Zero Waste Challenge

Demographics

Thank you for participating in the Zero Waste Challenge! We offer prizes, giveaways, and ideas to make your journey successful. If you participate to the fullest, you can become a Zero Waste Champion! Championship status offers additional feel good success and a prize at the end. Championship status is attained by viewing/participating in four of the seven workshops and taking a survey between workshops to gauge your progress in the challenge. Your quiz responses will be kept private. We will attempt to make workshops available if you cannot attend when they are presented.

Your information is confidential. It will be used to show participation in the Challenge Program and help us gauge overall participation in Goshen. We will use your email to communicate with you in this challenge to let you know information such as workshop details, giveaways, and other events.

This project was paid for through a grant from the Indiana Department of Environmental Management through the Community Recycling Grant Program.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your street address?

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* 4. What City do you live in?

Goshen

Elkhart

Other (please specify)

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* 5. What state do you live in?

Indiana

Michigan

Other (please specify)

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* 6. What is your email address?

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* 7. What is your income level

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White / Caucasian

Multiple ethnicity / Other (please specify)

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* 9. What is your current age?

Under 18

18-29

30-45

46-65

65+

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* 10. How many persons live in your household (any age)?

None

More than 4

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* 11. Approximately how much trash do you place on the curb for removal to the landfill each week?

One small kitchen bag or less

Almost always less than 1 - 96 gallon cart

Often my household has more than one 96 gallon cart

Often our household trash could fill two 96-gallon carts

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* 12. Do you currently recycle?

Yes, sometimes.

Yes, often.

Yes, regularly.

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* 13. How do you recycle?

N/A

I have curbside service.

I use the drop-off centers.

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* 14. Do you currently compost food waste?

No.

No, but I would like to start.

Yes, I compost on my property.

Yes, I participate in a composting service.

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* 15. Do you know how the fabrics are made in the clothes you wear?

Yes, I have spent some time on this topic and I know what I am buying.

I am familiar with some of them.

I do not read the labels, except for care instructions.

I am not familiar with fabric types but would like to learn.

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* 16. Which area on your property generates the most trash?

Bathroom

Garage

Kitchen

Laundry

Yard

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* 17. Do you know how to dispose of medication safely?

Yes

I think so but I am not sure.

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* 18. Do you know what products are considered household hazardous wastes?

Yes

I'm not sure.

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* 19. Are you interested in participating in giveaways? Participants who pick up free sample kits are expected to try the products and report back online and at the next workshop on what they liked and didn't like.

Yes