Monday, January 9, 2012
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Waterwatch© Customer Survey
Waterwatch© Customer Survey
Your Contact Information
Name:
Street:
City:
State:
Zip:
please edit your contact information if necessary
Demographics
1) Number of people living in your household:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
2) Number of children:
Age 10 or under
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Ages 11 - 18
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
3) How many people lived in your household two years ago:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
4) Number of people at home weekdays:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
5) When was your home built?
After 2000
1980-1999
1960-1979
1940-1959
Before 1940
6) How many bathrooms are in your home?
Full
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Half
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
7) Have you remodeled any bathrooms since 1992?
Yes
No
8) If yes, how many bathrooms have you remodeled?
Full
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Half
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Indoor Uses
9) Do you drink bottled water at home?
Yes
No
10) Do you have a home water filtration system?
Yes
No
11) If so, what type?
Counter-top (Brita or similar)
Faucet
Under-counter
12) Do you have a dishwasher?
Yes
No
13) If yes, how many dishwasher loads are done per week?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
14) Do you have a clothes washer?
Yes
No
15) Type of clothes washer:
Top Load
Front Load
Other / don't
know
16) How many clothes washer loads per week?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
17) How many showers do you have in your home?
0
1
2
3 or more
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
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Yes
No
I dont know
Shower 2
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Yes
No
I dont know
Shower 3
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Yes
No
I dont know
19) Indicate the average time spent in the shower:
5 minutes or less
5 to 10 minutes
more than 10 min
20) Number of baths taken each week:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
21) Do any of your bathtubs have a Jacuzzi or whirlpool?:
Yes
No
I dont know
22) How many toilets do you have in your home?
0
1
2
3 or more
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
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Yes
No
I dont know
Toilet 2
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Yes
No
I dont know
Toilet 3
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Yes
No
I dont know
24) Do you have a garbage disposal?:
Yes
No
25) Does your kitchen faucet have an aerator?:
Yes
No
I don't know
Outdoor Uses
26) Do you water your lawn?:
Yes
No
27) Do you water it on a schedule or when it needs it
Schedule
When it needs it
28) How often do you water?
Daily
Every other day
Every 3-7 days
Less frequently
29) Do you have an automatic sprinkler system?
Yes
No
30) When installed:
under 1 year
1-5 years ago
Over 5 years ago
31) Number of zones:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
32) How long do you water per zone?
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
minutes
33) How big is your property?
under 1/4 acre
1/4 - 1/2 acre
1/2 - 1 acre
Over 1 acre
34) Does your irrigation contractor set the watering schedule for your automatic sprinkler system or do you set it yourself?
Contractor
Self
35) Do you water a flower or vegetable garden?:
Yes
No
36) If yes, please estimate the size of your garden:
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
130
135
140
145
150
155
160
165
170
175
180
185
190
195
200
205
210
215
220
225
230
235
240
245
250
feet
X
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
130
135
140
145
150
155
160
165
170
175
180
185
190
195
200
205
210
215
220
225
230
235
240
245
250
feet
=
square feet
37) Do you have a swimming pool?:
Yes
No
38) If yes, please estimate the size of your pool:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
feet
X
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
feet
=
square feet
- OR -
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
feet
(diameter for round pool)
39) Do you cover your pool when not in use?:
Yes
No
40) Do you drain the pool in the fall and refill it in the spring?
Yes, completely
Yes, partially
No
41) Do you have a hot tub or spa?:
Yes
No
42) If yes, please estimate the size of your hot tub:
gallons - OR -
0
1
2
3
4
5
6
7
8
9
10
11
12
number of people
43) Do you cover your hot tub when not in use?:
Yes
No
44) Do you have a fountain, pond or other outdoor water feature?:
Yes
No
45) If yes, please estimate the size of your feature:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
feet
X
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
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
Do you have any other comments or information which may help us more accurately analyze your water usage?:
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