Lake Water Quality Survey Form
Please complete this survey to help monitor and assess the quality of lake water. Your input supports environmental protection efforts.
Surveyor Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Sampling Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Lake Name or Identification
*
Sampling Location (GPS coordinates or description)
*
Weather Conditions at Time of Sampling
*
Please Select
Sunny
Cloudy
Rainy
Windy
Snowy
Other
Physical and Chemical Parameters (if measured)
Rows
Measured Value
Unit
Temperature
°C
pH
NTU
mg/L
Other
pH
°C
pH
NTU
mg/L
Other
Turbidity
°C
pH
NTU
mg/L
Other
Dissolved Oxygen
°C
pH
NTU
mg/L
Other
Other
°C
pH
NTU
mg/L
Other
Water Appearance
*
Clear
Cloudy
Green (algae)
Brown (sediment)
Surface scum/foam
Other
Odor of Water
No odor
Earthy
Fishy
Chemical
Other
Visible Signs of Pollution (select all that apply)
*
Litter (plastic, cans, etc.)
Oil sheen
Dead fish or animals
Unusual plant growth
No visible pollution
Other
Possible Sources of Pollution Nearby
Agricultural runoff
Industrial discharge
Residential area
Stormwater drain
Recreational activities (boating, fishing, etc.)
No obvious source
Other
Please rate the overall water quality observed today
*
1
2
3
4
5
Additional Comments or Observations
Submit Survey
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