Drinking Water Experience Survey

Eastcoast Research is seeking North and South Carolina Coastal Residents to participate in a 60-min online interview to discuss drinking water. The interviews will begin the week of June 22nd.

Individuals who participate will receive $100.00 for their time and opinions.

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* 1. Please enter the following information so we may contact you if you qualify.

Name:

Phone Number:

Email:

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* 2. What state do you live in?

North Carolina

South Carolina

Other (please specify)

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* 3. What county do you live in?

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* 4. Do you rent or own your home?

Yes

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* 5. What is the source of the drinking water in your home?

Public water system

Private groundwater well

I am not sure

Other (please specify)

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* 6. Do you have reliable internet access at home or work?

Yes

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* 7. How would you describe your ability to navigate the internet?

Beginner

Just getting up to speed

Pretty good (I get around but I still have more to learn)

I feel very comfortable online

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* 8. Do you have the ability to video chat on a tablet, laptop or computer?

Yes