--- generated_by: surveylegend-page-markdown title: Environmental Issues Survey Template | SurveyLegend description: Ask residents which environmental issues matter most, how they are affected, and what should happen next. Customize seven questions with SurveyLegend. canonical: https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/environmental-issues-template/ --- # Environmental Issues Survey Template This environmental issues survey template asks adults which local issue affected their area, how concerned and personally affected they feel, and which action should be examined next. Use the answers to focus a community discussion without treating opinion as a scientific measurement. [Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/environmental-issues-template/#try-template) Preview on a device Show the desktop survey layout Show the tablet survey layout Show the mobile survey layout ![](https://www.surveylegend.com/survey-template-media/demo-backgrounds/environmental-issues-template-background.avif) **SurveyLegend** 1 / 7 Environmental Issues Survey Which environmental issue affected your area most during the past 12 months? Air quality Drinking water or water pollution Flooding, heat, or severe weather +5 more answer choices Next → Environmental Issues Survey [Preview](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/environmental-issues-template/#try-template) Share [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fenvironmental-issues-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fenvironmental-issues-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fenvironmental-issues-template%2F\&text=Environmental%20Issues%20Survey%20Template)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fenvironmental-issues-template%2F\&title=Environmental%20Issues%20Survey%20Template) This environmental issues survey template asks adults which local issue affected their area, how concerned and personally affected they feel, and which action should be examined next. Use the answers to focus a community discussion without treating opinion as a scientific measurement. Environmental priorities are rarely one simple scale. Someone may be highly concerned about water quality, uncertain about available information, and cautious about a proposed response. These seven questions separate the issue, personal effect, information, action preference, and trade-offs. ## When to Use This Environmental Issues Survey Use this survey with adults who live, work, or study in one named community or service area. Keep the past 12 months as the reference period so respondents answer from a shared window. If the discussion is specifically about indoor or neighborhood pollution, the [air quality ](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/air-quality-template/)template gives that issue a narrower owner. **Create your environmental issues survey in SurveyLegend** Environmental priorities are rarely one simple scale. Someone may be highly concerned about water quality, uncertain about available information, and cautious about a proposed response. ## 7 Questions for Your Environmental Issues Survey Use these seven optional questions as a starting point. Single-choice items allow one answer. Show every question; there is no branching or score. Try the survey ## A little feedback. A clearer picture. Explore this 7-question example at your own pace. Every question is optional. Preview on a device Show the survey at full desktop width Resize the survey to a tablet-width preview Resize the survey to a mobile preview with scrolling inside the frame Choose a look Use Classic: a white survey card over the background photo Use Light: dark text over a light tint covering the background photo Use Dark: light text over a dark tint covering the background photo SurveyLegend demo Question 1 of 7 ### Environmental Issues Survey 01 Which environmental issue affected your area most during the past 12 months? Choose one answer, or skip this question. Air quality Drinking water or water pollution Flooding, heat, or severe weather Waste or recycling Habitat or biodiversity Energy use or emissions None of these Another issue 02 How concerned are you about that issue in this area? Choose one answer, or skip this question. Not at all concerned Slightly concerned Moderately concerned Very concerned Extremely concerned Not sure 03 How much did that issue affect your daily life during the past 12 months? Choose one answer, or skip this question. Not at all A little A moderate amount A lot A great deal Not sure 04 How clear was the information available about this issue? Choose one answer, or skip this question. Not at all clear Slightly clear Moderately clear Very clear Extremely clear I did not see information 05 Which type of response should receive the highest priority during the next 12 months? Choose one answer, or skip this question. Improve public information or warnings Maintain or upgrade local infrastructure Enforce existing rules Expand waste or recycling services Protect natural areas Support changes by homes or businesses Gather more evidence first Another response 06 What trade-off or concern should planners consider before acting? Share your answer, or skip this question. 07 What one local change would make the biggest practical difference? Share your answer, or skip this question. #### One last look Review your answers before submitting this demo. 0 answered #### Thank you for trying the survey! You’ve tried the template from the respondent’s side. Make it your own with SurveyLegend. [Create your own survey](https://www.surveylegend.com/register/) Checking submission availability… This is a demo. We count starts and submissions only. Your answers stay in your browser and are never sent or saved. **—**Starts **—**Submissions Activity is temporarily unavailable. ## How to Customize This Environmental Issues Survey Replace the issue and action lists with verified local terms before sharing. Keep an "another issue" option and a route for people who need more information. If the task is to review collection rules or participation in an existing program, use the [recycling survey ](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/recycling-template/)instead. Do not use this survey for emergency reports, regulatory complaints, or exposure diagnoses. ## Printable environmental issues survey template Use the printable environmental issues survey at a community workshop, library, or public meeting where some participants prefer paper or are less comfortable online. Print the same seven optional questions and explain the return point. Paper responses need a separate review or manual-entry process and are not automatically combined with online results. ![First page of the printable Environmental Issues Survey Template with questions and answer spaces](https://www.surveylegend.com/survey-template-media/pdf-previews/environmental-issues-template-pdf-preview.avif) [![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download Environmental Issues Survey Template (PDF)](https://www.surveylegend.com/downloads/survey-templates/environmental-issues-survey-template.pdf) Export environmental issues survey template as PDF ## AI Prompt for a Environmental Issues Survey Create the same seven-question environmental issues survey in SurveyLegend. Copy this prompt into an AI assistant to draft the questions. Review the draft, then build and customize the survey in SurveyLegend before sharing. AI Prompt for a Environmental Issues Survey [](https://www.surveylegend.com/register/) Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend. Already have an account? [Sign in](https://app.surveylegend.com/login/) to create your environmental issues survey. ## How to Use the Answers Start with the selected issue, then compare concern, personal effect, information clarity, and the preferred next action. Do not combine them into one score: a respondent may care about an issue while disagreeing about the response. Group written trade-offs before choosing what requires research or consultation. The Yale AP-NORC project describes a majority in its national segmentation as “holding complex and nuanced perspectives on the environment.” Read the [Yale environment poll ](https://climatecommunication.yale.edu/about/projects/environment-poll/). That finding is from U.S. national research and does not predict the views of a specific local audience or validate this questionnaire. ## Frequently asked questions ### Can this survey measure local environmental risk? No. It records reported priorities and experiences. Use qualified measurements, inspections, and official reporting channels for environmental risk. ### Should every issue appear in the answer list? No. Use a concise, locally verified set plus an other option. An extremely long list can make priorities harder to interpret. ### Can results represent the whole community? Only with an appropriate sampling and outreach plan. An open link usually reflects the people who chose to respond, not every resident. Environment & sustainability Survey Templates 1. [![Preview of the Agriculture Survey demo showing its first question and response field](https://www.surveylegend.com/survey-template-media/previews/agriculture-demo-preview.avif) Agriculture Survey Template Environment & sustainability Use this agriculture survey template to understand the operations and support needs of the farms you work with. Eight questions cover production activities, the coming season, practical obstacles, and useful forms of assistance. Adapt the questionnaire in SurveyLegend for your area, then use the answers to plan a more relevant follow-up.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/agriculture-template/) 2. [![Preview of the Air Quality Survey demo showing its first question and response field](https://www.surveylegend.com/survey-template-media/previews/air-quality-demo-preview.avif) Air Quality Survey Template Environment & sustainability Use this air quality survey template to collect employees' observations about indoor conditions at work. Eight questions identify the locations, times, odors, and stuffiness people want the facilities team to investigate. Adapt the questionnaire in SurveyLegend to organize follow-up. Responses describe people's experience; they do not measure pollutant levels or establish whether a building is safe.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/air-quality-template/) 3. [![Preview of the Energy Efficiency Program Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/energy-efficiency-program-template-preview.avif) Energy Efficiency Program Survey Template Environment & sustainability Program participation can stall before any equipment or behavior changes take place. Ask where participants are in the process and what made the next step difficult. Keep experience feedback separate from meter readings and technical evaluation.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/energy-efficiency-program-template/) 4. [![Preview of the Household Food Waste Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/food-waste-template-preview.avif) Household Food Waste Survey Template Environment & sustainability A household may discard food because plans changed, portions were too large, or purchases went unused. Ask about the recent situation without blame. Keep the survey focused on food intended to be eaten, rather than mixing it with unavoidable scraps.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/food-waste-template/) 5. [![Preview of the Recycling Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/recycling-template-preview.avif) Recycling Survey Template Environment & sustainability People may want to recycle but be unsure where materials belong or how to use the local service. Ask about access before judging participation. Focus on one named program because accepted materials and collection arrangements differ between locations.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/recycling-template/) 6. [![Preview of the Electricity Usage Survey Template showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/electricity-usage-template-preview.avif) Electricity Usage Survey Template Environment & sustainability Meter data can show when electricity is used, but it does not necessarily explain the household routine behind it. This SurveyLegend questionnaire collects that context. It asks about appliance use and flexibility without requesting bills, meter identifiers, account details or a promise to change behavior.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/electricity-usage-template/) 7. [![Preview of the Global Warming Survey Template showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/global-warming-template-preview.avif) Global Warming Survey Template Environment & sustainability People can have different levels of familiarity, concern, and interest in a discussion. This SurveyLegend questionnaire keeps those dimensions separate instead of assuming that one answer explains a person’s whole perspective.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/global-warming-template/) 8. [![Preview of the Solar Survey Template showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/solar-template-preview.avif) Solar Survey Template Environment & sustainability A household may be interested in solar but unable to decide whether panels can be installed. Separate interest, decision authority, and unanswered questions before planning the next conversation.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/solar-template/) 9. [![Preview of the Workplace Sustainability Survey Template showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/sustainability-template-preview.avif) Workplace Sustainability Survey Template Environment & sustainability Name the worksite or organization and ask about the past four weeks. Describe the resource-saving practices the organization actually allows, with safety and operational rules taking priority. Tell employees who will see responses and how small groups will be protected. The form is for planning a workplace change, not scoring a person's environmental values.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/sustainability-template/) Free survey maker ## Start creating surveys today *for free* Create and bring your ideas to life with the survey tool used by people all over the world. [Get started for free ](https://app.surveylegend.com/register/)[Book a demo](https://www.surveylegend.com/schedule-a-demo-of-surveylegend/) Academic research survey ### Ready to collect better research data? Create academic surveys and questionnaires from ready-made templates. 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