November Giveaway - Home Water Survey Question Title * 1. Your Source of Water Supply? Public Well Question Title * 2. Is the color of your tap water? Cloudy Rusty Milky Clear Question Title * 3. Do you get a scummy ring in your tub? Yes No Question Title * 4. Do you get mineral deposits on your sinks & faucets? Yes No Question Title * 5. Does your water stain Bathroom Fixtures? Yes No Question Title * 6. Do your dishes look cloudy after going through the dishwasher? Yes No Question Title * 7. Do you buy bottled water? Yes No Question Title * 8. Do you own a water treatment system? Yes No Question Title * 9. Are you concerned about water quality? Yes No Question Title * 10. Number of Persons in household: Question Title * 11. Are you Homeowner Renter Question Title * 12. What do you dislike most about your water? Question Title * 13. What is your first name? Question Title * 14. What is your phone number? Question Title * 15. What is your email address? Question Title * 16. Do we have permission to contact you? Yes - Enter me to win the November Giveaway and Contact me. No - Don't enter me to win and do not Contact me. Done
