Pass On Plastic
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1.
What type of bags do you use while shopping in your community?
Never
Sometimes
Often
All the time
Disposable Plastic Bags
Never
Sometimes
Often
All the time
Paper Bags
Never
Sometimes
Often
All the time
Reusable Bags
Never
Sometimes
Often
All the time
Other (please specify)
2.
Do you own any reusable bags?
(Required.)
Yes
No
3.
If you do get disposable plastic bags from the store, what do you do with them once you are done using them to carry items from that store?
Never
Sometimes
Often
Always
N/A
Throw them away
Never
Sometimes
Often
Always
N/A
Recycle them
Never
Sometimes
Often
Always
N/A
Reuse them in some way
Never
Sometimes
Often
Always
N/A
4.
Do you feel it is important to reduce the use of plastics, such as plastic bags and bottles, due to their harmful impact on our environment?
(Required.)
Yes
No
Unsure
5.
Would you voluntarily discontinue your use of new disposable plastic bags?
(Required.)
Yes
No
Other (please specify)
6.
Would you support or oppose a law banning disposable plastic bags and requiring stores in your community to offer paper bags (or another alternative)?
(Required.)
Support
Oppose
7.
What benefits might your community hope to see from reducing or eliminating the use of disposable plastic bags? (Please check all that apply)
Environmental
Economical
Other
I do not see any benefits from reducing or eliminating the use of plastic bags.
Comments
8.
What potential drawbacks might your community see from reducing or eliminating the use of disposable plastic bags? (Please check all that apply.)
Environmental Drawbacks
Social Drawbacks
Economic Drawbacks
Other
I do not see any drawbacks from eliminating or reducing plastic bag use.
Comments
9.
What is your zip code of residence?
(Required.)
10.
What is your age?
11.
What is the highest level of school you have completed or the highest degree you have received?
Less than high school degree
High school degree or equivalent (e.g., GED)
Some college but no degree
Associate degree
Bachelor degree
Graduate degree
12.
How much total combined money did all members of your HOUSEHOLD earn last year?
$0 to $9,999
$10,000 to $24,999
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 and up
Prefer not to answer
13.
Which best describes your current occupation status? (If you are enrolled as a FULL-TIME student and employed, please select student.)
Employed for wages
Self-employed
Homemaker
Management
Government
Student
Retired
Homemaker
Unemployed
Other (please specify)
14.
What is your political affiliation?
Democrat
Republican
Independent
None
Prefer not to answer.
Other (please specify)
15.
Do you have any additional questions or comments regarding plastic bags?