Air Pollution & Health: Causes, Effects & Solutions
Hello Citizens,

We are carrying out this survey to enable you to voice the Citizen's concerns on the issue of Air Pollution in India with special focus on Delhi NCR it being directly affected by  the destruction of Aravallis. Everyone needs to collectively come together to fight this menace . Therefore, your participation is really important for this to succeed.

 We give you our commitment that any personal information given will not be shared with any external entity whatsoever.

Instructions: All questions are compulsory. While opening on mobile, please swipe to the left to see all the column headings for options.
Sign in to Google to save your progress. Learn more
Email *
Your Location
Please write down the name of the city that you belong to, including the State and the 6 digit Pin-code No
You are a resident of which city? *
In which State/UT is the city situated? *
Could you tell us your area Pin code no? (Has to be six digits)
Sources of Air Pollution
How much do the following sources of pollution affect the air in your area according to you. Rate each of  them  on a scale of 1(Low) to 3 (High). (Please swipe left on mobile to see all answer options.) *
1(Low)
2 (Medium)
3(High)
Can't say
Not aware
Vehicular (automobile) emissions
Untreated sewage and open drains
Unsegregated and uncollected waste
Factory pollutants and emissions
Construction dust
Coal powered plant near you
Crop Burning
Waste Burning
Effects of Air Pollution
Do you think the following health/living conditions are a result of  high air pollution ? *
Yes
Maybe Yes
No
Rise in asthmatic conditions and lung disesase
Increase in heart ailments and lifestyle diseases
Reduced life expectancy
Increased health complications in seniors and children
Reduced concentration, efficiency and productivity
Restricting of outdoor avenues of sports and recreation
Measures to Reduce Air Pollution
What according to you should the government do to reduce air pollution? (Please swipe left on mobile to see all answer options) *
Completely Agree
Partially Agree
Completely Disagree
Can't say
Avoid amending the PLPA that protects the Aravalis
Make waste segregation compulsory for all residential and commercial areas
Earmark areas for large scale afforestation
Ensure sewage lines are clean and functioning in every part of the city
Devise stringent environment norms for construction projects
Protect existing forests and biodiversity parks
Ensure landfill standards are met and maintained
All sewage treatment plants are functional and meet capacities
The role of Aravallis
According to you, which of the following outcomes are likely to occur, if the Aravallis are not protected? (Please swipe left on mobile to see all answer options) *
Most definitely
Very likely
Not much impact
Can't say
'The effects of climate change would worsen
The levels of air pollution would rise even more
There will be more desertification of cities in and around Delhi NCR including Rajasthan and Punjab
There will be a great loss to biodiversity
The variations in peak temperature across seasons will increase
Water tables will get depleted at an alarming pace
The moisture levels in the atmosphere will further fall leading to more dryness and heat
There will be more soil erosion as well as soil salinity
It will leave the area more prone to floods and drought
Productivity level of crops will come down
Just a little about you
What is your age profile? *
Your gender please. *
Air Pollution and You
How are you associated with environmental campaigns(if any)? (Please swipe left on mobile to see all answer options) *
Yes
No
No, but would like to be involved
Social Media messaging through Twitter and Facebook
Membership of any environment group/cause/ngo
Contribution in monetary terms
Volunteering skills and efforts
Processions/Protests/Dharnas
News letters, information related to pollution/environment
Thank you for your response.
This research carried out in public interest is an initiative by Citizen Ecofinalytics, a research firm focused on citizen concerns.

If you have any other questions or suggestions, you may get in touch with us at citizenecofinalytics@gmail.com or tweet to us @citizenecofin

We also urge you to share the survey link to friends, family and colleagues and members of your community. Each voice counts to strengthen the movement against air pollution.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms