Trash Academy Survey
What neighborhood do you live in?
Your answer
Block #
Your answer
Street
Your answer
What type of home do you live in?
Yes
No
I don't Know
Do you think trash is a problem in your neighborhood?
Do you talk to your neighbors about trash?
Does trash impact the way you feel about your neighborhood?
Do you or anyone on your block sweep or clean trash in your neighborhood?
Are you satisfied by the way the city handles trash?
Have you ever contacted the city about any of the following? Check all that apply.
Who should fix the trash problem? Check all that apply.
How do you dispose of your trash?
Your answer
What do you think are your barriers to managing trash? Check all that apply.
How do you think trash impacts the health (including mental health) of you or your family? Please explain.
Your answer
Yes
No
I don't know
Do you have concerns about air quality in your neighborhood?
Do you have concerns about soil quality in your neighborhood?
Do you have concerns about water quality in your neighborhood?
Do you have concerns about dumping in your neighborhood?
Do you have any other concerns? Please Explain.
Your answer
Trash Academy collaborates with communities in order to generate creative solutions that address the issue of trash. Do you have any ideas you'd like to test out in your community? Please list, or explain your solutions to trash, dumping, recycling, etc:
Your answer
Do you want to receive emails from Trash Academy?
Name
Your answer
Email
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service