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Energy Usage Survey
A survey to collect data on energy consumption habits and willingness to change them.
If you want to take a pledge to show your commitment to sustainability,
https://www.surveymonkey.com/r/YVW7MCD
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* Indicates required question
What is your name?
Your answer
What is your age?
*
Below 18
18-24
25-34
35-44
45-54
55-64
65+
E-mail address
Your answer
How many people currently live in your household?
*
Your answer
How often do you try to make more sustainable choices?
*
Always
Usually
Sometimes
Rarely
Never
Do you know the difference between incandescent light bulbs and CFL bulbs?
*
Yes
No
Maybe
Please explain what you know.
Your answer
Which of these do you use?
*
CFL (Compact Fluorescent Lamp)
LED bulbs
Incandescent light bulbs
I'm not sure
Other:
Required
When you go shopping for something, do you reuse the same bag, or do you buy a new one?
*
Reuse
Buy a new one
Other:
How likely are you to buy a more expensive product if its packaging is more environmentally friendly than its competitor's product?
*
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
What if the product itself, as well as the packaging is more environmentally friendly, but it is more expensive than the competitor?
*
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
How willing are you to alter your lifestyle to reduce the damage caused to the environment?
*
Extremely willing
Very willing
Somewhat willing
Not so willing
Not at all willing
Do you buy organic or sustainably grown food?
*
Always
Usually
Sometimes
Rarely
Never
Do you buy food from local venders or from supermarkets?
*
Local
Supermarkets
Other:
How often do you use the washing machine or dishwasher?
*
Your answer
Do you try to optimize for minimum water wastage when using a dishwasher or washing machine?
*
Always
Usually
Sometimes
Never
In a typical day, which of the following forms of transportation do you use?
*
Automobile
Bus
Train
Subway
Taxi
Ferry
Airplane
Other:
Required
If you checked automobile, do you carpool?
*
Always
Usually
Sometimes
Rarely
Never
Only with family (household members)
Are there any specific methods of sustainability that you practice?
Your answer
Would you be willing to pledge to do as much as you can to limit wastage of energy?
*
Yes
No
Maybe
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