Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Commitment Survey 2020
Jacksonville Science Festival
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name? (optional)
Your answer
Age
*
0-18
19-24
25-30
31-35
36-40
41-45
46-49
50-55
56-60
61-65
66-70
71-75
75-80
80+
Zip Code
*
Your answer
E-mail
Your answer
Do you currently recycle?
*
Yes
No
I will commit to ONE THING in my life that is healthier for my environment. (Select from these suggestions or write your own in the "Other" option.)
*
Avoid using plastic or glass throwaway bottles
Avoid wasteful packaging
Bottles
Compost my food waste
Drink from a reusable water bottle
Invest in low energy technology and appliances
Know and use the listed guidelines for recycling in my community
Purchase foods that are not in containers when possible
Use a reusable straw
Use less energy by walking or carpooling when possible
Use reusable/canvas totes for most of my purchases
Other
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Foundation Academy, Inc..
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report