Water Trailer Engagement Form

First Name *

Last Name *

Email Address

Phone number *

Street address *

Which town do you live in? *

WatchemWalpeupLalbertNullawilI don't live in any of these towns

Are you aware there is a drinking water trailer in your town for residents and visitors to access drinking water? *

YesNo

Have you ever collected water from the drinking water trailer? *

YesNo

How recently have you collected water from the water trailer?

On average how much water would you use per week?

Do you rely on this water as your only source of drinking water?

YesNo

On a scale of 1 to 10, with 1 being Poor and 10 being Excellent, how would you describe the quality of the water in the water trailer?

Are there any other comments you would like to add?

Do you know if other people collect water from the drinking water trailer?

YesNoDon't know

Would removing the town’s drinking water trailer cause an inconvenience to your household?

YesNo

If ‘Yes’, how would this affect your household?

In your opinion, would removing the town’s drinking water trailer cause an inconvenience to visitors to the township?

YesNoDon't know

If ‘Yes’, how would this affect your community?

If the drinking water trailer remains in town for use by residents and visitors, is the current location of the water trailer suitable?

YesNo

If ‘No’, where is your preferred location and why?

Would you like to be contacted by GWMWater to discuss your town’s water needs?

YesNo

If ‘Yes’,what is the best time of day, during business hours, to call you?

Thank you for your time in completing our survey. Your feedback is greatly appreciated.

We will share results of this review with the community and your local council.

If you would like to discuss any aspect of the water services we provide to your town, please reach out to us by email at info@gwmwater.org.au or call us on 1300 659 961 during business hours.

To report any service difficulties or faults, please call us on 1800 188 586 any time.

August 2025

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