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BOOK SURVEY
WATER SURVEY
HOW IS YOUR WATER? TAKE THE TEST TODAY.
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?
Yes
No
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?
Yes
No
How do you rate the quality of your water?
Good
Fair
Poor
Your name:
Tel no:
House Number:
Postcode:
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