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Well Water Checklist

Complete this form to help us design your custom filtration system

Customer Information

Important Note

A suitable well test is required before review.

Recommended test: Essential Well Water Test (mytapscore.com)

Send results to: BestH2oWorldwide@gmail.com

General Information

Toilet Tank & Bowl Inspection

Black, rust, or sand in tank
Furry/stringy red growth
Furry/stringy gray/black growth
Frothy water (bubbles)
Brown/orange stains
Tea-colored water
Black stains
Blue stains
Pink stains

Odor Assessment

Does the water have an odor?
Cold water only?
Hot water only?
Both hot & cold?
Limited to specific outlets?

Type of Odor

Rotten Egg / Sulfur
Musty

Scaling & Staining

White buildup on faucets
Removable with vinegar
Blue stains present

Plumbing & Installation

Pictures attached
Outlet near install location

Taste Issues

Any taste issues
Metallic
Bitter

Customer Concerns

Existing Water Treatment

Current equipment (select all that apply)

We'll review your information and get back to you within 24 hours.