<h:html xmlns="http://www.w3.org/2002/xforms" xmlns:ev="http://www.w3.org/2001/xml-events" xmlns:h="http://www.w3.org/1999/xhtml" xmlns:jr="http://openrosa.org/javarosa" xmlns:orx="http://openrosa.org/xforms/" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <h:head>
    <h:title>WASH_Report_Card</h:title>
    <model>
      <instance>
        <WASH_Report_Card id="WASH_Report_Card"><formhub><uuid/></formhub>
          <WAT_ACCESSIND/>
          <WAT_POP/>
          <ACC_POP_TOT/>
          <WAT_ACESSWAT/>
          <ACC_WAT_HOST_POP/>
          <ACC_WAT_TOT/>
          <ACC_WAT_HP/>
          <ACC_WAT_SPR/>
          <ACC_WAT_TPS_PIP/>
          <ACC_WAT_TPS_TAN/>
          <ACC_WAT_SEASON/>
          <ACC_WAT_COM/>
          <WAT_QUALITY_CHLOR/>
          <ACC_WAT_CL_WCP/>
          <ACC_WAT_CL_WCL/>
          <ACC_WAT_CL_WCPTSTED/>
          <ACC_WAT_CL_TST01/>
          <ACC_WAT_CL_TST01NTU/>
          <ACC_WAT_CL_COM/>
          <WAT_QUALITY_NONCHLOR/>
          <ACC_WAT_NCL_WCP/>
          <ACC_WAT_NCL_LOC/>
          <ACC_WAT_NCL_WCPTSTED/>
          <ACC_WAT_NCL_TSTS/>
          <ACC_WAT_NCL_TSTGOOD/>
          <ACC_WAT_NCL_COM/>
          <WAT_TOILETS/>
          <ACC_TOI_COM_UNHCR/>
          <ACC_TOI_HH/>
          <ACC_TOI_HH_UNHCR/>
          <ACC_TOI_COMMENTS/>
          <WAT_GENOBS/>
          <OBSERVATIONS/>
          <WAT_HOUSEIND/>
          <WAT_GEN/>
          <HH_SURV/>
          <HH_POP_SURV/>
          <WAT_CONSUMPTION/>
          <HH_WAT_ALL_PROT/>
          <HH_WAT_TOT/>
          <HH_WAT_15PLUS/>
          <HH_WAT_STOR_SAFE/>
          <WAT_HYGIENEPRAC/>
          <HH_TOI_USE/>
          <HH_TOI_COM/>
          <HH_TOI_HH/>
          <HH_HW_KNO/>
          <HH_SOAP/>
          <HH_FAECES/>
        </WASH_Report_Card>
      </instance>
      <bind nodeset="/WASH_Report_Card/formhub/uuid" type="string" calculate="'679e50e0000341c38e20604ecb189b1f'" />
      <bind nodeset="/WASH_Report_Card/WAT_ACCESSIND" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/WAT_POP" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/ACC_POP_TOT" type="int"/>
      <bind nodeset="/WASH_Report_Card/WAT_ACESSWAT" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_HOST_POP" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_TOT" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_HP" type="select1"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_SPR" type="select1"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_TPS_PIP" type="select1"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_TPS_TAN" type="select1"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_SEASON" type="string"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_COM" type="string"/>
      <bind nodeset="/WASH_Report_Card/WAT_QUALITY_CHLOR" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_CL_WCP" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_CL_WCL" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_CL_WCPTSTED" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_CL_TST01" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_CL_TST01NTU" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_CL_COM" type="string"/>
      <bind nodeset="/WASH_Report_Card/WAT_QUALITY_NONCHLOR" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_NCL_WCP" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_NCL_LOC" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_NCL_WCPTSTED" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_NCL_TSTS" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_NCL_TSTGOOD" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_WAT_NCL_COM" type="string"/>
      <bind nodeset="/WASH_Report_Card/WAT_TOILETS" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/ACC_TOI_COM_UNHCR" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_TOI_HH" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_TOI_HH_UNHCR" type="int"/>
      <bind nodeset="/WASH_Report_Card/ACC_TOI_COMMENTS" type="string"/>
      <bind nodeset="/WASH_Report_Card/WAT_GENOBS" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/OBSERVATIONS" type="string"/>
      <bind nodeset="/WASH_Report_Card/WAT_HOUSEIND" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/WAT_GEN" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/HH_SURV" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_POP_SURV" type="int"/>
      <bind nodeset="/WASH_Report_Card/WAT_CONSUMPTION" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/HH_WAT_ALL_PROT" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_WAT_TOT" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_WAT_15PLUS" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_WAT_STOR_SAFE" type="int"/>
      <bind nodeset="/WASH_Report_Card/WAT_HYGIENEPRAC" readonly="true()" type="string"/>
      <bind nodeset="/WASH_Report_Card/HH_TOI_USE" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_TOI_COM" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_TOI_HH" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_HW_KNO" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_SOAP" type="int"/>
      <bind nodeset="/WASH_Report_Card/HH_FAECES" type="int"/>
    </model>
  </h:head>
  <h:body>
    <input ref="/WASH_Report_Card/WAT_ACCESSIND">
      <label>A. Access Indicators</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_POP">
      <label>1. Population</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_POP_TOT">
      <label>1.1 Total population</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_ACESSWAT">
      <label>2. Access to water</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_HOST_POP">
      <label>2.1 Number of host / other population served by the same water sources as PoCs</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_TOT">
      <label>2.2 Average total m3 of water available per day</label>
    </input>
    <select1 ref="/WASH_Report_Card/ACC_WAT_HP">
      <label>2.3 Are handpumps used?</label>
      <item>
        <label>Yes</label>
        <value>yes</value>
      </item>
      <item>
        <label>No</label>
        <value>no</value>
      </item>
    </select1>
    <select1 ref="/WASH_Report_Card/ACC_WAT_SPR">
      <label>2.4 Are springs used?</label>
      <item>
        <label>Yes</label>
        <value>yes</value>
      </item>
      <item>
        <label>No</label>
        <value>no</value>
      </item>
    </select1>
    <select1 ref="/WASH_Report_Card/ACC_WAT_TPS_PIP">
      <label>2.5 Are taps connected to piped system?</label>
      <item>
        <label>Yes</label>
        <value>yes</value>
      </item>
      <item>
        <label>No</label>
        <value>no</value>
      </item>
    </select1>
    <select1 ref="/WASH_Report_Card/ACC_WAT_TPS_TAN">
      <label>2.6 Are taps used in combination with trucking?</label>
      <item>
        <label>Yes</label>
        <value>yes</value>
      </item>
      <item>
        <label>No</label>
        <value>no</value>
      </item>
    </select1>
    <input ref="/WASH_Report_Card/ACC_WAT_SEASON">
      <label>2.7 This month's season can be described as:</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_COM">
      <label>2.8 Comments</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_QUALITY_CHLOR">
      <label>3. Water Quality (Chlorinated)</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_CL_WCP">
      <label>3.1 Total number of water collection points with chlorinated water</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_CL_WCL">
      <label>3.2 Total number of water collection locations with chlorinated water</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_CL_WCPTSTED">
      <label>3.3 Total number of chlorinated ater collection locations that were tested during the period</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_CL_TST01">
      <label>3.5 Total number of tests indicating a measurable chlorine residual (≥ 0.1 mg/litre)</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_CL_TST01NTU">
      <label>3.6 Total number of tests indicating a measurable chlorine residual ( ≥ 0.1 mg/litre) and NTU &lt;5</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_CL_COM">
      <label>3.8 Comments</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_QUALITY_NONCHLOR">
      <label>4. Water Quality (Non-Chlorinated)</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_NCL_WCP">
      <label>4.1 Total number of water collection points with non-chlorinated water</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_NCL_LOC">
      <label>4.2 Total number of water collection locations with non-chlorinated water</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_NCL_WCPTSTED">
      <label>4.3 Total number of non-chlorinated water collection locations that were tested for this report</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_NCL_TSTS">
      <label>4.4 Total number of faecal coliform tests carried out at operational collection points</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_NCL_TSTGOOD">
      <label>4.5 Total number of tests with no faecal coliforms/100 ml</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_WAT_NCL_COM">
      <label>4.6 Comments</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_TOILETS">
      <label>5. Access to toilets</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_TOI_COM_UNHCR">
      <label>5.1 Total number of usable communal toilets constructed to the UNHCR minimum design standard</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_TOI_HH">
      <label>5.2 Total number of usable household toilets</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_TOI_HH_UNHCR">
      <label>5.3 Total number of usable household toilets constructed to the UNHCR minimum design standard</label>
    </input>
    <input ref="/WASH_Report_Card/ACC_TOI_COMMENTS">
      <label>5.4 Comments</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_GENOBS">
      <label>6. General observations</label>
    </input>
    <input ref="/WASH_Report_Card/OBSERVATIONS">
      <label>6.1 Observations</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_HOUSEIND">
      <label>B. Household Indicators</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_GEN">
      <label>1. General</label>
    </input>
    <input ref="/WASH_Report_Card/HH_SURV">
      <label>1.1 Total number of households surveyed</label>
    </input>
    <input ref="/WASH_Report_Card/HH_POP_SURV">
      <label>1.2 Total number of people surveyed in households</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_CONSUMPTION">
      <label>2. Water consumption</label>
    </input>
    <input ref="/WASH_Report_Card/HH_WAT_ALL_PROT">
      <label>2.1 Total number of households using only protected water sources</label>
    </input>
    <input ref="/WASH_Report_Card/HH_WAT_TOT">
      <label>2.3 Total number of litres of water collected per day by all households</label>
    </input>
    <input ref="/WASH_Report_Card/HH_WAT_15PLUS">
      <label>2.4 Total number of households collecting 15 or more litres of water per day</label>
    </input>
    <input ref="/WASH_Report_Card/HH_WAT_STOR_SAFE">
      <label>2.5 Total number of households where all drinking water containers are narrow necked or wide and covered</label>
    </input>
    <input ref="/WASH_Report_Card/WAT_HYGIENEPRAC">
      <label>3. Hygiene Practices and Access to Sanitation</label>
    </input>
    <input ref="/WASH_Report_Card/HH_TOI_USE">
      <label>3.1 Total number of households who reported using a toilet</label>
    </input>
    <input ref="/WASH_Report_Card/HH_TOI_COM">
      <label>3.2 Total number of households using communal toilets</label>
    </input>
    <input ref="/WASH_Report_Card/HH_TOI_HH">
      <label>3.3 Total number of households using household toilets</label>
    </input>
    <input ref="/WASH_Report_Card/HH_HW_KNO">
      <label>3.4 Total number of interviewees with knowledge of at least 3 of the 5 critical handwashing times</label>
    </input>
    <input ref="/WASH_Report_Card/HH_SOAP">
      <label>3.5 Total number of households where soap was observed to be present</label>
    </input>
    <input ref="/WASH_Report_Card/HH_FAECES">
      <label>3.6 Total number of households where human faeces were observed in the living compound</label>
    </input>
  </h:body>
</h:html>
