Public Water Dispenser Survey
Please share your experience and feedback about public water dispensers to help us improve their quality and accessibility.
How often do you use public water dispensers?
*
Daily
Several times a week
Once a week
Rarely
This is my first time
Overall, how satisfied are you with the public water dispenser(s) you used?
*
1
2
3
4
5
Please rate the following aspects of the water dispenser you used:
*
Rows
Excellent
Good
Average
Poor
Water quality
1
2
3
4
Cleanliness of dispenser
5
6
7
8
Ease of use
9
10
11
12
Location convenience
13
14
15
16
Did you encounter any issues with the dispenser?
*
No issues
Dispenser not working
Poor water taste or smell
Dirty or unclean dispenser
Difficulty using the dispenser
Other (please specify)
How important are public water dispensers to you?
*
Not important
1
2
3
4
Very important
5
1 is Not important, 5 is Very important
How likely are you to recommend using public water dispensers to others?
*
Not likely
1
2
3
4
Very likely
5
1 is Not likely, 5 is Very likely
What suggestions do you have for improving public water dispensers?
Which age group do you belong to?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
In which area or neighborhood did you use the public water dispenser?
*
Would you like to be contacted for follow-up or further feedback? If yes, please provide your email address.
example@example.com
Submit Survey
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