Water Quiz

Name (nickname okay) *

Email *

Age range *

Are you more of a: *

Please check all that apply: *

Do you think there is a water problem on our planet?

IF you treat your water, do you treat for: *

How do you get your drinking water? *

Do you drink soda pop? *

Do you believe water has an intelligence? *

Have you ever had your water tested? *

Do you recycle? *

Please check all you have heard of:

May we share your information (name withheld) with others?

Would you like to be kept 'up to date' on our water research?

Is there anything you would like to share with us (testimonials, suggestions, etc...)

Name

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Disclaimer

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