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Environmental Survey
No personal data will be collected other then what is given as an answer, thank you for taking the time to complete this questionnaire!
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What is your age bracket?
Under 18
18-35
35-60
60+
Clear selection
What setting do you live in?
*
Urban
Suburban
Rural
Are you a citizen of the United States or one of its territories? If not, please list your country.
*
Yes, the United States
Yes, one of its territories
Prefer not to specify (of which will be assumed as “No”)
Other:
What is the main environmental problem in your community?
*
Your answer
What is the main industry of your state, region, county, etc.?
*
Your answer
Is there any additional information you wish to share? (Please feel free to share any fun facts, recent events in your community, experiences with the environment, and likewise)
Your answer
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