Introduction Adequate access to safe and reliable water is fundamental for public health, economic development, and environmental sustainability. Despite global efforts, many regions, particularly in developing countries, still face significant challenges in providing consistent and high-quality water services. Water supply and distribution systems are complex infrastructures requiring continuous monitoring and assessment to ensure optimal performance, efficiency, and sustainability. Performance assessment helps identify operational bottlenecks, infrastructure deficiencies, and management gaps, which are crucial for informed decision-making and strategic planning. This cheatsheet outlines key aspects for assessing the performance of water supply and distribution systems, focusing on methodologies and objectives relevant to such studies in contexts like the Misungwi District in Mwanza Region. Background of the Study The Misungwi District, located in the Mwanza Region of Tanzania, like many other rural and peri-urban areas in sub-Saharan Africa, faces persistent challenges in its water supply and distribution infrastructure. These challenges often include aging infrastructure, limited financial resources for maintenance and expansion, high rates of non-revenue water (NRW), intermittent supply, poor water quality, and inadequate pressure management. These issues collectively impact the reliability, accessibility, and affordability of water services for the local population. Previous studies and reports (if any, would be cited here) have indicated varying levels of water service delivery, but a comprehensive and up-to-date assessment of the entire water supply and distribution system's performance is often lacking. Such an assessment is critical to understand the current state, identify specific areas for intervention, and propose sustainable solutions to improve water service delivery to the residents of Misungwi District. Main Objective To assess the overall performance of the water supply and distribution system in Misungwi District, Mwanza Region, and recommend strategies for improvement. Specific Objectives To evaluate the physical and operational condition of the existing water supply infrastructure, including sources, treatment plants, transmission lines, and distribution networks. To determine the quantity and quality of water supplied to various service areas within Misungwi District, comparing actual performance against national and international standards. To analyze the efficiency of the water distribution system, focusing on aspects such as pressure management, non-revenue water (NRW) levels, and continuity of supply. To assess the institutional and management capacity of the water service provider in Misungwi District, including aspects of financial sustainability, operational planning, and customer service. To identify the key challenges and opportunities for enhancing the sustainability and resilience of the water supply and distribution system in Misungwi District. Research Questions What is the current physical and operational condition of the water supply infrastructure (sources, treatment, transmission, distribution) in Misungwi District? How does the quantity of water supplied meet the demand, and what is the quality of the distributed water compared to relevant standards in Misungwi District? What is the level of efficiency of the water distribution system in terms of pressure, non-revenue water (NRW), and continuity of supply in Misungwi District? What are the strengths and weaknesses of the current institutional and management framework governing water supply in Misungwi District? What are the major challenges hindering the optimal performance of the water supply system, and what opportunities exist for its sustainable improvement in Misungwi District?