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Direction: This survey is to be conducted truthfully over the course of one week. Put a tally mark
in the Times Per Day column very time someone living in your home does the activity.
Tub Bath 0 0 0 0 0 0 0 0 * 35 0
Brushing Teeth 1 1 1 1 1 1 1 7 *2 14
(running water)
Shaving 0 0 0 0 0 0 0 0 *2 0
Washing Dishes 0 1 1 0 1 1 1 5 * 10 50
(Filling a basin)
Running a Dishwasher 0 0 0 0 1 1 1 3 * 20 60
Washing Clothes 0 1 1 0 0 0 0 2 * 35 70
Washing Car 0 0 0 0 0 0 0 0 * 50 0