Environmental Lifestyle Choices Survey
Share your habits and opinions to help us understand how daily choices impact the environment.
Full Name
First Name
Last Name
Age
*
City or Town of Residence
*
Which of the following best describes your primary mode of transportation?
*
Car (gasoline/diesel)
Car (hybrid/electric)
Public transportation
Bicycle
Walking
Other
How often do you recycle household waste (paper, plastic, glass, etc.)?
*
Always
Often
Sometimes
Rarely
Never
Which energy-saving practices do you regularly follow at home? (Select all that apply)
*
Turning off lights when not in use
Using energy-efficient appliances
Unplugging electronics when not in use
Using renewable energy sources (solar, wind, etc.)
Other
How frequently do you choose plant-based meals (vegetarian or vegan)?
*
Most of the time
Often
Sometimes
Rarely
Never
Do you purchase eco-friendly or sustainable products?
*
Always
Often
Sometimes
Rarely
Never
Have you participated in any environmental activities in the past year? (e.g., clean-up events, tree planting, advocacy)
*
Community clean-up
Tree planting
Environmental advocacy or education
None
Other
On a scale of 1 to 10, how important is environmental sustainability to you personally? (1 = Not important, 10 = Extremely important)
*
Not important
1
2
3
4
5
6
7
8
9
Extremely important
10
1 is Not important, 10 is Extremely important
Please share any additional comments or suggestions about environmental lifestyle choices:
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