1. Are you a member/contributor to organizations concerned about the environment?
Yes, I belong to at least two organizations or contribute lots of money
I belong to one organization
No, I don't belong to any of these organizations

2. Do you get involved in organized campaigns to help the environment?
Yes, I write letters, make calls, march or something nearly every month
Yes, I do something a couple times a year
No, I don't get that involved

3. How often do you use products in aerosol cans?
I avoid using aerosols all the time
I use aerosol cans one or twice a year
I use aerosol cans a couple times a month
I use aerosol cans once or twice a week
I use aerosol cans almost daily

4. How much paper do you recycle?
All at home and work
Most at home and work
Newspaper at home or computer paper at work
Have tried it a few times

5. How many trees have you planted in the past year?
A thousand or more
A hundred or more
Twelve or more
Two to twelve
One tree planted
No trees planted this year

6. Are you a member of a wildlife organization?
Yes
No

7. Do you hunt?
Yes, several seasons a year.
Maybe one season a year.
I hunt maybe once every couple years.
I never go hunting.

8. Do you own any furs?
I own several furs.
I own one fur.
I don't own any fur.

9. Have you purchased any endangered plants or wildlife in the past year?
No, I'm sure I haven't purchased any endangered anything
I don't check, but I don't think I've purchased anything endangered
Maybe, I have bought something unusual
Yes, I bought a very rare plant or animal

10. How much of the food you consume is organically grown?
100%. If it's not organic, I don't eat it.
Over 60% of what I eat is organically grown
40-60% of what I eat is organically grown
10-40% of what I eat is organically grown
I eat some organically grown food, but not over ten percent
No. I don't eat organically grown food
Don't Know how much is organically grown

11. Do you reuse any of the waste water in your household?
All of my waste water is recycled
Well over half of my waste water is recycled
I am reusing some of my waste water
No, I don't reuse waste water

12. How do you dispose of hazardous household chemicals?
I flush them down the drain or toilet
I put them in the trash with everything else
I wait for a special collection of household hazardous waste
I don't use any hazardous chemicals in my house

13. What kind of toilet do you have?
I have a composting toilet
I have an air assisted toilet
I don't have a toilet
I have a wash down type toilet
I have a low flush toilet
I have a conventional toilet with bricks added to the tank
I have a standard toilet design
I don't know what I've got

14. Do you use automatic dishwasher detergent?
Yes, I use automatic dishwasher detergent
I use less than recommended or mix it with Borax or something harmless
No, I don't use automatic dishwasher detergent

15. Do you use phosphate free washing machine detergent?
Yes, I always use phosphate free
I nearly always use phosphate free
Sometimes I get phosphate free
No, my usual brands are not phosphate free
I really haven't noticed what is in the detergent I use

16. Do you buy natural fiber clothing?
Yes, I make a point of checking to make sure it is natural fiber
Once in a while I get something that isn't natural fiber
Sometimes it is, sometimes it isn't
Most of the clothes I buy are not natural fiber
No, I regularly get synthetic fiber clothing

17. Do you purchase natural ingredient body care products?
Yes, I always get natural ingredient soaps, shampoos, etc.
Most of the products I et are natural ingredients
Sometimes they are natural, sometimes they aren't
I don't buy many natural ingredient body care products
No, as far as I know they've all got chemicals in them

18. Do you shower or bathe in a tub?
I always shower
I usually shower
I usually bathe in the tub
I usually share bathwater with other people
I always bathe in the tub

19. How low on the food chain do you eat?
I don't eat any animal products
I don't eat any meat
I eat meat once a week or less
I eat meat two or three times a week
I eat meat about daily
I usually eat meat a couple times a day

20. Do you compost?
Yes, I compost all my household and yard organic waste
I've tried composting a little bit
No, I don't have a compost pile

21. Do you garden organically?
Yes, I have a big organic garden (over 150 sq. ft.)
Yes, I have a small organic garden (under 150 sq. ft.)
It's all organic except for a small use of one chemical
I don't have a garden
I use some pesticides, fungicides, herbicides, or chemical fertilizers

22. How often do you eat at fast food places?
Almost daily
Once or twice a week
Once or twice a month
Once every few months
Won't eat at them at all

23. Do you use Styrofoam cups or containers?
I don't buy them and refuse them at stores
Once in a while I happen to use one
I use a Styrofoam container a couple times a week
I use a Styrofoam container nearly daily

24. Do you choose products with least packaging layers?
Yes I buy unwrapped or very simply wrapped products
I usually buy the more simply packaged product
I buy the product I want regardless of packaging
I've never really noticed the amount of packaging

25. Do you recycle motor oil?
Yes, all my motor oil gets recycled
I have recycled motor oil in the past
No, I don't recycle motor oil
I don't use any motor oil

26. Do you recycle household plastic?
Yes, all my qualifying household plastic gets recycled
I'm occasionally recycling some household plastic
No I don't mess with it
I don't use any plastic

27. Do you recycle aluminum cans?
Yes I recycle all the aluminum cans I get my hands on
I have recycled some aluminum cans
No I don't recycle aluminum
I don't use disposable aluminum

28. Do you recycle glass?
Yes I recycle all colors of glass
Sometimes I recycle glass
No, I don't recycle glass
I don't discard any glass

29. What do you do with old batteries?
I throw all my batteries in the trash
I bring all my batteries to a Hazardous Waste Center
I trade in my auto batteries and toss the little ones in trash
I recycle car batteries and only use rechargeable small batteries
I'm saving them for an opportunity to turn them in to a Hazardous Wazste Center
I don't use batteries

30. Does your household use disposable diapers?
Yes we do use disposable diapers
No we don't use disposable diapers

31. Have you purchased foam insulation in the past year?
No I haven't bought any foam insulation in the past year
Yes I have bought foam insulation in the past year

32. Is your household carpeting natural fiber?
Yes all the carpeting is natural fiber
I don't have any carpets
Some carpets are natural, some synthetic
All the carpets are synthetic
I'm not sure what they are

33. Is the bedding in your household natural fiber?
Yes, all the bedding in my house is natural fiber
I have some natural, some synthetic fiber bedding
The bedding in my house is basically synthetic fiber
I'm not sure what kind of fiber they are

34. Has your home had a recent Energy Audit?
Yes, did it myself or had a professional do it
Can't quite remember for sure
No, this house has not had a recent energy audit

35. Have you made recent energy efficiency improvements in your home?
Yes, I did everything that would be suggested in an energy audit
Yes, I made many energy saving improvements
I did one or two things to save energy
No, but I know what to do
No, wouldn't know what to do

36. Do you try to buy local food & products?
Yes, I always check to see if the item is local
I sometimes check to see if an item is local
I buy local only when it's cheaper
No, I don't pay much attention to the source of an item

37. Do you smoke?
No, I don't smoke
Yes I do smoke

38. Does your main car have a catalytic converter?
Yes, the car has a catalytic converter
I don't have a car
I'm not sure if my car has a catalytic converter
No, the main car doesn't have a catalytic converter

39. How often do you buy a brand new car?
I buy a new car every year
I buy a new car every second or third year
I buy a new car every three to five years
I buy a new car every six to ten years
I never buy new cars

40. How many miles do you drive each week?
I drive over 500 miles per week
I drive between 300 and 500 miles per week
I drive between 150 and 300 miles per week
I drive between 50 and 150 miles each week
I drive less than 50 miles per week
I don't drive a car
I can't venture a guess at how many miles I drive

41. What is the fuel efficiency of your main vehicle?
My car gets less than ten miles per gallon
My car gets between ten and twenty miles per gallon
My car gets between twenty and thirty miles per gallon
My car gets between thirty and fourty miles per gallon
My car gets more than fourty miles per gallon
I don't have a car
I don't know what kind of mileage I'm getting

42. For trips less than a mile away, do you walk or ride a bike?
I always drive those trips
A few times I've walked or rode a bike
Sometimes I leave the car at home, sometimes not
I usually do walk or ride bike on these short outings
I always walk or ride bike on short outings

43. What is the average # of people in your vehicle?
One person is the most common
It would average out to two people
It would average out to three people
It would average out to four people
It would average out to more than four people
My main transportation is walking, bike or mass transit

44. How do you heat your home?
I heat mainly with baseboard electricity
I heat mainly with an electric heat pump
I heat mainly with natural gas or heating oil
I heat mainly with fuel wood
I heat mainly with propane
I heat mainly with solar energy
I don't have a heating unit. The design of my home does not require it

45. How do you heat water?
I heat water mainly with electricity
I heat water mainly with natural gas
I heat water mainly with wood
I heat water mainly with propane
I heat water mainly with solar energy
I don't have a water heating unit in my home

46. How do you cool your house?
I cool my house mainly with electric air conditioner(s)
I cool my house mainly with electric fans
I cool my house mainly with natural gas
I don't have any air conditioning

47. How do you cook?
I cook with electricity
I cook with natural gas or propane
I cook with wood
I don't have any cooking heat

48. How well insulated is your house?
Meets or exceeds recommended standards
Almost up to federal standards
Some of the house is insulated
No insulation
Don't know how much of the house is insulated or how well

49. How many of these appliances do you use? Electric toothbrush, Electric can opener, Electric dishwasher, Electric garage opener, Electric lawn mower, Electric pencil sharpener
I don't use any of these appliances
I use one of these appliances
I use two of these appliances
I use three or more of these appliances

50. How many children have you brought into the world?
No more than two children
Three children
Four children
Five children
More than five children

51. Are you aware of the environmental record of major corporations?
Yes, I've studied this information
I try to keep up on it
I notice headlines
No, I'm not really aware of this information

52. How many consumer products are you boycotting because of its direct environmental impact or the environmental record of its producer?
I boycott thousands of products
I boycott between a hundred and a thousand products
I boycott between fifteen and a hundred products
I boycott between three to fifteen products
I boycott one or two products
I don't boycott anything for those reasons

53. Are your investments only in ecologically conscientious companies?
Absolutely
Mostly
Not particularly
No investments