Baseline Questionaire
Questions on various topics to help evaluate effectiness of LAN activities. Adapted from EnAct Baseline and Results surveys.
Your name________________________ email address_____________________ date_______
Solid Waste: Please weigh your household's garbage each week for two to three weeks prior to starting the LAN Solid Waste unit and record your average weekly weight. How to weigh your garbage: Stand on scale holding your empty garbage can. Subtract your weight to find the weight of the empty conatiner. Before putting your trash out at the curb, stand on the scale holding the full container. Subtract your weight and the weight of the empty container to calculate the weight of the garbage.
Average weight of weekly garbage:___
Do you compost food scraps? ___ yes ___ no
Do you compost yard materials? ___ yes ___ no
Transportation: Please describe any cars or trucks owned by you or members of your household.
| Make | Year | Model | Miles Driven/Yr | *MPG city | *MPG highway | |
|---|---|---|---|---|---|---|
| Vehicle 1 | ||||||
| Vehicle 2 | ||||||
| Vehicle 3 | ||||||
| Vehicle 4 |
Approximately how many total miles per week do members of your household travel by vehicle? Please add up the miles each household member drives alone, plus the miles household members carpool together. *You may look up your vehicle fuel efficiency at www.fueleconomy.gov
| Household Member | Vehicle Miles/Week |
|---|---|
| 1 alone | |
| 2 alone | |
| 3 alone | |
| 4 alone | |
| Household carpool | |
| Total Vehicle Miles |
