JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Personal Choices
Sign in to Google
to save your progress.
Learn more
* Indicates required question
I do not believe that global warming will affect me personally.
*
Strongly Agree
Agree
Neutral/ Don't Know
Disagree
Strongly Disagree
Required
Many of my friends are concerned over climate change.
*
Strongly Agree
Agree
Neutral/ Don't Know
Disagree
Strongly Disagree
Required
I have made an effort to reduce the effects of global warming.
*
Strongly Agree
Agree
Neutral/Don't Know
Disagree
Strongly Disagree
Required
I believe global warming will affect future generations.
*
Strongly Agree
Agree
Neutral/ Don't Know
Disagree
Strongly Disagree
Required
Buying bottled water contributes to global warming.
*
Strongly Agree
Agree
Neutral/ Don't Know
Disagree
Strongly Disagree
Required
Submit
Clear form
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report