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CSSC Intake Prep Survey
Help us help you! Answering these questions will inform our personalized coaching to empower you to live your best life with sustainability in mind. The more you tell us, the better we'll be able to prepare.
* Indicates required question
Which sustainability coaching services are you most interested in at this time?
Special Sustainable Project (specific project - e.g., native plant garden)
Sustainable Life Coaching (full review of opportunities to live more sustainably)
Sustainability As a Service (ad-hoc support for sustainability questions and needs)
Other:
Name (first last)
*
Your answer
Email address
*
Your answer
Phone number
Your answer
Living set-up
House
Apartment/Condo
In-flux (e.g., moving soon)
Other:
Clear selection
Address or County
Your answer
Do you have children or other people in your home?
Yes
No
Expecting
Do you have pet(s)? If so, which animal(s)?
Your answer
When making choices on products and practices, how important is convenience (easy to use/do)?
Not important
1
2
3
4
5
The most important
Clear selection
When making choices on products and practices, how important is accessibility (easy to access)?
Not important
1
2
3
4
5
The most important
Clear selection
When making choices on products and practices, how important is health?
Not important
1
2
3
4
5
The most important
Clear selection
When making choices on products and practices, how important is cost?
Not important
1
2
3
4
5
The most important
Clear selection
When making choices on products and practices, how important is quality?
Not important
1
2
3
4
5
The most important
Clear selection
When making choices on products and practices, how important is enjoyability (fun to use/do?
Not important
1
2
3
4
5
The most important
Clear selection
When making choices on products and practices, how important is sustainability?
Not important
1
2
3
4
5
The most important
Clear selection
Anything else you'd like us to know in advance?
Your answer
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