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Environmental Survey
Number of questions:
15
Payment for completing the survey:
$15
Member Area > Sample Survey
This is just a sample - do not fill out this survey!
1.
Are you...?
Male
Female
2.
Please enter the year you were born below (e.g. 1975)
3.
What is your highest level of education?
Some high school or less
High school graduate
Technical school or some college
College graduate
Some postgraduate school
Postgraduate/professional degree
4.
Which of the following best describes the neighborhood where you live?
Urban
Suburban
Rural
Other
5.
What types of Internet connections do you use at home? Select all that may apply.
Dial-up
Cable
DSL
Satellite
Other broadband/high-speed
6.
Which of the following best describes your ethnicity?
White
African-American
Asian or Pacific Islander
Native American
Other
7.
Do you buy any food products sold as "organic"?
Yes
No
8.
Do you expect food labeled as “organic” to contain artificial ingredients or additives?
Yes
No
9.
If you saw a food labeled "made with organic ingredients", would you expect it to contain artificial ingredients or additives?
Yes
No
10.
To what degree do you agree with the statement - "People have a moral responsibility to take care of the environment"?
Agree a Lot
Agree Somewhat
Disagree Somewhat
Disagree a Lot
11.
Do you buy bottled water?
Yes
No
12.
Why do you buy bottled water?
Taste
To avoid potential contaminants from tap water
Convenience
Other
13.
Do you recycle the following products?
Paper
Plastic
Metal
Yard Waste
Kitchen Waste (e.g. composting)
Batteries
Computers
Cell Phones
Other
None of the above
14.
Which items below do you find most difficult to recycle?
Paper
Plastic
Metal
Yard Waste
Kitchen Waste (e.g. composting)
Batteries
Computers
Cell Phones
Other
None of the above
15.
Have you purchased or tried to purchase green products in the past year - products that are friendlier to the environment?
Yes
No
Thank you!
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