Climate Change Survey
This is a survey created for my Anthropology class! The data will be used in an anthropological research paper looking at forms of social and cultural determinants of health and well being. 
Sign in to Google to save your progress. Learn more
What Country are you from? 
Have you noticed any changes in your local climate or weather patterns in recent years?
Clear selection
How often do extreme weather events (e.g., heatwaves, floods, hurricanes) occur in your area?
Clear selection
Have you or your family experienced any health issues that you believe are linked to climate change?
Clear selection
How would you rate the air quality in your area?
Excellent
Very poor
Clear selection
Does the temperature in your area ever affect your physical or mental health?
Clear selection
Have you noticed changes in food or water availability due to climate change that affect your health?
Clear selection
How concerned are you about climate change affecting your health or the health of your community?
Not Concerned
Very Concerned
Clear selection
What do you think is the biggest climate-related health risk in your area?
Do you feel your local government or healthcare system is prepared to address climate-related health issues?
Clear selection
Is there anything else you’d like to share about how climate change affects your health or life?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms