$100 Gift Card 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. Why do you buy bottled water? If you don't, why not? Question Title * 9. Do you own a water treatment system? Yes No Question Title * 10. Are you concerned about water quality? Yes No Question Title * 11. Number of persons in household: Question Title * 12. Are you a... Homeowner Renter Question Title * 13. What do you dislike most about your water? Question Title * 14. What is your first and last name? Question Title * 15. What is your phone number? Question Title * 16. What is your email address? Question Title * 17. How did you hear about this giveaway? In office Social media Google Ads Website Other (please specify) Question Title * 18. Do we have permission to contact you? Yes - Enter me to win the gift card drawing and contact me. No - Don't enter me to win and do not contact me. Done
