Name: (Optional) Gender: M___ Age:_________ F______

Year Level:___________ Course:__________

Check the boxes that you feel you are most likely to be: 5- Very much aware 4-Much aware A. CAUSES I AM AWARE THAT... 1. An increase in agricultural land is one of the main cause of land pollution. 2. Killing insects with pesticides creates a drastic effect to the food chain of animals and man. 3. Aquatic animals die due to land pollution. 4. Littering is one of the largest for the development of land pollution. 5. Industrial Factory the largest amount of chemical. 6. About 80% of trashes in landfills are not recyclable. 7. Mining and quarrying exploit big area of lands in the Philippines and in other countries. B.EFFECT I AM AWARE THAT... 1. Mental retardation in developing fetus in children can also be a result of land pollution. 2. Improper disposal of lead to lands can cause permanent central nervous system damage. 3. Land Pollution can be a result of natural disaster. 4. Land pollution produces acid rain that kills trees and other plants. 5. Human can loss their food supply. 6.Aquatic animals also die due to land pollution drifted to water forms like oceans. 7.Land pollution causes us to lose 24 Billion tons of top soil every year. 5 4 3 2 1 3-Aware 2-Slightly aware 1-Not aware