Section 1 of 9
Climate Change- Indonesia ๐ฎ๐ฉ
This survey is to gather local opinion on climate change for the Decarbonize project. [students should modify this text to fit their area.]
Section 2 of 9
Bagian Tanpa Judul
Section 3 of 9
Bagian Tanpa Judul
Section 4 of 9
Bagian Tanpa Judul
Judul Tanpa Judul
Judul Tanpa Judul
Loading...
Section 5 of 9
Climate Change- Indonesia ๐ฎ๐ฉ
This survey is to gather local opinion on climate change for the Decarbonize project. [students should modify this text to fit their area.]
Section 6 of 9
Climate Change- Indonesia ๐ฎ๐ฉ
This survey is to gather local opinion on climate change for the Decarbonize project. [students should modify this text to fit their area.]
Section 7 of 9
Bagian Tanpa Judul
My individual actions have a significant effect on the global climate.
My individual actions have a significant effect on the global climate.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
STRONGLY DISAGREE
Strongly Agree
0
1
2
3
4
5
6
7
8
9
10
0
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
My community cares about taking action on climate change.
My community cares about taking action on climate change.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
0
1
2
3
4
5
6
7
8
9
10
0
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Section 8 of 9
Climate Change- Indonesia ๐ฎ๐ฉ
This survey is to gather local opinion on climate change for the Decarbonize project. [students should modify this text to fit their area.]
My individual actions have a significant effect on the global climate.
My individual actions have a significant effect on the global climate.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
STRONGLY DISAGREE
Strongly Agree
0
1
2
3
4
5
6
7
8
9
10
0
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
My community cares about taking action on climate change.
My community cares about taking action on climate change.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
0
1
2
3
4
5
6
7
8
9
10
0
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Section 9 of 9
Climate Change Indonesia ๐ฎ๐ฉ
I think climate change has affected the following areas in Ghana (Select All that apply)
I think climate change has affected the following areas in Ghana (Select All that apply)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Energy Production
Agriculture
Loss of Coast Line
Loss of Wildlife
Access to Clean Water
Other:
Add option
…
Answer key
(0 points)
Loading...
In my country, climate change is an important political issue.
In my country, climate change is an important political issue.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Strongly Disagree
Strongly Agree
0
1
2
3
4
5
6
7
8
9
10
0
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
I feel like I have an influence on my governmentโs response to climate change.
I feel like I have an influence on my governmentโs response to climate change.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Strongly Disagree
Strongly Agree
0
1
2
3
4
5
6
7
8
9
10
0
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Pollution in the country has affected my health as well as the members of my community
Pollution in the country has affected my health as well as the members of my community
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Strongly Disagree
Strongly Agree
0
1
2
3
4
5
6
7
8
9
10
0
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Written Response
Written Response
Loading...
Is responding to climate change an important issue for you? Why or why not?
Is responding to climate change an important issue for you? Why or why not?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Is responding to the impacts of climate change in Indigenous communities important to you?
Is responding to the impacts of climate change in Indigenous communities important to you?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions