）B. Independent washbasin (with hand soap/liquid soap)
C. 浴室热水供应C. Hot water supply in the bathroom
D. 生活污水处理装置D. Domestic sewage treatment device
E呃呃呃我咋都没有E. None of the above
8.
您在日常生活中的节水习惯包括？（可多选）
Which water-saving habits do you have in daily life? (Multiple choices allowed)
A. 随手关闭水龙头，避免长流水A. Turn off faucets immediately to avoid running water
B. 收集洗菜水冲厕所、浇花B. Collect vegetable washing water for flushing toilets or watering plants
C. 购买节水型家电（如节水马桶、洗衣机）C. Purchase water-saving appliances (e.g., water-saving toilet, washing machine)
D. 定期检查家中水管是否漏水D. Regularly check for water pipe leaks at home
E. 没有刻意节水的习惯E. No obvious sanitation problems
9.
您所在社区/村庄是否存在以下卫生问题？（可多选）
Does your community/village have the following sanitation problems? (Multiple choices allowed)
A. 露天堆放垃圾，靠近水源地A. Garbage piled up in the open near water sources
B. 厕所污水直接排入河流/土壤B. Toilet sewage directly discharged into rivers/soil
C. 公共场所洗手设施不足或损坏D. Livestock farms/factories located around drinking water sources
D. 饮用水源地周边有养殖场/工厂D. Livestock farms/factories located around drinking water sources
E. 没有明显卫生问题D. Livestock farms/factories located around drinking water sources
10. 您所在地区是否出台过与清洁饮水、卫生设施相关的政策或项目？Has your region introduced any policies or projects related to clean drinking water and sanitation facilities?
A. Yes, and I understand the specific content (e.g., rural drinking water projects, toilet revolution)
B. Have heard of relevant policies but don't know the details
C. Unsure whether there are relevant policies
D. No such policies at all
A. 有，且了解具体内容（如农村饮水工程、厕所革命）
B. 听说过相关政策，但不清楚细节
C. 不确定是否有相关政策
D. 完全没有此类政策
11.
您认为政府在改善清洁饮水与卫生设施方面应优先采取哪些措施？（可多选）
What measures do you think the government should prioritize to improve clean drinking water and sanitation facilities? (Multiple choices allowed)
A.加大农村地区饮水工程建设投入A. Increase investment in drinking water projects in rural areas
B. 完善污水处理设施，减少工业/农业污染B. Improve sewage treatment facilities to reduce industrial/agricultural pollution
C. 推广节水技术与卫生习惯教育C. Promote water-saving technologies and hygiene education
D. 建立水质实时监测与公开机制D. Establish a real-time water quality monitoring and disclosure mechanism
E. 对贫困家庭提供净水器、卫生设施补贴E. Provide subsidies for water purifiers and sanitation facilities to poor households
12.
您在饭前便后、接触公共物品后洗手的频率是？
How often do you wash your hands before meals, after using the toilet, and after touching public items?
A. 每次都洗，且使用肥皂/洗手液A. Every time, and always with soap/hand wash
B. 大部分时候会洗，但偶尔忘记B. Most of the time, but occasionally forget
C. 只有在明显弄脏手时才洗C. Only when hands are visibly dirty
D. 很少洗手D. Rarely wash hands
13.
您愿意通过以下哪些方式参与清洁饮水与卫生设施的改善行动？（可多选）
Which of the following ways are you willing to participate in improving clean drinking water and sanitation facilities? (Multiple choices allowed)
A. 成为志愿者，参与社区卫生清洁、水源保护活动A. Become a volunteer to participate in community sanitation cleaning and water source protection activities
B. 向身边人宣传节水知识与卫生习惯B. Promote water-saving knowledge and hygiene habits to people around you
C. 支持相关公益项目，进行小额捐款C. Support relevant public welfare projects with small donations
D. 向有关部门举报水污染、卫生设施损坏问题D. Report water pollution or damaged sanitation facilities to relevant departments
E. 暂时没有参与意愿E. No willingness to participate for now
14.
如果有机会参与社区饮水安全监督小组，您的态度是？
If given the opportunity to join a community drinking water safety supervision team, what is your attitude?
A. 非常愿意，希望为改善环境出力A. Very willing, hope to contribute to improving the environment
B. 可以考虑，但需要看时间安排B. Can consider it, but depends on time arrangement
C. 不太愿意，觉得与自己无关C. Not very willing, think it has nothing to do with me
D. 担心能力不足，不敢参与D. Worried about insufficient ability, dare not participate
15.
What do you think is the most prominent issue regarding clean drinking water or sanitation facilities in your current region?
您认为所在地区的卫生设施在哪些方面最需要改进？
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