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1. Do you have a lawn or garden that you water regularly?
 
Yes
 
No
 
 
2. How do you water your lawn or garden?
 
 
Underground system
 
End of hose sprinkler

 
 
3. 
Are you the member of the household responsible for reviewing and paying the water bills?
 
Yes
 
No
 
 
4. What was the dollar amount of your last water bill?
 
 
Amount ____________
 
Don't know
 
 
5. Thinking of your last month's water usage, how many gallons of water did your household use?
 
 
0 - 5000 gallons
 
5001 - 10,000 gallons
 
10, 001 - 20,000 gallons
 
20,001 - 30,000
 
30,001 or more gallons
 
 
6. Are the number of gallons used in the last month:
 
 
Higher than normal
 
Lower than normal
 
About average

 
 
 
7. Is your home
 
a single family home
 
a two family home
 
a mobile home
 
other
 
 
8. What is your age?
 
 
25 or younger
 
26-40
 
41- 55
 
56 or older

 
 
9. Are you
 
 
Male
 
Female

 
 
10. Are you (check all that apply)
 
 
married
 
divorced
 
widowed
 
separated
 
single

 
 
11. Highest level of education completed
 
 
High school graduate or less
 
Some college
 
College Graduate
 
Upper Level College Graduate

 
 
12. Indicate total household income
 
 
under $25,000
 
$25,000 - $44, 999
 
$45,000 - $64,999
 
$65,000 - $84,999
 
Over $85,000

 
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