Climate Anxiety Study Survey
Please answer the following questions about your feelings and concerns regarding climate change.
Full Name
*
First Name
Last Name
Age
*
Email Address
*
example@example.com
How concerned are you about climate change?
*
1
1
2
3
4
Best
5
1 is , 5 is Best
How often do you think about climate change?
*
Never
Rarely
Sometimes
Often
Always
Have you experienced any anxiety or stress related to climate change?
*
Yes
No
If yes, please describe your feelings and experiences.
*
What actions, if any, have you taken to address climate change?
*
Submit
Should be Empty: