Sustainable Shanghai

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This information is completely confidential. Your identity will not be used or promoted through this gathering of information. However, if you fill this form in, it can really help us understand how to better communicate with you and develop systems, programs and products that might help you achieve a more healthy lifestyle.

 

Please fill in the form as best as you can. If you cannot answer some of the questions do not worry, this is not a test and if you don’t care or don’t know about something then this is also very good information for us. Many thanks in advance from the Good to China team
1.
If you had as much money as you wanted what are the 5 things you would love to buy for you/family (If you cannot finish all of them, just put DK in the blanks that are left.) *
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2.
If you could bury 4 things today that would be found in 1,000 years from now, that would highlight your life (give someone else a good idea of who you are and what you like to do) what would they be?(If you cannot finish all of them, just put DK in the blanks that are left) *
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3.
As you think about your home life, the way you spend your leisure time, the appliances you use, how you travel around town or go to work or take your child to school; how do you think your family’s life might change in the next 5 – 10 years? *
4.
 Are you interested in helping achieve any of the following:
indicate your interest please provide a rating from 1 – 4: where 4 = very important, 3 = important, 2 = moderately important and 1 = not very important *
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maintaining good air quality
maintaining good healthy waterways: rivers, streams, ponds etc
reducing the cost of your energy bills
reducing the amount of energy you use
reducing the amount of water you use
Planting your own vegetable garden
Increasing the warmth in your home during the winter
Decreasing the warmth of your home during the summer
Choosing vegetables and fruit that have been grown organically: (without damage to the environment)
Owning a car
Less pollution in Shanghai
Less pollution in China
Less pollution in Aisa
Less pollution in Globe
5.
When people talk about pollution, do you think that there is anything that you can do personally to reduce pollution? *
6.
Explain why you choose the answer of the above question
7.
Do you drink the water from your house kitchen tap  *

Recycling
What we mean by recycling: all those products that you separate out and sell on, or place into a recycling bin.
8.
What are the most important benefits to you when you recycle?
(please tick all those that apply) * [多选题]
9.
What products do you recycle? * [多选题]
10.
After you recycle these products do you know where they go?  *
11.
Do you know what happens to the products? *
13.
Would you like to know any of the following? * [多选题]
14.
If you knew that some of these products that are sold or (recycled), are incorrectly recycled and can badly pollute the air would you consider an alternate way to recycle? *
15.
Do you look to see where a product is made? *
16.
If you had a choice of product, that looks identical has the same quality level and does the same thing, and they are sold at the same price would any of the following persuade you positively to buy one product over another?
(please tick all those that apply) * [多选题]
18.
When you buy a product would it be of interest to you to know any of the following?
(please tick all those that apply) * [多选题]
19.
If you had a choice, and all methods were the same price, which method would you choose to produce your electricity that you use at home?
(please tick all those that apply) * [多选题]
20.
Explain why
21.
Are you concerned about the safety of the food you eat? *
22.
What is it that concerns you specifically?(please tick all those that apply) * [多选题]
23.
Explain why this concerns you
24.
Are you interested in buying organic farmed food? *
25.
What do you think might be the benefits of organic food?
(please tick all those that apply) * [多选题]
26.
What transport does your family use now to get around the city? * [多选题]
27.
What transport do you imagine your family will use in 5 years time? * [多选题]
28.
Does your family own a car *
29.
Whether you have a car or not what do you think is important to look for when you buy a car?(please tick all those that apply) * [多选题]
30.
Address – district shanghai
Telephone number
31.
Which of the following groups contains your age? * [多选题]
32.
Which of the following best describes your total monthly household income? * [多选题]
33.
Please tell me which of the following best describes your place of origin? * [多选题]