Describe the facilities and data your utility needs. Makeform builds an industrial user survey covering operations, water use, discharges, pretreatment, and contacts.
Route survey responses to Google Sheets, Slack, and Zapier.
Sample prompts for the builder
Choose a prompt, edit it, or send it to the Makeform builder. Adapt the example to your program.
Audience
Commercial and industrial facilities in a utility service area
Format
Branching survey with facility, process, and discharge sections
Prompt size
314 chars
Example survey structure
Branching survey with facility, process, and discharge sections
Facility identity, address, and contacts
Products, processes, and operating schedule
Does this facility discharge process wastewater?
Wastewater streams, volumes, and discharge points
Supporting process diagram or analytical report
Suggested routing tags
Initial inventory
Review needed
No process discharge
Ask separately about sanitary, process, cooling, and stormwater streams. One total-flow answer can hide important differences.
Step 1
Identify
facility, ownership, contacts, and activities
Step 2
Screen
water uses, waste streams, and destinations
Step 3
Detail
flow, characteristics, treatment, and documents
Step 4
Review
route exceptions and request follow-up
Why use a structured survey
Separate facility identity, operations, waste streams, and records so reviewers can spot answers needing follow-up.
Sanitary-only facilities get a short path; process discharges open questions about source, flow, destination, characteristics, treatment, and records.
Pair flow with units, period, schedule, and measured-or-estimated status so reviewers can interpret the value.
Tag process wastewater, pretreatment, hauled waste, or missing records and notify the assigned reviewer.
Survey modes
Choose a mode, then add your terminology, contacts, and requested documents.
Separate sanitary-only users from facilities generating or handling process wastewater.
Capture changes in ownership, operations, flow, discharge points, treatment, and contacts.
Keep each stream's source, flow, frequency, destination, and characteristics together.
Record destinations for wash water, liquids, drains, hauled waste, and residuals.
Build the survey
Shape questions and routing around the information reviewers need.
Name the survey mode, facility types, service area, and reporting period.
Add identifiers and units, distinguish estimates, and preview every branch.
Share one link, state the period and due date, and notify reviewers.
Filter priority tags and ask the technical contact to clarify gaps.
Survey design choices
Branching keeps simple facilities moving while preserving detail for complex discharges.
Field guide
Adapt these six sections, units, periods, and terms to your program.
Facility identity
Distinguish the legal entity, operating name, discharge location, and contacts by role.
Products and processes
Identify products, activities, and operations that use or generate water.
Water balance
Separate water sources and allocate use across sanitary, process, cooling, washdown, product, and other destinations.
Waste streams
Keep each wastewater source attached to its flow, schedule, destination, and characteristics.
Treatment and waste handling
Document pretreatment, its operator and records, plus hauled or stored residuals.
Evidence and follow-up
Name each requested document and reporting period; mark optional uploads clearly.
Related tools
Add focused surveys, requests, inspections, and incident follow-up.
Gather observations about broader environmental priorities.
Open toolFAQ
Answers for utility staff building an inventory or profile update.
It is a utility questionnaire for commercial and industrial facilities covering identity, operations, water use, wastewater streams, discharge points, characteristics, treatment, and contacts. Responses support facility profiles and follow-up decisions.
Start with utility accounts, business lists, known users, prior surveys, or facility types associated with water-using operations. Send a short screen broadly, then use conditional questions for relevant facilities. Set selection criteria with your program staff.
Include facility details, contacts, schedule, products, processes, water use, individual wastewater streams, flow, frequency, destination, characteristics, pretreatment, residual handling, and documents. Record units, period, and whether quantities are measured or estimated.
Ask about water-using activities, washing, drains, cooling water, hauled liquids, closed-loop systems, and disposal destinations. If no process wastewater reaches the sewer, skip characterization but retain facility details, an explanation, and an optional diagram.
Yes. Let respondents add one structured entry per stream. Keep its process, average and peak flow, schedule, discharge point, destination, characteristics, and treatment together instead of collecting unmatched totals.
Yes. Add uploads for site plans, diagrams, treatment schematics, or analytical reports. Name the desired document and period, allow multiple files when needed, and tell respondents to omit unrelated confidential or personal information.
Use structured choices for units, frequencies, destinations, treatment, and screening decisions, plus a comment field for exceptions. Require identifiers, reveal relevant detail, tag priority answers, and filter exports by facility or follow-up status.
Yes. Makeform is unlimited free for generating, editing, publishing, and collecting responses. A paid tier removes the Makeform badge. Review local terminology, requested records, and technical questions before sharing.
Replace the one-size-fits-all facility questionnaire.
