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Small Green Steps survey
“If you think you are too small to make a difference
you haven’t spent a night with a mosquito.
African Proverb.

Thank you very much for agreeing to participate in our Small Green Steps survey, we hope it will encourage you to make changes to your lifestyle that reduces your carbon footprint and contributes to the environment in a positive way.

Please be honest with your answers to best reflect your current situation, if any do not apply please leave them blank. Where there is an ‘other’ answer please fill in what it is you are doing.

The last question has been left blank for you to add anything we have missed in the questionnaire. At the end of the survey please indicate whether you have answered as an individual or as a household and, if the latter, how many people are included in the household.

In early December we will email and ask you to complete it a second time, you will receive an automatic copy by email on completion. We will aim to analyse the changes you have made to reflect how you have reduced your carbon footprint. Then on 18th December the name of someone who has completed the survey twice will be drawn to win our Great Big Green Hamper. This is worth about £150 and is full of ethical eco goodies, kindly donated by John Lewis Horsham. Take a look what is in it here

Do contact us at any time if you have any questions via
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Email *
Contact name (in capitals please) *
Mobile Number *
What is the source of your electrical energy? *
If you supplement the energy from the national grid, what do you use?
What do you do to save energy?
What do you do with the clothes you wear? *
Where do you bank and invest your savings and pensions? *
What best describes your eating habits? *
What do you do with kitchen and other waste? *
How do you get about? *
What sort of vehicle do you get about in?
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How is your vehicle powered?
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How much plastic do you use? *
What have you planted recently? *
How water conservation conscious are you?
How often do you fly? *
If you will be flying next year, how many times do you anticipate flying?
How litter conscious are you when out and about? *
What are your shopping habits *
What do you think about helping the environment? *
What else are you doing to go ‘green’?
Completed as *
If your answer is household, how many people are there in your household?
Is there anything else you think we have missed in this questionnaire?
You have got to bin in it to win it!
A copy of your responses will be emailed to the address you provided.
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