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1. I live in:

2. My primary drinking water source (in the home) is a:

3. The arsenic movie "In Small Doses: Arsenic" helped me understand why arsenic in well water is dangerous to human health.

4. As a result of watching this movie I will get my well tested.

5. I visited the recommended site for my state to find more information on well testing.

6. I visited one or more of the informational sites.

7. The video was the right length.

8. I was able to navigate through the movie (Play, Pause, Stop) easily.

9. I accessed the movie by:

10. Is there any other feedback you would like to provide about this film?

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