The intent of this survey is to help determine how widespread the loss of individual water sources is within San Luis Obispo County. There is no intent to identify anyone answering this survey, we ask for no identifying information. The information gathered is intended to support our request for federal disaster assistance for individuals. Please only one survey response per household or business.

Should you have questions or concerns, please contact the San Luis Obispo County Office of Emergency Services at (805) 781-5011 or email: oes@co.slo.ca.us. Thank you very much for your help!

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* 1. What is the zip code for the area on which you are reporting?

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* 2. Do you rely on a well as your primary water supply?

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* 3. If you have a well on your property or otherwise are well dependent (please mark all that apply):

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* 4. What is the primary use of this well?

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* 5. Please indicate the water issues you are experiencing for the location on which you are reporting. Check all that apply.

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* 6. Have any of the above problems been resolved?

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* 7. If your well was fixed, please note the approximate cost of repairs.

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* 8. What, if any other, drought related issues are you having?

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* 9. How did you hear about this survey?

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* 10. Please provide us any other comments. Thank you!

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