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Environmental Survey Questions + Sample Questionnaire Template

The environmental survey helps collect feedback about one’s perception of environmental pollution. This survey was created by environmentalists that are fighting to make the earth a habitable place to live for generations to come. With the help of this survey template, perceptions of people can be captured about the reasons of environmental pollution and the methods to mitigate "global warming". It also can be used to collect data about the in-depth causes of environmental pollution, the steps that can reduce it and the stakeholders that people feel are the most important in tackling environmental pollution problems.


Considering your knowledge about the risks associated with environmental pollution, how likely are you to recommend a friend or a colleague to promote activities that will help reduce global warming or to live a clean and green life?
Very Unlikely
Very Likely
On which of the following platforms, have you heard about environmental pollution? Select all that apply:
What is the level of trust on information about environmental pollution, if you were to receive it from the following?
A lot
A little
Not very much
Not at all
Family
Friends
Blogs and articles
Research papers
Scientific journals
Social media
Government entities
Please state your agreement with the following statements on environmental pollution:
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
It poses a hazard to the whole world
Is on the rise
Is under control
My country has strong environmental pollution laws
It is already impacting life as we know it
It will impact future generations on the planet
It is causing extinction of flora and fauna
There’s not much that can be done to stop it
It is the Government’s prerogative to deal with it
All of us have to contribute towards reducing it
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Recycling helps
It is important to segregate waste into dry, wet and recyclable
It is causing global warming
It is causing temperature change
The earth can automatically recover from environmental pollution
On a scale of 1-10, please rate how environmental pollution affects your personal health and safety where 1 affects you the least and 10 affects you the most
Please state your concern with the below statements:
Extremely Concerned
Concerned
Neutral
Unconcerned
Extremely Unconcerned
Air pollution
Shrinking potable water sources
Increase in temperature
Extinction of endangered animals
Degradation of the environment
Neuro-affections on human beings
Infertile land
Depletion of ozone layer
Global warming
Which of the following do you think impact and are the biggest causes of environmental pollution?
Which of the following do you think affect you the most?
Are you aware of the global policies or initiatives taken by various organizations to reduce environmental pollution?
Are you aware of your country’s laws to reduce environmental pollution?
Do you think your Government’s laws that restrict pollution be as they are?
Do you think your Government is spending too much time, money and resources to reduce environmental pollution?
Do you think that remedial action on environmental pollution should be the most important aspect to take care of?
Do you think the following entities are taking initiatives to reduce environmental pollution?
Never
Once in a while
About half the time
Most of the time
Always
Government
Corporations
Environmental groups
International organizations
Citizens themselves
How often do you recycle?
How often do you segregate waste?
How interested are you about preservation of the environment?
How likely are you to change your lifestyle to better suit the environment?
How likely are you to buy a more expensive product if it is better for the environment and is from a rival brand?
When people get together to solve environmental pollution problems, how often do you think they succeed?
What do you think would be the most sustainable alternative energy source in the next 10 years?
How old are you?
Gender
What is your highest qualification?
Which industry do you work in?
Which country do you live in?
Is there any other feedback that you would like to provide?
use this free template

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