Residential Well Drought Impact Survey

Last Update: June 2020

As part of the state's emergency response efforts to the drought, New Hampshire Department of Environmental Services (NHDES) is gathering information related to private well water availability and drought related economic impacts. The information requested in the below survey will assist the state in identifying the location and severity of drought impacts for assessing drought response needs.


Who should submit this form?

- Households on a private well experiencing problems with water supply due to the ongoing drought or households that were experiencing problems, but made repairs to mitigate water supply issues. (This does not include homes on public water systems.)


- Licensed well drillers and pump installers who become aware of residential wells experiencing water supply issues due to the ongoing drought.


Why is the information needed?

-To identify and assess drought response needs of individuals not served by public water systems.


-To identify where adverse impacts associated with drought are occurring.


-To quantify the specific economic impacts associated with drought to support potential disaster assistance requests.


Additional Information:

Collection of data is not to be construed as application for local, state or federal assistance.


NHDES intends to use this information for the reasons stated above.  Please note that information submitted to the NHDES is considered to be part of the public record.  NHDES will not publish your information, but other entities conducting Right-to-Know requests may be able to access the information you provide.

Take the survey by clicking the link below.

Thank you in advance for your time.

https://www.surveymonkey.com/r/BBMB6LY