all - very few exceptions (6)
most (3)
some (1)
few/none (-1)
B. Water source and supply is: Check as many as apply
local and plentiful/renewable (4)
catchment (1)
well (1)
springs or other waterways (1)
piped from great distance or imported (bottled, tanked in, etc.) (1)
extremely inconvenient (excessively expensive, distant, scarce/rationed) (-1)
from a non-renewable source, or, withdrawal is greater than renewal (-2)
C. Water is: Check as many as apply
naturally clean - not treated, filtering not required (5)
filtered to remove minor natural impurities (3)
treated with environmental & health friendly additives to balance ph or mineral imbalances (2)
chemically treated with chlorine, bromine, iodine or fluorine (0)
treated with the above chemicals, then filtered/purified (1)
D. Water storage methods are:
clean and healthy (5)
unsanitary, posing contamination and health risks (-5)
E. The extent to which the following water conservation methods are used by the community:
Irrigation methods that conserve water
often (6)
sometimes (3)
rarely (1)
never (-1)
Greywater reuse
often (6)
sometimes (3)
rarely (1)
never (-1)
Minimizing household use
often (6)
sometimes (3)
rarely (1)
never (-1)
Devices reducing the amount of water used (faucet aerators, low flow shower heads, etc.)
often (6)
sometimes (3)
rarely (1)
never (-1)
Xeriscaping (landscaping with drought tolerant native plants requiring minimal maintenance)
often (6)
sometimes (3)
rarely (1)
never (-1)
Use of natural/non-toxic products (cleaning, gardening, household products, etc.)
often (6)
sometimes (3)
rarely (1)
never (-1)
Care and maintenance of plumbing to prevent/repair leaks
often (6)
sometimes (3)
rarely (1)
never (-1)
Other (1 point for each) Specify: _____________________________________________
Add up the numbers in parentheses behind each item above that you checked.
5. Water - sources, quality & use patterns Total:_____
50+Indicates excellent progress toward sustainability 25-49Indicates a good start toward sustainability 0-24Indicates actions are needed to undertake sustainability
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