To understand public awareness about drinking water safety and water contamination accidents in rural areas of China, two rural counties of Hainan Province were selected as pilot sites for investigation. We explored the degree of public satisfaction with drinking water quality, public trust of drinking water safety, and public awareness about drinking water problems and solutions. The results showed that 80.3% of respondents were satisfied with the quality of their drinking water. About 78.8% of respondents paid special attention or comparatively high attention to drinking water quality and contamination accidents, especially regarding potential damage to the human body and health, the influence scope, and the causes of accidents. A total 52.4% of respondents solved drinking water problems by themselves; few respondents complained to the health department or called the local telephone hotline. Age and sex did not play significant roles in the degree of public satisfaction with water quality or in the public perception of water pollution accidents; however, residents in rural areas within a drinking water quality monitoring network were more satisfied with their drinking water quality and more aware of drinking water contamination accidents than in areas outside of such a network. Respondents with higher education levels had greater awareness than those with lower education levels with respect to water quality and water pollution accidents.