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SAMPLE SURVEY QUESTIONNAIRE

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I am a student from SIMGE and am doing a project on climate change. Please tick the answer that
applies best to you. Thank you for your help!
1.
What is your age this year?
•
Below 20
•
21-30
•
31-40
•
41-50
•
Above 50
2.
What is your gender?
•
Female
•
Male
3.
Which of the following would be most likely to happen in Cambodia due to Climate Change?
•
More Floods
•
More Droughts
•
Loss of agricultural land
•
Loss of biodiversity
4.
Who do you think is most responsible for taking action on climate change in Cambodia?
•
Government
•
Nongovernment Agencies
•
Cambodians
•
Others: Please specify ____
5.
How do you plan to take part in helping address climate change?
•
By making Donations
•
By Posting on Social media to spread awareness
•
By using less plastic
•
By upcycling
•
By saving energy usage at home
•
By volunteering in community climate change efforts
•
Others, Please specify:___
6.
How willing are you to pay more to support products or practices that help address climate
change?
•
Very willing
•
Willing
•
Unwilling
•
Absolutely unwilling
7.
Why do you think some people are NOT taking action to address climate change?
•
They are not sure how to help
•
They have other bigger concerns/priorities
•
They think it’s too complicated to help
•
They lack knowledge about climate change
•
They are unbothered to help
•
Others. Please specify:____
8.
Do you agree that climate change as a crucial global emergency?
•
•
•
•
9.
Strongly agree
Agree
Disagree
Strongly disagree
On which of the following platforms, have you heard about climate change often? You may
choose up to 3 options.
☐Television
☐ Social Media
☐ Newspaper
☐ Friends / Colleagues
☐ Government Agencies / information
10.
Which of the environmental laws in Singapore do you know? You may select more than one
option.
☐ Environmental Protection and Management (Air Impurities) Regulations
☐ Environmental Protection and Management (Ozone Depleting Substances) Regulations
☐ Environmental Public Health (Employment of Environmental Control Officers) Order
☐ Environmental Public Health (General Waste Collection) Regulations
☐ Environmental Public Health (Toxic Industrial Waste) Regulations
☐ No, I am not aware of any of the laws above
The End
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