REP Pre- Survey (7th-12th+)
Sign in to Google to save your progress. Learn more
Please enter your first and last name *
What school do you attend? *
What grade are you in?
Clear selection
What is your science teacher's name?
Have you ever gone on a Rouge River field trip before?  If yes, how many times?
Clear selection
On a scale from 1 to 5, how interested are you in science?
1 = VERY interested and 5 = NO interest
Very Interested
Not Interested
Clear selection
On a scale from 1 to 5, how interested are you in nature?
1 = VERY interested and 5 = NO interest
Very Interested
Not Interested
Clear selection
On a scale from 1 to 5, how interested are you in school?
1 = VERY interested and 5 = NO interest
Very Interested
Not Interested
Clear selection
Please state one problem affecting the Rouge River watershed
What is one action you can take to address this problem?
Thinking about the problem you identified in the question above, please read the statements for the next three questions below and click on the circle in the scale that best describes how you feel:

1=Strongly agree
2=Agree
3=Neither agree nor disagree
4=Disagree
5=Strongly disagree
I feel confident in my ability to research and learn about this problem.
Strongly agree
Strongly disagree
Clear selection
I am sure that I could explain to other people why this problem is important.
Strongly agree
Strongly disagree
Clear selection
I know where I could find the help and resources I need to take action to fix this problem.
Strongly agree
Strongly disagree
Clear selection
Think about your relationship with nature and consider which picture below best shows this relationship.
Please choose the letter, based on the question above, that best shows your relationship with nature
Clear selection
When you think of the Rouge River, what is the first word that comes to mind?
Imagine you are at the river, testing for the presence of dissolved oxygen in the water.  If you want to get the most accurate test result, you should repeat the test more than once.
Clear selection
All species of macroinvertebrates are equally tolerant of pollution.
Clear selection
Macroinvertebrates may be:
What is a possible source of high levels of nitrates in the river?
If you don't know, please type "I don't know."
What action(s) can you take, or suggest to others, to limit nitrates in the Rouge River?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Friends of the Rouge. Report Abuse