Home Water Quality Survey

Personal Information

What is your main source of drinking water?

1. • Straight from the tap
2. • Filtered tap water
3. • About 50:50 tap water and bottled water
4. • Bottled/imported water

Which sex are you?

What is your age?

1. • Under 18
2. • 18-35
3. • 35-55
4. • Over 55

Personal Habits

Do you have a grass lawn?

If you either hire someone to mow or you mow your own grass, how are the grass clippings disposed?

1. • They are left in the yard
2. • They are collected and thrown in the garbage
3. • They are collected and moved into a storm drain or ditch
4. • They are turned into mulch or compost
5. • My lawn is not mowed
6. • Other

Please specify the method for the disposal of grass clippings

Do you fertilize your lawn at anytime during the year?

How often do you fertilize your lawn?

1. • More than once a month
2. • Monthly
3. • 2-3 times per year
4. • Once a year

During which months do you normally fertilize you lawn?

1. • January
2. • February
3. • March
4. • April
5. • May
6. • June
7. • July
8. • August
9. • September
10. • October
11. • November
12. • December

Does your fertilizer contain phosphorus?

Where do you wash your personal vehicle(s)?

1. • At home
2. • At a commercial carwash
3. • Sometimes at home and sometimes at a commercial carwash
4. • I don't own a vehicle or I don't wash my vehicle

When you wash your car at home, where does the soapy water flow?

1. • Into the lawn or dirt
2. • Into the street or driveway
3. • Directly into a drain

Do you walk your pet?

Personal Opinion

How would you rate the taste of the tap water?

1. • Excellent
2. • Good
3. • Fair
4. • Poor
5. • Never drank it

How would you rate the quality of our local waterways (rivers, lakes, and bays)?

1. • Excellent
2. • Good
3. • Fair
4. • Poor
5. • Unacceptable

Which of the following water quality issues do you think impact our local waters the most?

1. • Urban Stormwater Runoff
2. • Nutrient Eutrophication
3. • Invasive Species
4. • Heavy Metal Contamination (i.e. mercury, lead etc.)
5. • Inadequate Wastewater Treatment Technology
6. • Inadequate Wastewater Treatment Infrastructure
7. • Acidification
8. • Habitat or Hydrological Alterations

How much would you be willing to pay per year to clean up the local waters?

1. • $0
2. • $25
3. • $50
4. • $75
5. • $100 or more