Answer a few simple questions to receive a free personalized water analysis. 

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Where does your water come from? *

• Municipal Water
• Private Well
• Spring or Stream
• Other

Are there light-colored stains or deposits on you sinks, toilets, fixtures, or appliances? *

• Yes
• No
• Not sure

Are there rust-colored or brownish stains on your sinks, toilets, fixtures, or appliances? *

• Yes
• No
• Not sure

Does the water have an odor similar to rotten eggs? *

• Yes
• No
• Not sure

Is there sand, sediment, or particles in your water? *

• Yes
• No
• Not sure

Do you have low or fluctuating water pressure? *

• Yes
• No
• Not sure

If this is for a residence, how many bathrooms are there? *

• 1-2
• 3 or more
• Not a residence

How many people reside there? *

• 1-2
• 3-4
• More than 4
• Not a residence

sinks, on particles

Do you think your water may be contaminated or hazardous to your health? *

• Yes
• No
• Not sure

Have you tested your water or had it tested by a laboratory? *

• Yes
• No
• Not sure

Are you interested in treating all of the water or just the drinking water? *

• All of it
• Just the drinking water

What is your biggest worry or concern? *

Name *

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Last

Email *

Phone Number *

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