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We need your help finding the best ways to provide safe drinking water to you and your neighbors.

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* 1. What community is nearest to where you live?

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* 2. What is your zip code?

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* 3. Do you obtain your drinking water from a public water system or private well?

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* 4. How concerned are you with the safety of your well water?

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* 5. How familiar are you with potential contaminants in your drinking water?

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* 6. How concerned are you about your well going dry?

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* 7. Nitrate is a chemical generally associated with septic systems, confined animal feeding operations, fertilizer use, or industrial/manufacturing facilities. You cannot see, smell, or taste nitrates. Boiling water does not remove nitrates. If offered the opportunity to have your well tested for nitrates at no cost to you, would you participate in that program?

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* 8. Have you previously had your well tested for contaminants?

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* 9. A water fill station is a vending machine or kiosk that dispenses drinking water at no cost to the user. A water system meeting state and federal drinking water standards provides the water for the fill station. Those who use the vending machine provide their own containers ranging from sports bottles up to 5-gallon containers. Would you be willing to visit a fill station to obtain safe drinking water.

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* 10. How far are you willing to travel to a fill station for safe drinking water?

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* 11. Assume a fill station is within 10 miles of your home. If you are unable to access the fill station, what would be the primary reason?

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* 12. Bottled-water deliveries will be made to participating nitrate-impacted residences at no cost by a third party bottled-water provider, this cost will be covered by the Kings Water Alliance and their partners. Residents may be required to meet certain criteria in order to receive bottled-water deliveries. Would you be willing to have bottled water deliveries for safe drinking water?

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* 13. A Point of Use Treatment System includes installation of a treatment unit under the sink where water is provided in the household for drinking or cooking (i.e. under the kitchen sink). A Point of Use System requires periodic maintenance (i.e. filter cartridge replacement) by a qualified water treatment vendor. A third-party qualified water treatment provider will work directly with the household for installation and maintenance. The Point of Use System and maintenance would be available at no cost to the household, this cost will be covered by the Kings Water Alliance and their partners. Would you be willing to have a Point of Use Treatment System installed for safe drinking water?

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* 14. When you consider the three possible drinking water solutions (described previously) for your household, how would you prioritize the options? Please prioritize all three solutions below from 1 to 3 with #1 being your preferred option and #3 least preferred.

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* 15. Where do you usually hear about meetings and events in your community?

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* 16. What two social media platforms do you spend the most time on (select two)?

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* 17. What is your preferred method of community outreach?

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* 18. What time do you prefer for community outreach events?

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