You are on page 1of 1

Dear Fellow Anthonian, Praise be Jesus Christ!

We are the researchers from Grade 12 – St. Isidore of Seville and we humbly ask for your
time to answer this survey form. Your participation in this survey will play a significant role in
completing our research titled “Determination of Carbon Footprint of the St. Anthony School
Community”. Rest assured that the information gathered will be treated with utmost
confidentiality and for academic purposes only.

Instructions: Write down your answer in the space provided below.

1. Do you own a television set?_______ 4. What appliances do you have in your


kitchen?
1.1 How many do you have?_______ Refrigerator(s)_______
Microwave oven(s)_______
1.2 Do you unplug your TV(s) after using Electric Stove(s)_______
it/them?_______ Oven Toaster(s)_______
Rice Cooker(s)_______
2. Do you have a desktop Water Dispenser(s)_______
computer?_______
5. Do you use a vehicle to get to school
2.1 How many do you have?_______ or work?
If yes, please specify:_______
2.2 Do you unplug your desktop If no, please skip this question.
computer(s) after using
it/them?______ 6. How much waste do you throw away
in a week?
Food:_______kg
3. For ventilation, what do you use and Paper:_______kg
how many do you have? Wood:_______kg
Electric Fan(s)_______ Garden:_______kg
Air Conditioning Unit(s)_______

You might also like