Name
*
Do you have solar panels?
*
Yes
No
No, but I'm planning to get them soon
Do you try to avoid chemicals dangerous to the environment?
*
Yes
No
Do you have a car?
*
Yes
No
On a scale from one to five, what do you think you do to help the environment?
*
1
2
3
4
5
No Effort
A Lot of Effort
1 is No Effort, 5 is A Lot of Effort
Submit
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