What aspect of your tap water concerns you the most?
Taste Odor Color Chlorine content Presence of impurities
How often do you notice issues with your tap water?
Every time I use it Frequently Occasionally Rarely Never
Have you experienced any health concerns due to tap water?
Yes No
How satisfied are you with your current water quality?
Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied
What improvements would you like to see in your tap water?
Better taste Reduced odor Clearer color Lower chlorine levels Purified from impurities
All set, how can we reach you?
Name
Email
Phone
(Details here)
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