Background: While public water supplies are regulated by Directive (EU) 2020/2184, inconsistencies in member state legislation for individual wells pose health risks. The study investigates the management of Slovak wells, providing insights to inform and potentially strengthen national water policies. Methods: The survey-based study collected data via online and in-person questionnaires during March 2024. It collected retrospective information on well characteristics, usage, stewardship practices, and water quality concerns. Results: We received 251 responses from 52 Slovak districts. The well water for drinking was used by 122 (48.6%) households, with notable regional variations. Only 41.0% of the respondents conducted a proper technical inspection of their wells within the past year. There has been an increase in the use of wells since the millennium. Individuals who drank well water were significantly more likely to conduct water quality tests (p < 0.05). The recommended frequency of technical inspections and annual testing was not reached in either well owners who drink well water or those with wells who drink water from other sources. Conclusions: The amendment of legislation specifically targeting individual wells, along with educational campaigns, appears crucial for well stewardship in Slovakia. The study provides data for further research and public health interventions.