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Questionnaire

Roadmap for rainwater harvesting and reuse

In order to assess what kind of rainwater harvesting and treatment system is feasible for your situation and provide you with specific advise and a tailored solution, please answer the following questions.

Questionnaire

Vrije tekst

Main information

1. What is the roof area (m2) of your house? Please specify any rooftop extensions and additional buildings if relevant. You can give an estimation based on a horizontal projection, which relates to the floor area.

2. What is the type of construction and rooftop material? Please select one option.

Tiled roof

Tiled roof with solar panels

Flat roof

Flat roof with solar panels

Flat roof with gravel

Flat roof with sedum

3. If applicable, what is the size of your garden? You can give an estimation of the total area (m2) and/or specify the area for a paved surface or natural cover.

4. What is the number of persons in your household?

5. What is your average water consumption (m3) per year? You can find this information on the invoice from your water utility company.

6. What do you want to use the rainwater for? Multiple options can be chosen.

Flushing toilets

Washing machine

Bathroom (shower / bath tub)

Indoor / outdoor cleaning

Watering the garden / infiltration

Other

Vrije tekst

Additional information

Please upload one or multiple pictures of your house and garden, where the roof and downspout are visible. This is optional yet recommended.

Upload

If you have any questions or additional details you would like to share at this point, please let us know.

Vrije tekst

Your contact details

Name

City

Phone number

Email address

Consent

I agree to share my responses in order to receive a quotation.

Thank you for filling in this questionnaire. Based on the information you have provided we will make a suitable proposal and a quotation.

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KOM BIJ ONS LANGS

Neem contact op voor een vrijblijvende kennismaking. Wij zijn actief in Noord-Oost Nederland.

KvK nr. 73081531

CONTACT

Jenifer van Dijk
Eigenaar Amfibia Solutions
Gevestigd te Zwolle

tel. 06-23498269
info@water-wall.nl

ONTWIKKELD DOOR

Water Wall circular economy climate adaptation

Partner van

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Roadmap for rainwater harvesting and reuse

Questionnaire

KOM BIJ ONS LANGS

Neem contact op voor een vrijblijvende kennismaking. Wij zijn actief in Noord-Oost Nederland. KvK nr. 73081531

CONTACT

Jenifer van DijkEigenaar Amfibia SolutionsGevestigd te Zwolletel. 06-23498269info@water-wall.nl

ONTWIKKELD DOOR

Partner van

Neem contact op voor een vrijblijvende kennismaking. Wij zijn actief in Noord-Oost Nederland.

KvK nr. 73081531

Jenifer van Dijk
Eigenaar Amfibia Solutions
Gevestigd te Zwolle

tel. 06-23498269
info@water-wall.nl