AirSpace Survey

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* 1. What is your gender?

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* 2. Which race/ethnicity best describes you? (Please choose only one.)

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* 3. What is your age?

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* 4. What is your zip code?

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* 5. How would you rate the overall change in air quality in your community since...?

  Air quality is much worse Air quality is slightly worse Air quality is about the same Air quality is slightly better Air quality is much better N/A
...since 1 year ago
...since 5 years ago
...since 15 years ago
...since 30 years ago
...since 50 years ago

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* 6. Please rate the following based on to what degree you think they impact air quality in your home, neighborhood, or town.

  Does not impact air quality at all Somewhat impacts air quality Greatly impacts air quality N/A
Construction
Industrial sources/factory work
Motor vehicles
Population growth
Power plants
Burning of wood or waste
Cigarette smoke
Fracking & Natural Gas development

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* 7. In which of the following ways are you affected by air pollution? Check all that apply.

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* 8. Please express how much you agree or disagree on the following statements.

  Strongly disagree
1
2 3 4 Strongly agree
5
“Polluting companies are being fined enough.”
"Air quality is impacting success of businesses where I live"
“Power plants and factories should switch to cleaner processes.”
“Government should do more to promote and encourage a better environment.”
“Improving the environment is the responsibility of every citizen.”
“The pollution is out of my control and I cannot do anything to change it.”
“I do not see pollution as a problem.”
“If I knew how to better contribute to a cleaner environment, I would take action.”

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* 9. How much concern do you have for the effects of these other environmental issues on the personal health or economic well-being of you, your family, or your town?

  No concern
1
Some concern
2
Undecided
3
Moderate concern
4
High concern
5
Air pollution
Drinking water pollution
Garbage and solid waste
Global warming and climate change
Loss of green space in my town or neighborhood
Surface water (e.g. lakes, rivers) pollution
Poor soil health

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* 10. How would improved air quality benefit your community?

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