Name:

Email:

Age:

Date:


How concerned are you about the impact of climate change on the environment?
Very concerned
Somewhat concerned
Not too concerned
Not concerned at all

What is your level of support for renewable energy sources such as solar and wind power?





How do you typically reduce your carbon footprint? (Check all that apply.)
Carpool or use public transportation
Reduce energy usage at home
Recycle
Use reusable bags, water bottles, etc.

Can you suggest any other ways in which individuals can reduce their carbon footprint?