Complete to Claim Your Free De-Chlorinating Shower Head!

This questionnaire will take 90 seconds or less to complete

Once this quiz is completed, qualified respondents will be contacted to receive a limited number of shower heads. By submitting the quiz, your name will be entered, and you may be selected. Remember, there is no purchase necessary, those selected will be contacted by phone. Let's get started!

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* 1. Please enter your name

Name

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* 2. Please enter your phone number

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* 3. Please enter your address

Street address

City

Province

Country

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* 4. Do you own or rent your property?

Own

Rent

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* 5. Which type of water does your home use?

City

Well

Other

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* 6. Have you noticed any issues with your water? (Select all)

Unpleasant Taste

Unpleasant Odor

Hard Water

Scale Build-up

Stains

Dry Skin

Eczema

None of the above

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* 7. Do you buy bottled water for your home?

Yes - Cooler Jugs

Yes - 1 to 4 Cases of Bottled Water Per Month

Yes - 5+ Cases of Bottled Water Per Month

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* 8. Do you currently use any Water Filtration Products in your home? (select all)

Yes - Brita Jug

Yes - Fridge Door

Yes - Water Softener

Yes - Conditioner

Yes - Reverse Osmosis / Drinking Station

Yes - UV Light Filter

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* 9. If any, which of the following water purification solutions are you interested in learning more about? Select all that apply

Whole Home Filtration Systems

Under Sink Water Filters

Countertop Water Filters

Water Softeners

Not Interested

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100% of survey complete.