Baseline Survey Questionnaire

Your assistance is needed.
Please take the time to complete this survey.
It takes only six minutes to complete.
Your input is important because it is recognised that communities will play a most important role in reducing greenhouse gas emissions for the betterment of all.

This baseline survey is being undertaken as part of the Interreg Europe INTENSIFY project. The project aims to reduce green house gas emissions through intense community engagement. It will also help to inform EU, national, and regional policy regarding the drive towards a low carbon economy. 
 
A second survey will be undertaken in 30 months time to measure the impact of the project. More details can be found on the project website: https://www.interregeurope.eu/intensify/

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* 2. Please let me know your gender (Select one of the following options)

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* 4. Please tell me your main occupation (Select one of the following options)

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* 5. Where do you live (Select one of the following options)

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* 6. Are you concerned about climate change (Select one of the following options)

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* 7. Please select the climate change issues that are important to you (Select those of importance to you)

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* 8. Do you agree or disagree with the following statements

  Agree Disagree Neither agree nor Disagree, OR do not know
A low carbon lifestyle is not for me
I find it hard to make environmentally friendly changes
It is only worth making changes if I save money
Climate change is too far into the future to worry about
It is only worth making changes if everyone does it
I do everything I can to be environmentally friendly
I would like to do more to reduce my carbon footprint

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* 9. Please tell me how often you do the following

  Never Sometimes Often Always Not Applicable to me
Leave the heating on unnecessarily when the house is empty
Leave electrical electronic equipment (TV, Stereo, Computers, Playstations) on in standby mode when not in use.
Leave lights on in unoccupied rooms
Boil the kettle with a lot more water than is needed (e.g. fill the kettle for one cup of a hot drink)
Use 30degree temperature setting on the washing machine
Hang clothes out to dry/air rather than use the Tumble dryer
Think about ways to save energy

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* 10. Have you had or do you plan to install any of the following energy efficiency improvement measures in your home. (If you do not own a home click NO on the query I do not own a home)

  Yes No Maybe Not applicable
I do not own a home
LED Lighting
Ceiling/Roof insulation
Triple Glazed Windows
Wall Insulation
Solar Heating
Photovoltaic cells to generate electricity
Floor insulation

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* 11. In terms of transport which of the following modes do you use to get to.... (You may select more than one)

  Walk Cycle E-scooter Car share Car or motorbike Public Transport (Bus, Train) Not applicable
the local shop
the supermarket
the school
the workplace

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* 12. Please rank in order from lowest contributor to highest contributor to the emission of green house gases in your household/community/county or region (1 = lowest contributor, 5= highest contributor)

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