Regional Awareness Survey

This voluntary, anonymous survey asks about your awareness of regional issues that you may have seen, read, or heard about. Your answers will be used to help improve communications on public issues.

Age:

Gender:
Select one
Male
Female
Home Zip Code:

1. Do you remember hearing an air quality or air quality health alert day message in the past 6 months?
(Message Examples: Refuel your car or mow your lawn after 6 p.m., carpool, ride your bike, please remember not to idle your engine, combine errands)

Select one
Yes
No
2. If so, do you remember where you saw or heard the message. Please list:
Source #1:
Source #2:
Source #3:
3. Do you know what it means when we have an air quality health alert day?
Yes
No
4. Do you currently carpool, vanpool, ride the bus, walk or ride your bike to and from work?
Yes
No
5. Check the top three Clean Air Actions you would be willing to take to help reduce air pollution.
Carpool
Ride the bus
Refuel after 6 p.m.
Telework (work from home)
Mow your lawn after 6 p.m.
Vanpool
Combine Errands
Walk (instead of drive)
Ride your bicycle (instead of drive)
Use an alternative work schedule
Reduce energy use at your home and work (turn off lights and appliances when not in use, turn up the thermostat one degree during the summer, etc.)
6. Do you agree or disagree with the following statements?
 
Agree
Disagree
Air quality directly affects your health.
Refueling your vehicle in the evening reduces air pollution.
Driving less will help improve air quality.
Topping off your gas tank wastes fuel and money.
Maintaining proper vehicle tire pressure improves gas mileage.


Please provide your name and mailing address if you would like to be entered into the raffle for Alamo Draft House Tickets, Lunch sack and mug package, and other gift certificates.
Name:

Mailing Address:
Include zip and apartment number (if applicable)


Click below to submit your information. If you have any questions, e-mail amayne@aacog.com or call (210) 227-7665.

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