Hamilton SWCD Survey

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	*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. Television 1	Television 2	Television 3	Television 4
Internet	Internet 1	Internet 2	Internet 3	Internet 4
Radio	Radio 1	Radio 2	Radio 3	Radio 4
Newspaper	Newspaper 1	Newspaper 2	Newspaper 3	Newspaper 4

2. Do you live in a watershed?

Do you live in a watershed? Yes

No

I Don't Know

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

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

Good

Fair

Poor

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

Do you think that water pollution is a problem in our community? Yes

No

I Don't Know

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

How much do you think your household activities contribute to water pollution? Not at all

Somewhat

A great deal

I don't know

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

How much do you think you can help reduce or prevent water pollution? Not at all

Somewhat

A great deal

I don't know

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

Which of the following happens to water that runs off yards and streets in your community? It is treated and then released into a local body of water

It runs into local streams, rivers, lakes, and reservoirs without being treated

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

9. In what county do you live?

In what county do you live? Butler County

Clermont

Hamilton County

Warren County

Northern Kentucky

SE Indiana

Other (please specify)

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

Please tell us which age group best describes you? Under 18

18 – 26

27 – 35

36 – 50

50 & older

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

Please select the category that best describes your Ethnicity? White

Black

Asian

Other (please specify)

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)

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)

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

Would you also like to receive a newsletter and other mailings on environmental issues? Yes

No

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