Commonwealth-Morningside Catch My Drip Participant Survey

Take the Pledge!

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* 1. Water Conservation Pledge

By completing this survey I agree to participate in Commonwealth-Morningside's Catch My Drip Water Conservation Pilot Program. As a participant I pledge to do the following:

-I pledge to do my best to be WaterSmart.
-I will always turn the water off when I am not using it.
-I will only use the water I need.
-I will learn more about using water wisely.
-I will teach and remind others to do the same.

I understand that as a participant, my water consumption data will be utilized for research purposes.

I accept the Water Conservation Pledge

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* 2. Please list your contact information.

First Name: *

Last Name: *

House Number and Street Name: *

City/Town: *

State: *

ZIP: *

Email Address:

Phone Number:

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* 3. Preferred Method of Contact

E-Mail

Telephone Call

Text Message

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* 4. How did you hear about this program?

From a Neighbor

E-Mail

Flyer/Door Hanger Delivered to Home

Facebook

City Website

Attended Community Meeting

Other (please specify)

33% of survey complete.