RQM Well Questionnaire 2025

Please take a moment to complete the following questionnaire.

If you experience any difficulties completing the questionnaire please contact:

Heather Cook, Communications Officer: 902-354-5741

Well Questionnaire

Well Questionnaire 2023

Street Address (Civic)

What community do you live in?

Do you have a well?

Yes

What type of well?

Artesian

Dug

Other

Is your well dry?

Yes

When did your well go dry?

Consent checkbox

I consent to sharing this information with other agencies (ie; Emergency Measures Organization (EMO), Region of Queens Municipality, Environment Canada) to track climate trends, to plan for potential drought conditions, and to help determine if supports are needed in certain areas of Queens County.

If you are human, leave this field blank.