Training & Maintenance survey Tool

Traning & Maintenance Survey Tool :

Please capture all survey details as per the questionnaire.

Sewa maintains the toilets for one year post the installation. Upon completion of the maintenance phase, the school is required to take over the futher maintenance of the toilets.

Built by Mukund J Iyengar (Volunteer for Sewa International)

@Copyright 2019 Sewa International. All Rights Reserved.

Surveyor Name and Phone *

Name Phone number

School Visit Date

Month Day Year

School Details:

In the next few screens capture School details

School Details
School Name
School Address
State

School Contact Name & Phone

name phone number
Email
example@example.com

Details of toilets installed:

In the next few screens, capture details of the installed toilets

Number of Girl's toilets installed
Number of Girl's toilets repaired
Number of Boy's toilets installed
Number of Boy's toilets repaired

Toilet installation date

Month Day Year
Date

Details of camps and training conducted:

In the next few screens, capture details of the camps and training to be conducted at the school.

Has a health & hygiene awareness camp been conducted at the school?

YES NO
If Yes, Enter date when the hygiene awareness camp was conducted

Month Day Year
Date
If not conducted, schedule a date for the same

Month Day Year
Date

Has a menstrual hygiene camp been conducted at the school?

yes no
If conducted, enter the date when conducted

Month Day Year
Date
If not conducted, schedule a date for the same

Month Day Year
Date
Does the school need sanitary napkins to be distributed among the girl students?

YES NO

Details of current maintenance of toilets:

In the next few screens, capture details of the current state of the toilets and the quality of their maintenance.

Enter the date of the last maintenance visit to the school

Month Day Year
Date

Describe the condition of the newly constructed toilets
If repairs are required, please elaborate

Upload photos to show the current state of the toilets

Enter date of completion of the maintenance phase

Month Day Year
Date
If the maintenance has been completed, have the Knowledge Transfer and the formalities to hand over the toilets to the school been completed?

YES NO

Have there been any donor visits until date, or are there some that have been arranged?

YES NO

Enter date of your next visit

Month Day Year
Date

Thank you for your time!

Sewa International is thankful for your contribution to Sewa movement!

Your contribution will help us to serve communities in need.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform