Central Midlands Air Quality Survey

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

How concerned are you about the health consequences of poor air quality?   Very Concerned Somewhat Concerned Not Concerned

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

Do you think air pollution in the Midlands is:   Serious Moderate Minor Not a problem Don’t know/uncertain

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

To the best of your knowledge, does the Midlands meet the national standards for air quality?   Yes No Don’t know

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

How important is it for you to know when it is a bad air quality day in the Midlands?   Very Important Important Not Important

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

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

How long ago was the last tune-up on your vehicle?   Past month Past six months Past year

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

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

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

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

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	*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 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

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

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

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

Which one of these news and information sources do you consult most often?   Morning news Evening news Radio Newspaper

Website / Other

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

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

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

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?

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)?

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