Mobile Home Park Water Quality Community Survey 

The Colorado Department of Public Health and Environment continues to work on the action plan to improve water quality for mobile home parks, which is part of the Mobile Home Park Water Quality Act. To support this effort and make sure community feedback is incorporated, the Office of Environmental Justice and Public Health Graduate Students at Colorado School of Public Health have developed a community survey. 

The survey will ask questions on topics including water quality, economic and health impacts, and quality of life.

The department will use the survey to help identify all the ways mobile home communities are affected by water quality issues. This could include how the water smells or if it leaves residue on clothes, or whether poor water quality causes individuals to purchase bottled water, for example. The goals of the survey are to:

  • Determine the different ways water quality affects quality-of-life. Recognize that everyone might be affected differently by water quality.
  • Work together to address the concerns identified in the survey. 
If you live in a mobile home park and would like to provide your feedback, please complete the survey below. 

If you would like to complete the survey over the phone or need a hard copy of the survey, please reach out to Yessenia Scholtz at yessenia.scholtz@state.co.us or 720.667.8279.

If you have questions for us please feel free to reach out to us at cdphe.commentswqcd@state.co.us or cdphe_ej@state.co.us.

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What is the name of the mobile home park you live in?  *
What percentage of
drinking water do you
drink per month
(3 categories must
add up to 100%)?     *
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Tap water without a filter.
Tap water with a filter (e.g., pitcher filter, refrigerator filter, faucet-mount filter, reverse osmosis filter, etc.)
Purchased water (e.g., bottled water, water mill, gallon jugs, 5-gallon jug or home treatment system)
Please answer the following statements: *
Strongly agree.
Somewhat agree.
Neither agree nor disagree.
Somewhat disagree.
Strongly disagree
My water is affordable.
My water has good pressure.
My water is safe to drink.
My water is safe to cook with.
My water is safe to shower and bathe in.
My water is safe to give to my pets.
My water is safer than bottled water.
My water is causing harm to my health.
My water taste good.
My water has minerals that are good for me.
My water is clear. There is no color tint or floaties in it.
My water does not have an odor (e.g., strong chlorine, rotten eggs/sulfur, earthy, musty, or fishy smell).
My water does not leave a build up of film on my dishes and appliances.
My water does not cause damages to my household appliances.
How often is tap water not available (e.g., from line break in the park, from routine maintenance, etc.) *
Do you additionally treat your drinking water to make it safer to drink? *
How do you primarily do your laundry? *
Please indicate your primary reason for using an on-site or off-site laundry facility.

If you do not use an on-site or off-site laundry facility please skip this question.
Please indicate how much time each week you spent at the laundry facility.

 _________minutes per week.

If you do not use an on-site or off-site laundry facility please skip this question.
Auswahl löschen
Please indicate how far you travel each week to go to a laundry facility.

_________ miles per week

If you do not use an on-site or off-site laundry facility please skip this question.
Auswahl löschen
How much do you pay on average per month for the following? Fill in the table with the amounts you typically spend.     *
$0
$1 - $30
$31 - $50
$51 - $100
More than $100 per month.
Tap water bill.
Bottled water.
Refilling water jugs.
Water filters.
Other.
How much of an increase in your monthly drinking water bill would you be willing to pay to improve the quality of your drinking water? *
Which reason best explains why you would not be willing to pay an increase in your drinking water bill? *
Please specify why you would not be willing to pay an increase in your drinking water bill?
If the quality of the tap water were improved, would you start drinking the tap water? *
Do you trust your landlord to maintain your park’s drinking water infrastructure? *
Do you trust the state government to appropriately regulate your tap water?    *
Do you believe that any of the following health issues affecting you or your family members are directly connected with the water quality in your home? *
Pflichtfrage
Please explain the other health issue(s) that you believe are directly connected with the poor water quality in your home.
Why do you think these health issues are connected to the poor water quality in your home?
Do you have concerns about the taste and/or odor of your water?
 *
If you do have concerns about the taste and/or odor of your water. Can the Water Quality Control Division contact you about your concerns?
If yes, please provide your contact information below.

Please provide your name and phone number. 
Is there anything else you would like to share about your drinking water quality?
Would you like to receive a gift card for completing this survey? *
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