Aquifer Assessment Survey
Please complete this survey to help assess the condition and management of your aquifer. Your input is valuable for sustainable groundwater management.
Respondent Full Name
*
First Name
Last Name
Organization or Affiliation (if any)
Contact Email Address
*
example@example.com
Site Location (Address or Coordinates)
*
Aquifer Type
*
Please Select
Confined
Unconfined
Semi-confined
Karst
Other
Estimated Depth to Water Table (meters)
*
Average Yield of the Aquifer (liters/second)
*
Water Quality Assessment
*
Rows
Excellent
Good
Fair
Poor
Taste
1
2
3
4
Odor
5
6
7
8
Color
9
10
11
12
Turbidity
13
14
15
16
Presence of Contaminants
17
18
19
20
What is the primary use of water from this aquifer?
*
Drinking
Irrigation
Industrial
Livestock
Other
Are you observing any of the following issues? (Select all that apply)
*
Decreasing water levels
Water quality deterioration
Reduced yield
Land subsidence
No issues observed
Other
How would you rate the overall health of the aquifer?
*
1
2
3
4
5
What management or protection measures are currently in place for this aquifer?
Additional comments or observations
Submit Survey
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