Water Service Survey

Town of Ladoga Water Service Survey

The town is applying for a grant from the Indiana Office of Community and Rural Affairs (IOCRA) to make improvements to the town's water utility. We are asking for your help to fill out this survey. Also if you've had problems with your water line, water quality or other projects, please write a letter describing the issues, and any expenses you've paid out of pocket and deliver to town hall. Thank you for your feedback. Contact town for assistance.

1.Please select the problems you have had with your water service over the last 3-5 years. Please limit your response to last 3-5 years.

____ Water service leak, or break

____ Smelly water, bad tasting water or discolored water or similar

____ Missed or estimated water bill

____ Lack of water, or water not available not due to line break

____ Low water pressure, or low water volume

____ Excessive water bill amount over normal monthly average

2.Over the last 3-5 years how much have you spent to resolve any water service line issues?

_____ $0-$100

____ $100-$500

____ More than $500

3.Do you have bills, pictures or other information about water service problems? If so would you share the information with the town?

____ Yes I have pictures and will share information

____ I will not share or do not have information related to water problems.

4.How often have you had problems or issues with water service over last 3-5 years?

____ No problems

____ 1 problem

____ 2 problems

____ 3 problems

____4 Problems

____ 5 or more problems

5.Please make any comments you have about the water service in Ladoga. Please include information about the negative impact water service has had, if any?

6.Are you aware of the type of pipe your water service is made from?

____ Copper

____ Plastic

____ Galvanized Metal

____ Lead Pipe or connectors

____ Other material

7.What year was your service installed? Approximate year is fine.

8.Do you support the town seeking grant funding to make water utility improvements?

______ Yes

______ No

______ No Opinion

9.Do you buy bottled water for your home drinking water use, or have a water service bring large water containers? If so how often?

____ Yes, Daily

____ Yes, Occasionally

____ No

10.Does anyone on your household have health related issues that have been affected by Ladoga's water?

Yes

See how easy it is to create surveys and forms..

Privacy & Cookie Notice