Saudi Arabia is one of the most arid countries worldwide with limited surface water sources. In most areas of the country, there are no natural rivers or lakes and precipitation is unpredictable and low. The entire region is susceptible to climate change, especially considering that the country is experiencing unprecedented growth in population and urbanization. The purpose of this study was to understand water usage among urban households and whether water quality had a negative impact on the health of household members. Furthermore, the study aimed to explore the implementation of water conservation methods in households. The data collection took place in Riyadh, the capital of Saudi Arabia through a closeended household survey in addition to conducting structured interviews with a microbiologist. The results suggest that water conservation methods were not used in 70% of the households. Moreover, household members were not fully aware of water-related topics such as water-borne disease, water resources, and the implication of climate change on the availability of water resources. Further, it appears that in household’s water quantity or quality did not adversely impact human health as 95% of the households reported no cases of water-borne diseases such as cholera, or hepatitis.