The document is a questionnaire designed to gather basic family information and perceptions about air pollution, including its effects and awareness among respondents. It consists of multiple-choice questions and rankings related to air quality, sources of pollution, and personal impacts. The questionnaire aims to assess public understanding and attitudes towards air pollution and environmental responsibility.
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Air Pollution Questionnaires
The document is a questionnaire designed to gather basic family information and perceptions about air pollution, including its effects and awareness among respondents. It consists of multiple-choice questions and rankings related to air quality, sources of pollution, and personal impacts. The questionnaire aims to assess public understanding and attitudes towards air pollution and environmental responsibility.
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DISCLAIMER ABOUT QUESTONNAIRE
1. Know about basic information about the family.
2. Know about basic information regarding the problem. 3. Questions always being in multiple choice bases (90%). 4. Know about the problems associated with him/her regarding the problems. 5. About contingency recovery method/management from government.
Questionnaire about Air Pollution
Associated by : Prof. Pritam Paul , Kalyani
A. FAMILY STRUCTURE :-
1. Name of the respondent ________________________________________________
2. Address ______________________________________________________________ 3. Number of family member _______________________________________________ 4. Age of the respondent __________________________________________________ 5. Sex - A. Male , B. Female , C. Others 6. Religion - A. Hindu , B. Muslim , C. Christian , D. Others (___________) 7. Cast - A. General , B. SC , C. ST , D. OBC-A , E. OBC-B , F. Others 8. Occupation – A. Cultivation , B. Industrialist , C. Service Man , D. Businessman , E. Others (_____________) 9. Name of the Ward / Panchayet ___________________________________________ 10. Thanna ______________________________________________________________ 11. Block ________________________________________________________________ 12. District _______________________________________________________________ 13. State _________________________________________________________________ B. AIR POLLUTION PERCEPTION SURVEY :-
1. Do you aware about Air Pollution ? (Yes/No)
2. From where you get information about Air Pollution ? (Radio/TV/Newspaper/Conversations/Social Media/Others__________) 3. Do you think Air Pollution is detrimental for human being ? (Yes/No) 4. How would rate the overall air quality in your area ? (Good/Moderate/Unhealthy for sensitive group/Unhealthy/Toxic/Hazardous) 5. Do you think that previously (10 years ago) your area is much better than present (Yes/No) 6. If yes , then what are the causes of deterioration of environment __________________ 7. Based on your observation , rank the most common type of air pollution in the vicinity (Rank them from 6 to 1) : A. Dust from Construction _________________ B. Smoke from vehicle ____________________ C. Burning of Waste ______________________ D. Cutting of trees _______________________ E. Cigarette smoke _______________________ F. Garbage odors_________________________ 8. To what extend Air pollution affecting you and your family ? (Very much affected /affected a little/Not affected at all) 9. If very much affected , then what kind of disorder you are facing ? A. Initiation to eyes/noses/throat (___) B. Skin problems (___) C. Filling Depressed (___) D. Want to move other places (___) E. Doing more to look after skin (___) F. Doing more to stay healthy (___) G. Asthma incident (___) H. Fatigue/Drowsiness (___) I. Breathlessness or having more difficulty in breathing (___) J. Poor visibility (___) K. Others (___) 10. Do you know the air pollution in your area is higher than other big cities ? (Yes/No/Others) 11. Which fuel do you use for cooking food ? (Kerosene oil/Cake dung/Coal/LPG/Microwave/Induction cooker/Others) 12. Do you think traffic policy should be more improve for controlling air pollution ? (Yes/No) 13. Do you think Citizen should be come forward for the safety for their environment ? (Yes/No) 14. Whether the ultimate solution to all the problems of Global Warming and climate change is to make the people aware about its causes/consequences/control of energy consumptions through education ? (Yes/No) 15. Do you know about air quality index ? (Yes/No) 16. Do you agree to bring changes in habits of daily life to minimized energy wastage ? (Yes/No) 17. Do you agree that the environmental protection is the moral responsibility of all the citizens ? (Yes/No) 18. Do you think student life is the period to lay foundations of intellectual and conscious citizen ? (Yes/No) 19. Give your opinion to control the effect of air pollution/global warming/climate change by value based impression ________________________________________________________________________ ________________________________________________________________________
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