General Information 

Contact Name(s)

Please provide U.S. contacts if possible. This information is for internal use only; WaterSense will not share contact 

information. 

Name * 

Email * 

Telephone * 

Contact Type * To select multiple options: - Using Windows, hold Ctrl key and select 

multiple options with mouse. - Using a Mac, hold Command key and select multiple options with mouse. 

Contact Update? * 

Name 

Email 

Telephone 

Contact Type 

Contact Update? 

Please update your interests and preferences to receive more specific communications from WaterSense. 

WaterSense Labeled Product Availability and Program Feedback 

Information on WaterSense's impact on the marketplace is vital to the continued success of the program. Please 

provide data on product availability and promotion. 

Yes

No 

 Please enter a number without commas. 

 To select multiple options: - Using Windows, hold Ctrl key and select 

multiple options with mouse. - Using a Mac, hold Command key and select multiple options with mouse. 

 

 To select multiple options: - Using Windows, hold Ctrl key and select multiple options 

with mouse. - Using a Mac, hold Command key and select multiple options with mouse. 

Manufacturer Name on Partnership Agreement * Please select... 





Please select...

Primary Contact

Reporting

Technical

Please select... 





Please select...

Primary Contact

Reporting

Technical

Please select... 

1a. Are you promoting your WaterSense labeled products to consumers or other stakeholders? * 



1b. Please estimate the number of consumers reached in 2012 (e.g., through circulars, via the Web, etc.) *

1c. Please indicate how you are promoting your WaterSense labeled products. *





Please select...

On product packaging

On the product itself

Brochures and other marketing materials

Other description *

1d. Do you mention WaterSense or include the WaterSense promotional label or partner logo on your:

Please select...

Print advertising

Broadcast advertising

Web advertising

Page 1 of 3

Irrigation Controller Manufacturer - Annual Reporting
Yes No 

 

 To select multiple options: - Using Windows, hold Ctrl key and select 

multiple options with mouse. - Using a Mac, hold Command key and select multiple options with mouse. 

 

 

3. Where can consumers find your WaterSense labeled products?

 

 

 

 

 

 

On the following page, you will be asked to review your responses. You must select "confirm" at the bottom 

of the following page to submit the online portion of your Annual Reporting Form to WaterSense. You 

will then be automatically directed to instructions for accessing an interactive PDF form to submit your product 

shipment data in accordance with our confidential business information procedures. 

 

Please note that you may need to try different printer settings or print as a PDF to print the full online report for 

your records. We apologize for any inconvenience. 

 

1e. Are you working with retailers and/or distributors to promote your WaterSense labeled products? *

 

Which retailers/distributors are you working with?

2. Did your company participate in any WaterSense promotional campaigns last year? *





Please select...

Fix a Leak Week 2012

We're for Water

Peak water season outreach

Other description *

Please elaborate on your company's participation * 



Markets (e.g., city, state, or region) *

Retailer/distributor company names *

4. On a scale of 1 to 5 (5 = most valuable), how valuable do you find the WaterSense program? *

Please select... 

How has the WaterSense label added value? * 



5. On a scale of 1 to 5 (5 = most valuable), how valuable do you find the WaterSense partner website?* *

Please select... 

6. In the past year, how often have you visited the WaterSense partner website?* Please select... 

7. Please provide suggestions for improving the WaterSense program (e.g., general tools/materials, 

webinar topics, communications, Helpline, websites etc.) *





Page 2 of 3
Your Annual Reporting Form will not be complete until WaterSense receives both your online and hard 

copy reporting forms.

Need assistance with this form? 

Page 3 of 3

file://C:\Documents and Settings\aauerbach\Desktop\Forms\to do\wbic-manu-AR.html 2/13/2013