Thank you for your willingness to participate in our survey regarding water usage. The following survey is voluntary, but will help us assess the needs of our Cross Connection Control Program.

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* 1. On your property, do you have any of the following? Select all that apply.

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* 2. If you checked Home-based Business, please describe the type (e.g., machine shop, beauty salon, etc.).

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* 3. What year was your home built?

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* 4. Have there been any major remodels to your home’s plumbing system?

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* 5. Do you feel that you understand the risks associated with drinking water and cross-connections?

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* 6. Please rate your confidence in safe drinking water provided by the City of Oak Harbor Water Division.

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* 7. Please rate the importance you would like the City of Oak Harbor Water Division to place on backflow prevention for the public water system from Commercial Businesses.

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