Water QuestionnaireName of Waterbody:*Full Name:*Email Address:* How did you hear about us?*Google SearchReceived EmailReferralTrade ShowOtherPhone Number:*Street Address*Zip:*Shape of WaterbodySurface AcresMaximum DepthAverage DepthQuick Questions:Is the water used for irrigation?YesNoIf so, please describe the amount and frequency:Does the water run through continuously?YesNoWhich months?JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberHold control to select more than one monthDoes water run through when it rains?YesNoHow much? (in gallons/minute)Objectives for Waterbody Improvement:Bad Odor:YesNoIs the water murky?YesNoFish Kills:YesNoIs muck removal one of your objectives:YesNoWeeds and AlgaeWhat problem weeds are present? Bladderwort Watersheild Water Meal Water Lilies Pond Weed Coontail Milfoil OtherPlease check all that applyWhat type of algae is present? Filamentous Blue-Green Green Planktonic Nitella Chara OtherPlease check all that applyPlease provide an overall assessment of the weed and/or algae problem:Additional InformationIf available, please provide a depth profile for the water body. If not, please indicate below.Do you have a depth profile?YesNoPlease provide any additional information in the box below, and please E-mail, fax or mail the following information.- Please send any studies, photos, or aerial photographs that have been made in the past 10 years. - Please list any URL describing the water body. Sign up for our newsletter This iframe contains the logic required to handle Ajax powered Gravity Forms.
