DELHI PUBLIC SCHOOL , BOPAL, AHMEDABAD Topic: Water, Water Everywhere Conservation of Water

NAME:_______________________ CLASS/SEC.______________

Survey Form

DATE:__________

The children will visit 5 houses in the locality and count the total number of taps in each house and the number of leaky taps and fill the respective columns. They will also mention the action taken to reduce the wastage of water. A follow up activity to be done after 5 days by visiting the houses and writing a report of the same in the specified boxes.

House No.

Total No.of taps

No. of leaky taps

Action taken by you

Please turn over for the follow up feedback.

DATE:___________________________ House No. Status of leaky taps after 5 days