Thank you for participating in the Safer Water NTX Surveys.

A valid email address and zip code is required for participation. We want to capture an accurate picture of what is happening with our water for you and your community.

Your responses and information will NOT be sold or used for marketing activities. They are solely for the use of SaferWaterNTX and their mission. (See Overview Below)

Please share the link with your neighbors and tag #saferwaterNTX!

This form includes both the symptom and the water quality survey for non- Google users.

*Login Required. Google users can upload photo and video.*