Personal Carbon Footprint Assessment — Form Fields
This personal template includes 8 fields. Estimate your personal carbon footprint across transportation, diet, energy use, and shopping habits. Free to customize and use on ZenBuild.
Your Name (text, optional)
Primary Mode of Transportation (dropdown selection, required) — options: Personal Car (Gas), Personal Car (Electric/Hybrid), Public Transit, Cycling/Walking, Mix
Estimated Miles Driven Per Week (number, optional)
Flights Per Year (dropdown selection, required) — options: None, 1–2, 3–5, 6–10, More than 10
Diet Type (dropdown selection, required) — options: Vegan, Vegetarian, Pescatarian, Flexitarian, Omnivore, Heavy Meat Consumer
Home Energy Source (dropdown selection, required) — options: All Renewable, Mostly Renewable, Mixed, Mostly Fossil Fuels
Do You Actively Reduce Single-Use Plastics? (multiple choice, required) — options: Yes – Always, Sometimes, Rarely, No
