Introducer:
 

Great Water Forms - Lead Entry

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What is main purpose of wanting a water treatment system?

Best time to be contact:
                             
Please select from one of the following Elite Series Water Filters.
1. In general how do you find the Quality of your tap water?
         
2. Have you noticed in the water any strange?
         
3. Does your employers supply you or your partner with bottled water at work?
You          
Your Partner          
4. Does your household drink bottled water?
         
5. How much does your household drink per week in bottled water?
6. Do you use any of the following water products at home?
         
    If Water Filter, What Type?
         
7. Do you have any children that drink water straight from tap?
    
    If Yes, Age of the child?
A:  B:  C:  D:
8. Do any members of your family suffer from these skin conditions?
         
9. Which one is best describing your situation?
         
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