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QuickChoice Survey
While we recommend that you test for all contaminants, we recognize that your budget may not allow for such a thorough approach. To help you choose the right tests for you, please take a moment to answer our survey.

What is your water source?
Well/Spring
Lake
Is your well located within 1 mile of any of the following?
Gas station
Farm/Livestock yard/Silo/Orchard
Cemetery
Landfill/Incinerator
Mining operation
Oil Wells/Petroleum Refinery
Military base/Artillery Range
Dry cleaners
Railroad yard
Paper mill
Golf course
Pesticide/Herbicide plant
Industrial park/Factory, Chemical Plant/Steel Plant/Metal Refinery/Plastic Factory
Nuclear Plant/Industry
Coal Burning Plant
Lumber yard
Is your home located within 250 feet of any of the following?
Septic tank
Septic leach fields
Petroleum tanks
Liquid-Tight manure storage
Pesticide and fertilizer storage and handling
Manure stacks
River/Pond/Lake/Marshland
Has your home been treated for termites?
Yes
No
Unknown
What type of plumbing do you have?
PVC
Copper
Iron
Unknown
Is the age of your well greater than 30 years?
Yes
No
Unknown
Does your water exhibit any of the following?
Bitter metallic taste
Slippery feel, soda taste
Rusty color, sediment, reddish or orange staining
Salty taste
Blue green staining
Black to brown color or staining
Corrosion
Colored water
Chemical smell
Hard water
Staining
Deposits
Do you use or have any of the following around your home?
Pesticides
Herbicides
Treated Wood
Fungicides
 
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