Central Midlands Air Quality Survey

1. Default Section

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* 1. How concerned are you about the health consequences of poor air quality?

Very Concerned

Somewhat Concerned

Not Concerned

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* 2. Do you think air pollution in the Midlands is:

Serious

Moderate

Minor

Not a problem

Don’t know/uncertain

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* 3. To the best of your knowledge, does the Midlands meet the national standards for air quality?

Yes

Don’t know

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* 4. How important is it for you to know when it is a bad air quality day in the Midlands?

Very Important

Important

Not Important

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* 5. Rank the following sources of air pollution in the Midlands from 1 to 3, with 1 being the greatest source of pollution.

	1	2	3
On road vehicles (cars, trucks, etc.)	On road vehicles (cars, trucks, etc.) 1	On road vehicles (cars, trucks, etc.) 2	On road vehicles (cars, trucks, etc.) 3
Off road vehicles (lawn and garden equipment, construction equipment, etc.)	Off road vehicles (lawn and garden equipment, construction equipment, etc.) 1	Off road vehicles (lawn and garden equipment, construction equipment, etc.) 2	Off road vehicles (lawn and garden equipment, construction equipment, etc.) 3
Industries	Industries 1	Industries 2	Industries 3

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* 6. How long ago was the last tune-up on your vehicle?

Past month

Past six months

Past year

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* 7. When you have errands to run, do you usually make separate trips or do you combine errands into one trip?

Make separate trips

Combine errands into one trip

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* 8. When you go to businesses, such as banks or fast-food restaurants, how often do you use the drive through window?

Always

Almost always

Sometimes

Occasionally

Rarely

Never

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* 9. How willing are you to do the following activities to improve air quality? …for each of the items below… Very Willing, Somewhat Willing, Not Willing

	Very Willing	Somewhat Willing	Not Willing
Carpool	Carpool Very Willing	Carpool Somewhat Willing	Carpool Not Willing
Not idle my vehicle in drive throughs and at schools	Not idle my vehicle in drive throughs and at schools Very Willing	Not idle my vehicle in drive throughs and at schools Somewhat Willing	Not idle my vehicle in drive throughs and at schools Not Willing
Switch to electric lawn and garden equipment	Switch to electric lawn and garden equipment Very Willing	Switch to electric lawn and garden equipment Somewhat Willing	Switch to electric lawn and garden equipment Not Willing
Telecommute to work	Telecommute to work Very Willing	Telecommute to work Somewhat Willing	Telecommute to work Not Willing
Stop at the click when filling my gas tank	Stop at the click when filling my gas tank Very Willing	Stop at the click when filling my gas tank Somewhat Willing	Stop at the click when filling my gas tank Not Willing
Mow my lawn later in the day	Mow my lawn later in the day Very Willing	Mow my lawn later in the day Somewhat Willing	Mow my lawn later in the day Not Willing
Ride public transit	Ride public transit Very Willing	Ride public transit Somewhat Willing	Ride public transit Not Willing
Keep my vehicle maintained	Keep my vehicle maintained Very Willing	Keep my vehicle maintained Somewhat Willing	Keep my vehicle maintained Not Willing
Use bicycle or walk	Use bicycle or walk Very Willing	Use bicycle or walk Somewhat Willing	Use bicycle or walk Not Willing
Make multiple stops during one car trip	Make multiple stops during one car trip Very Willing	Make multiple stops during one car trip Somewhat Willing	Make multiple stops during one car trip Not Willing

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* 10. Which situation below would motivate you to help reduce air pollution? Check all that apply.

Knowing you would save money

Knowing it would improve health

Knowing it was the right thing to do

Concern for energy independence

Knowing the action was easy and wouldn’t interfere with our day/life

Concern about smog

Knowing it was a bad air day

Knowing my local government has an air quality plan

Concern about EPA changing the regulations

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* 11. Which one of these news and information sources do you consult most often?

Morning news

Evening news

Radio

Newspaper

Website / Other

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* 12. How often do you watch public service channels (e.g. Time Warner Cable Channel 2)?

Daily

Once a week

Once a month

Once every 6 months

Never

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* 13. Have you heard of any of the following? Check all that apply.

Climate Protection Action Committee (CPAC)

Central Midlands Air Quality Forums

Sustainable Midlands

Navigating from Good to Great Initiative

Spare the Air

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* 14. What zip code do you currently reside in?

ZIP:

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* 15. What zip code do you travel to the most (i.e. zip code of workplace)?

ZIP: