SAMPLE QUESTIONNAIRE
Name:- Rudraneel Mondal
Address:- 36/4 Hussain Shah Road, Mominpur, Kolkata - 700023
Phone:- 98748XXXXX
1. Do you separate your waste for recycling?
a) Always
b) Often
c) Sometimes
d) Rarely
e) Never
2. Do you compost organic waste?
a) Always
b) Often
c) Sometimes
d) Rarely
e) Never
3. Do you avoid buying single use plastic product?
a) Always
b) Often
c) Sometimes
d) Rarely
e) Never
4. Do you use re-usable bags during shopping?
a) Always
b) Often
c) Sometimes
d) Rarely
e) Never
5. Which of the following do you recycle? (Select all that apply)
a) Plastic
b) Glass
c) Paper
d) Metal
e) Electronic waste
6. Why do you dispose hazardous waste? ( Select all that apply)
a) Local recycling centres
b) Special collection event
c) Garbage bin
d) Other
7. Do you participate in community clean up events?
a) Always
b) Often
c) Sometimes
d) Rarely
e) Never
8. Have you reduced your overall waste production in the past year?
a) Always
b) Often
c) Sometimes
d) Rarely
e) Never
9. Do you donate items you no longer need instead of throwing them away?
a) Always
b) Often
c) Sometimes
d) Rarely
e) Never
10. Do you think waste management is required in your locality?
a) Yes
b) No