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Waterwatch© Customer Survey

Your Contact Information

please edit your contact information if necessary

Demographics

Age 10 or under
Ages 11 - 18

After 2000
1980-1999
1960-1979
1940-1959
Before 1940
Full  
Half
Full  
Half

Indoor Uses


Counter-top (Brita or similar)
Faucet
Under-counter

Top Load
Front Load
Other / don't know
18) For each shower, indicate the number of times it's used each week, and whether the shower has a low-flow showerhead. If you have more than three showers, please provide the information for the 3 showers that are used most often.
  # of Showers
taken per week
Low flow
shower head?
Shower 1 Yes No I dont know
Shower 2 Yes No I dont know
Shower 3 Yes No I dont know
23) For each toilet, give the approximate age, and whether it has a toilet dam or other water saving device. If you have more than 3 toilets, please provide the information for the 3 toilets that are used most often.
  Age (years) Water Saving
Device
Toilet 1 Yes No I dont know
Toilet 2 Yes No I dont know
Toilet 3 Yes No I dont know

Outdoor Uses


Daily
Every other day
Every 3-7 days
Less frequently

under 1 year
1-5 years ago
Over 5 years ago

under 1/4 acre
1/4 - 1/2 acre
1/2 - 1 acre
Over 1 acre
36) If yes, please estimate the size of your garden:
feet X feet =
square feet
38) If yes, please estimate the size of your pool:
feet X feet =
square feet
- OR -
feet (diameter for round pool)

Yes, completely
Yes, partially
No
42) If yes, please estimate the size of your hot tub:
gallons       - OR -       number of people
45) If yes, please estimate the size of your feature:
feet X feet =
square feet
Please estimate the frequency of any of the following uses during the summer Daily 2-3 times/week Weekly Twice a month Monthly or less Never
46) Wash car or other vehicle
47) Clean driveway, sidewalk, patio, etc.
48) Clean outdoor furniture, equipment, etc.
49) Water flower box, potted plants, etc.
50) Wading pool
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