Residential Water-Use Survey
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1 Residential Water-Use Project Residential Water-Use Survey
2 Residential Water-Use Project Survey 1 Residential Water-Use Survey To help better assess current water needs and plan for the future, please answer each of the following questions. This information is being collected for research purposes by the U.S. Geological Survey. Results of this survey will be reported only in anonymous summary form. Thank you for taking time to help us compile this important information. PLEASE CHECK ( ) OR PROVIDE YOUR MOST APPROPRIATE RESPONSE FOR EACH AND EVERY QUESTION. When you have answered all of the questions, please return to your teacher no later than May 1, Street Address Town School Grade Teacher Lot size acres Source of water Town water supply Housing Development supply Own Private wells Disposal of wastewater Town sewer Housing Development septic system House septic system Name of town water supplier or housing development Number of private wells at this address If you have town or development-supplied water, who pays for your water? Family Landlord Is your water use metered? One meter for indoor and outdoor water use One meter for indoor use and a second meter for outdoor use Number of people living in your household Over 19 years of age From 4 to 12 years From 13 to 18 years Less than 4 years What type of residence do you live in? Single family house (1-4 Single family house with shared bedrooms) walls between units (townhouse or Single family house (5+ townhouse-style condominium) bedrooms) Two-family house Mobile home Apartment or apartment-style condominium
3 Residential Water-Use Project Survey 2 INDOOR USE In your home, how many of the following do you have? Non-low-flow toilets? (6 gallons pre-1980 toilets that take a long time to flush) Low-flow toilets? (3.5 gallons manufactured during 1980 s and 1990 s ) Ultra low-flow toilets? (1.6 gallons) Bathtubs with shower? Bathtubs only? Showers only? Whirlpool bathtubs with jets? Indoor utility/basement/garage sinks? Low-flow faucets or showerheads? How many of the following water-using appliances are used in your home? Garbage disposal Dishwashing machine Top-loading clothes washing machine Front-loading clothes washing machine On average, how many times a week is a load of dishes hand washed in your home? ne More than 14
4 Residential Water-Use Project Survey 3 WATER-USE HABITS Do you limit how much water you use for any of these reasons? (Please check all that apply) t sure well has enough water t sure septic system can handle all wastewater Keep electrical bill down Want to conserve water to protect the resource Keep water bill down Other (Please specify) Have you done any of these actions to conserve water? (Please check all that apply) Take shorter showers Water outdoors during early morning or evening Installed low-flow plumbing fixture(s) Installed a water efficient irrigation system Reduced landscape area irrigated Other (Please specify) How do you deal with running or leaky toilets and faucets? (Please check all that apply) Never had the problem Fix leaks within one week Repair running toilet immediately Fix leaks eventually Call a plumber immediately Close the door and turn up the TV Try to remember to jiggle toilet handle Other (Please specify) Do you run water continuously for any of these reasons? (Please check all that apply) Until it s cold While using garbage disposal Until it s hot While hand-washing dishes To keep pipes from freezing Other (Please specify) Are you concerned about the quality of your water? (Please check all that apply) Yes, we look at the water quality report sent by Yes, we drink only bottled water our water company Yes, we have had our well water tested Yes, we have our own treatment system during the past year Other (Please specify)
5 Residential Water-Use Project Survey 4 OUTDOOR USE How much of your lot area is watered (irrigated)? ne One quarter Half Three quarters All During a typical summer season, how frequently do you irrigate? Less than once a week Once a week Every other day Daily When do you irrigate? Early morning Late morning Afternoon Evening How do you irrigate? (Please check all that apply) By hand (hose or bucket) In-ground sprinkler Manual sprinkler (one you move around) Other (please specify) How is the sprinkler activated? By hand Automatic timer without soil moisture or rain sensor Automatic timer with soil moisture or rain sensor Do you use any additional sources for irrigation water? (Please check all that apply) Rain barrel Nearby surface water (stream, pond, river, lake) Purchase water How were you affected by last year s drought? problem t enough water to irrigate as much as I wanted to Do you have any of the following pools or gardens? Inside swimming pool Outside above-ground pool Hot tub/whirlpool Outside in-ground pool Greenhouse Couldn t irrigate at all Well(s) went completely dry Fountain Water garden Other? Where do you get the water to fill your pool? Well Delivered by tanker truck Public water supplier Do you wash your sidewalks driveway vehicles? Thank you your participation is appreciated! Please return to your teacher no later than May 1, 2004.
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