Climate Concern and Action Survey

Climate Concern and Action Survey — Form Fields

This surveys template includes 8 fields. Measure public concern about climate change, personal behaviors, and expectations from governments and businesses. Free to customize and use on ZenBuild.

• How concerned are you about climate change? (dropdown selection, required) — options: Extremely concerned, Very concerned, Moderately concerned, Slightly concerned, Not concerned
• Age group (dropdown selection, required) — options: 18-24, 25-34, 35-44, 45-54, 55-64, 65+
• How much impact do your personal choices have on the environment? (rating, required)
• How satisfied are you with government climate action? (rating, required)
• Climate-positive actions you take (checkboxes, optional) — options: Reduced meat consumption, Drive less or use transit, Solar panels, Composting, Recycling, Buy less fast fashion, Support eco-friendly brands, Offset carbon emissions
• Would you pay more for environmentally friendly products? (multiple choice, required) — options: Yes always, Yes sometimes, Depends on the price difference, Rarely, Never
• Do you discuss climate issues with friends and family? (multiple choice, required) — options: Frequently, Sometimes, Rarely, Never
• What climate action do you most want to see prioritized? (long text, optional)