WATER SURVEY HOW IS YOUR WATER? TAKE THE TEST TODAY.

Complete our survey and a representative will get in touch with you to see if we can help you.

Please leave blank:

Do you notice any of the following with your tap water?

Tastes

Odours

Cloudiness

Discolouration

Limescale

Do you experiences any skin conditions that may be aggravated by hard water?

Eczema

Psoriasis

Other

Do you treat your water in anyway at home?

Jug Filter

Fridge Filter

Salt Softener

Other

Do you have any environmental concerns about your tap water?

If so, please select any that are applicable:

Chemicals

Microplastics

Medicines/hormones

Other

How many litres of bottled water do you buy per week?

How many adults live at the property?

How many children live at the property?

Are you aware that hard water affects your energy costs?

How do you rate the quality of your water?

Your name:

Tel no:

House Number:

Postcode:

Passionate about Purity

The Pure Water People Ltd, Unit 1, 38 Midland Road, Staple Hill, Bristol, BS16 4NW | VAT No: 179 9712 45 | 0117 9109988 | [email protected]

'Authorised and regulated by the Financial Conduct Authority'

The Pure Water People Ltd, Unit 1, 38 Midland Road, Staple Hill, Bristol, BS16 4NW | VAT No: 179 9712 45 | 0117 9109988 | [email protected]

Website design Bristol — by it’seeze

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