CIRCLE
YOUR ANSWERS
A)
Energy Use
1.
Do you have access to a car for your personal use?
Yes,
for my sole use Yes,
shared with someone else
No
2. On an
average, how many km/week do you drive? <5
5-100 100-200
200-500 >500
3. What is
the gas mileage of your car (in litres/100 km)? no car
< 8 (eg. compact car)
8-12 (small
to medium car)
12-16 (medium to large car)
> 16 (SUV or large truck)
4. Do you
ever car pool to work/school?
Yes
No
No one lives near to me
5. Do you
ever take the bus? Yes
No There Is no
bus that works for me
6. Do you
ever walk or bike? Yes
No I live
too far away
7 How many
hours/day is your computer on? 0
(or don't have one) 1-4
5-9 10-14
15-24
8. How
many hours a day is your TV on? 0
(or don't have one) 1-4 5-9 10-14
15-24
9. How
many hours a day is your stereo on? 0
(or don't have one) 1-4
5-9 10-14 15-24
10. Do you
turn your lights off when you leave the room? Always
Usually Seldom
11. How
many loads of laundry do you do each week (for yourself)?
0-1 2
3 4 or more
B)
Waste
12.
Do you recycle?:
Always, even if it's out of my way Usually, if it's convenient Not usually
Never
13. How
much garbage do you (personally) create in one week?
< ¼ can
< ½ can
about one can full
more than one can
14. When
you drink a cup of coffee or tea, do you normally use:
A reusable mug
A styrofoam or paper cup
Don’t drink coffee or tea
C)
Water Use
15. Do you
leave the water running while brushing your teeth or washing your face?
Yes No
16. How
long do you spend in the shower per week?
30 minutes or less
30-60 minutes
60-90 minutes
More than 90 minutes
17.
Do you run the dishwasher or laundry without a full load?
never
sometimes
frequently
18. How
much water does it take to make one kilogram of beef?
less
than 500 litres 1000
litres 5000 litres
10000 litres more than
10000 litres
19. Are
you: Vegan
Vegetarian Don't eat meat often
Gotta have meat!
D)
Miscellaneous
20. Circle all of the following activities you might do during a weekend or holiday more than 4 times a year.
Drive
to some other place (> 200 km round
trip) Fly to some other
city Go to the mall
Drive
to go camping/skiing/kayaking/biking/hiking
Go for a run, hike or bike ride