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* 1. What news or information source are you most likely to use to get important information? Please rank the below choices from one, most frequently used, to four, least used.

  1 2 3 4
Television
Internet
Radio
Newspaper

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* 2. Do you live in a watershed?

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* 3. In general, do you think that the water quality in our streams, rivers and lakes is:

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* 4. Do you think that water pollution is a problem in our community?

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* 5. How much do you think your household activities contribute to water pollution?

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* 6. How much do you think you can help reduce or prevent water pollution?

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* 7. Which of the following happens to water that runs off yards and streets in your community?

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* 8. Which of the following contributes to local water pollution? Below is a list of several possible causes. Please indicate if you agree or disagree that each contributes to local water pollution.

  Agree Disagree I don't know
Home and garden fertilizers and pesticides running off lawns?
Pet waste?
Erosion from construction sites, bare slopes, and other sources?
Automobile maintenance products such as oil and antifreeze?
Discharges from factories and wastewater treatment plants?

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* 9. In what county do you live?

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* 10. Please tell us which age group best describes you?

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* 11. Please select the category that best describes your Ethnicity?

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* 12. If you would like to be entered into a drawing for 12 Cincinnati Zoo tickets, please provide your e-mail address &/or Phone number. (Must be 18 yrs of age or older)

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* 13. Would you also like to receive a newsletter and other mailings on environmental issues?

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