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How many glasses of water do you drink a day?*

Is the water filtered? Yes No

What type of filter do you use?

Do you drink tap water at room temperature or chilled? Room temperature Chilled

How many people in your household?

Do you fill water bottles from home to take out with you (ie to work , or sport, on a walk)? Yes No

Do you drink bottled water?* Yes No

How many bottles a day (600ml bottle)?

Do you refill the bottles with tap water? Yes No

Do you drink soft drinks? * Yes No

How many per day (on average)?

First Name

Last Name

Telephone(include area codes)

Email*

Your Postcode*

Would you like us to email you newsletters and information on the importance of hydration and health? Yes No

Would you consider taking part in a more in-depth water survey? Yes No

* Required. Please provide information for all marked fields.
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