Plastic Footprint Tracking Form
Help us understand and reduce plastic usage by sharing your habits and actions. Your input supports better plastic footprint tracking and awareness.
Full name
*
First Name
Last Name
Email address (for follow-up or updates)
example@example.com
How would you describe your average monthly plastic use?
*
Minimal (0-1 kg)
Moderate (1-3 kg)
High (3-6 kg)
Very high (6+ kg)
Not sure
What are your main sources of plastic waste? (Select all that apply)
*
Food packaging
Beverage bottles
Toiletries/cosmetics
Household products
Shopping bags
Other
Which actions have you already taken to reduce plastic use?
*
Use reusable bags
Switch to refillable bottles/containers
Buy products with less packaging
Recycle consistently
Avoid single-use plastics
Other
What is your main motivation for reducing plastic use?
Environmental concern
Health reasons
Cost savings
Social influence
Other
What challenges do you face in reducing plastic use?
Limited alternatives available
Higher cost of alternatives
Lack of information
Habit/convenience
Other
What is one new action you plan to take in the next month to further reduce your plastic footprint?
Would you like to receive tips or updates about reducing plastic use?
Yes, send me tips and updates
No, thank you
Additional comments or suggestions
Submit
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