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* 1. 1.     Do you feel Tottenham’s drinking water is safe?

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* 2. 1.     Have you experienced the following colours of drinking water from your tap?

  Yes No
Clear
Yellow
Orange
Brown

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* 3. 3.     Do you smell chlorine in your tap water?

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* 4. Are there other smells to your water? If yes please describe

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* 5.
Have you experienced residue of any kind while using the water in your home?
For example silt, sand, slime or any texture within the water when you use it for washing, showering, cooking etc.


  Always Sometimes No Don't know
Water contains visible silt, sand or sediment while filling sinks, tubs, containers, etc
Sandy residue after draining water from sinks or tubs
Silt residue leftover when draining water from sinks or tubs 
Water appears foggy or cloudy (may be in addition to discolouration of water)
Slime that cannot be attributed to soaps, household cleaners etc.

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* 6. 1.     Do you/members of your household, drink Tottenham unfiltered tap water?

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* 7. 1.     Do you filter your drinking water?

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* 8. 1.     If you answered yes or sometimes to the above question, do you filter your water with:

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* 9. 1.     Do you drink bottled water instead of tap water?

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* 10. 1.     Do your children drink unfiltered tap water at home?

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* 11. 1.     Do you filter drinking water for your children?

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* 12. 1.     If you answered yes or sometimes to the question above, do you filter it with:

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* 13. 1.     Do you give bottled water to your children instead of tap water?

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* 14. 1.     There are no filters in Tottenham’s schools and Community Centre water fountains.  Do your children drink from these fountains in Tottenham?

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* 15. 1.     Do you use tap water to cook with?

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* 16. 1.     Do you use filtered water for cooking?

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* 17. 1.     Do your pets drink tap water?

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* 18. 1.     Do your pets drink filtered water?

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* 19. 1.     Trihalomethanes are absorbed through your skin, vapours as well as by drinking.  Do you limit the length of time you take to bathe or shower because of concerns about the water quality?

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* 20. 1.     Because of the high levels of Iron, Trihalomethane and Chlorine in Tottenham’s Municipal drinking water system, do you believe any of the following household appliances have had negative impacts from the quality of tap water?

  Yes No Not Sure Not applicable
Kettle
Dishwasher
Washing machine
Humidifier
Hot Water Tank
Ice/water dispenser in refrigerator

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* 21. Have you noticed any discolouration in your laundry due to high iron content in the water?

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* 22. 1.     Have you experienced unsightly staining of household fixtures and commodities (shower/bathtub, commode basin/tank, dishwasher, tiles/grout, pool liner etc.) due to high iron content in the water?

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* 23. 1.     Have you considered moving due to the water quality in Tottenham?

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* 24. 1.     Do you purchase filtered water, water filtration, or bottled water to drink?

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* 25. 1.     If you purchased a water filtration system for your home, how much did you pay in total?  (A water softener is NOT a water filtration system)

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* 26. 1.     Do you purchase filtered water for your pets to drink?

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* 27. 1.     Do you purchase filtered water for cooking?

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* 28. 1.     Do you buy filtered water for humidifiers?

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* 29. 1.     How much do you estimate you spend per month on purchased filtered water?

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* 30. 1.     Do you purchase water jugs that use filters (like Brita)?

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* 31. 1.     Did you purchase filters for household faucets?

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* 32. 1.     How many single use bottles of water does your household average in one month?

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* 33. 1.     Have sales representatives from water filtration companies approached your home to ask you to purchase a filtration system due to Tottenham’s water quality?

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* 34. 1.     Have you  purchased a water filtration system for your home?

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* 35. 1.     Are you considering purchasing a water filtration system for your home?

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* 36. 1.     The Town of Tecumseth manages our drinking water. Do you think the Town of New Tecumseth should offer a rebate for water purification systems installed in Tottenham’s homes, businesses and schools?

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* 37. 1.     Did the Town of New Tecumseth or any government agency provide recommendations to you for in-home water filtration systems?

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* 38. 1.     Did the Town of New Tecumseth or any government agency advise you NOT to purchase, install or use in-home water filtration devices or systems?

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* 39. Trihalomethanes are carcinogens that are created when chlorine is added to water containing organic matter.  The more organic matter, the more chlorine that is added to kill things like E.coli and to keep drinking water “safe”.  The Ontario Safe Drinking Water Act of 2002 has a maximum acceptable guideline for Trihalomethanes in drinking water and that is 100 ug/L (parts per billion).  Tottenham’s Trihalomethane yearly average has exceeded this maximum acceptable guideline for the past 11 out of 16 years.  And the five years it was below 100 ug/L, it was never below 80 ug/L.  Alliston’s Trihalomethane levels average in the mid 30’s.  Trihalomethanes are believed to be linked to thyroid, liver, kidney, breast, bladder and colon cancer/disease as well as miscarriage, stillbirth and other health issues.

Did you know that Tottenham’s water contains a chemical compound called Trihalomethanes (THMs)?

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* 40. 1.     Did you know that Trihalomethanes (THMs) are a known carcinogen that may cause a wide range of health risks?

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* 41. 1.     Did you know that Tottenham’s water quality has been above the maximum allowable guideline for Trihalomethanes in Ontario for many years?

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* 42. 1.     Did you know that high levels of iron in drinking water allow iron bacteria to thrive in water pipes?  This bacteria creates a biofilm that protects viruses (such as legionella and pneumonia)  from chlorine.  These viruses and bacteria are loosened during flushing and swabbing Tottenham’s pipelines and then pushed into our homes during the process.

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* 43. 1.     Did you know that when drinking water contains bacteria and viruses it may facilitate infection and further compromise the health of certain at risk individuals with underlying conditions?

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* 44. 1.     Have you or your family experienced any health issues you feel may be related to the water quality issues in Tottenham?

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* 45. There may be links between high levels of Iron, Chlorine and Trihalomethanes in drinking water and certain health issues. The levels of Iron, Chlorine and Trihalomethanes may cause or exacerbate these health issues. Have you or your family been diagnosed with any of the following health issues while living in Tottenham. Check all that apply

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* 46. 8.     Are you aware that some veterinarians in the area have suggested your pets drink only bottled or filtered water, until Tottenham’s water quality issues are resolved? 

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* 47. 1.     Have any of your pets been diagnosed with any of the following health issues that you feel may be related to the water quality issues in Tottenham?  Check all that apply.

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* 48. 1.     Do you feel stress or anxiety because of Tottenham’s water quality issues?

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* 49. 1.     Do you have any concerns about the impact of water quality in Tottenham on your life and the lives of those in your household?

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* 50. Please rate how accountable you feel each of the following should be for for ensuring Tottenham's water is safe? 
Rank from 1 (high) to 5 (low)

  1 2 3 4 5
Mayor of New Tecumseth
New Tecumseth Councillors
Simcoe Muskoka District Health Unit
MPP Jim Wilson
Minister of Environment, Conservation and PArks
Minister of Health
MP Kellie Leitch

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* 51. 2. Do you feel that the Town of New Tecumseth has adequately addressed the high Trihalomethane (THM) levels in Tottenham's drinking water?

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* 52. 1.     Have you raised your concerns about water quality with the Mayor / your councillor, Public Works or Water Department?

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* 53. 1.     How satisfied are you with how the Mayor and Council have informed you about Tottenham’s water quality issues?

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* 54. 1.     The town claims that a pipeline from Beeton to Tottenham will be completed by 2022.  At that time, Collingwood water, mixed with Alliston well water will be sent to Tottenham to be mixed with our well water.

Do you feel the proposed pipeline to be completed in 2022 will resolve Tottenham’s water quality issues?

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* 55. 1.     The town is installing an Aeration System as part of our drinking water process. 
Do you feel installing the proposed aeration system will reduce Trihalomethane levels in  Tottenham’s drinking water?

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* 56. 1.     The town claims the Aeration System will be installed by the end of September 2019. 
Are you satisfied with the timeline for installing an aeration system?

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* 57. Are there any other comments you would like to share with us?

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* 58. We have a few questions to provide a profile of the people who complete this survey. All of these questions are optional.

How many years have you lived in Tottenham?

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* 59. Household composition

  0 1 2 3 4+
# of adults in household
# of children in household

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* 60. Household Income

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* 61. What is the age of person who completed this survey?

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* 62. What is the gender of the person who completed this survey?

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* 63. What is your postal code?

0 of 63 answered
 

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