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Sustainability Coaches
> Questionnaire
Click here to download the questionnaire PDF
Sustainability Coach Questionnaire
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Indicates required field
Name
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First
Last
I live in:
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Nether Providence (Wallingford)
Rose Valley
Rutledge
Swarthmore
Email
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Phone Number
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How did you hear about Sustainability Coaches?
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Waste and Recycling
How many trash containers do you put out each week?
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Do you buy bottled water? If so, how much per week?
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How many recycling containers?
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Do you compost your kitchen waste or yard waste?
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Neither
Both
Kitchen
Yard
Lawn and Garden
Do you water your lawn or garden? If so, how often?
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What time of day do you water your lawn or garden?
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What lawn watering system do you use? (hoses, sprinklers, irrigation)
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Do you have a rain barrel? If so, how often do you use it for watering?
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Would you be interested in learning more about sustainable lawn & gardening practices?
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Water
How many minutes of showers per week?
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How many dishwasher loads?
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Do you ever run out of hot water?
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How many baths?
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Washing machine loads?
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Do you have a clothesline? If so, how often do you use it?
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Food
Are you mindful of the amount of meat your family eats?
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Are you concerned about the carbon impact of food consumption?
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Heating and Cooling
At what temperature do you set your thermostat in the winter? Daytime when people are home
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Daytime when people are not home?
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Overnight?
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At what temperature do you set your thermostat in the summer? Daytime when people are home
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Daytime when people are not home?
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Overnight?
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Do you open and close blinds and curtains to control room temperature?
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How often do you service your heating and cooling systems?
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How often do you change your filters?
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Electricity
Do you switch of electronic devices when not in use?
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Have you switched electricity providers?
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Does your family turn of lights when not in the room?
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Which one?
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Family and Transportation
How many adults live in your home?
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How many children?
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What ages?
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How do they usually get to school? (bus, car, carpool, bike, walk, other?)
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How do they usually get to activities?
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How many drivers do you have?
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Adult 1: How many miles driven per week?
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Adult 2: How many miles driven per week?
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Adult 3: How many miles driven per week?
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How often do you service your cars?
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Does your family like to bike or walk?
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Submit