The expansion of unconventional oil and gas development (UD) across the US continues to be at the center of debates regarding safety to health and the environment. This study evaluated the water quality of private water wells in the Eagle Ford Shale within the context of community members’ perceptions. Community members (n=75) were surveyed regarding health status and perceptions of drinking water quality. Water samples from respondent volunteers (n=19) were collected from private wells and tested for a variety of water quality parameters. Of the private wells sampled, 8 had exceedances of MCLs for drinking water standards. Geospatial descriptive analysis illustrates the distributions of the well exceedance as well as the well owners’ overall health status. Surveys showed that the majority of respondents received their water from a municipal source and were significantly more distrustful of their water source than of those on private wells. In many cases, there are statistically significant differences between self-reported, provider undiagnosed conditions and self-reported, provider diagnosed conditions. Attitudes and perceptions of water quality may play an important role in the overall perceived health status of community members in high fracking regions.