Environmental Campaign Focus Voting Form
Help us choose the direction for our next environmental campaign by sharing your preferences and insights.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Organization or Affiliation (if any)
Age Group
Please Select
Under 18
18-24
25-34
35-44
45-54
55+
Please review the proposed campaign focus areas below and select the ONE you believe should be our top priority.
*
Plastic Pollution Reduction
Climate Change Awareness
Biodiversity Conservation
Sustainable Transportation
Clean Water Access
Other (please specify)
How important do you consider each of the following environmental issues?
*
Rows
Not Important
Somewhat Important
Very Important
Plastic Pollution
1
2
3
Climate Change
4
5
6
Biodiversity Loss
7
8
9
Sustainable Transportation
10
11
12
Water Scarcity
13
14
15
What is your main reason for choosing your preferred campaign focus?
*
Which of the following actions would you be willing to support as part of this campaign? (Select all that apply)
Participate in local clean-up events
Share campaign materials on social media
Volunteer for campaign activities
Donate to support the campaign
Other (please specify)
How did you hear about this voting opportunity?
Please Select
Email Newsletter
Social Media
Word of Mouth
Event/Workshop
Other
Please rate your likelihood to participate in the selected campaign focus if it is chosen.
*
1
2
3
4
5
Additional comments or suggestions for our environmental campaign?
Submit Vote
Should be Empty: