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Home Plumbing Questionnaire

  1. CITY OF CASSELBERRY

  2. HOME PLUMBING QUESTIONNAIRE

  3. Please answer all questions to the best of your ability.

  4. Year Home Built:*

  5. Do you have copper piping?*

    Look underneath sink or behind toilet for exposed copper plumbing.

  6. Has your house been re-plumbed? *

    *If your plumbing runs through attic, your home has been re-plumbed.

  7. Type "unsure" if the year is unknown.

  8. Is a whole-house softening system installed?*

  9. Is a whole-house filtration system installed?*

  10. Would you like to participate in the City's Lead and Copper Sampling Program?*

    Participants will receive a $10 water bill credit. All survey respondents will be entered into a raffle to receive a $50 water bill credit!

  11. Thank you for your time!

  12. Leave This Blank:

  13. This field is not part of the form submission.