Water Use

1. My shower (or bath) on a typical day is:

No shower / no bath Short shower 3-­4 time a week Short shower once a day Long shower once a day More than one shower per day

2. I flush the toilet:
Every time I use it Sometimes

3. When I brush my teeth, I let the water run:
Yes No

4. We use water­saving toilets:
Yes No

5. We use low­flow showerheads:
Yes No

Food Habits

1. On a typical day, I eat:
Meat more than once per day Meat once per day Meat a couple times a week Vegetarian Vegan

2. _____ of my food is grown locally or is organic
All Some None

3. I compost my fruit/vegetable scraps and peels.
Yes No

4. _____ of my food is processed.
All Some None

5. _____ of my food has packaging.
All Some None

6. On a typical day, I waste:
None of my food One-fourth of my food One-third of my food Half of my food

Travel

1. On a typical day, I travel to school by:
Foot or bike Public transit / school bus Private vehicle; carpool Private vehicle; 1 student

2. Our vehicle's fuel efficiency is
More than 30 miles/gallon 24 - 30 miles/gallon 17 - 23 miles/gallon Less than 17 miles/gallon

3. The time I spend in vehicles on a typical day is:
No time Less than half an hour Half an hour to 1 hour More than 1 hour

4. How big is the car in which I travel on a typical day?
No car Small Medium Large (SUV)

5. Number of cars in our driveway?
No car Less than 1 car per driver One car per driver More than 1 car per driver More than 2 cars per driver

6. Number of flights I take per year?
0 1-2 More than 2

House

1. My house is:
Single house on large lot (suburbia) Single house on small lot (city) Townhouse/attached house Apartment

2. Divide number of rooms per person, no baths, by the number of people living at home.
1 room per person or less 1-2 rooms per person 2-3 rooms per person More than 3 rooms per person

3. We own a second, or vacation home that is often empty.
No We own/use it with others Yes

Energy

1. In cold months, our house temperature is:
Under 15°C (59°F) 15 to 18°C (59 to 64°F) 19 to 22°C (66 to 71°F) 22°C (71°F) or more

2. We dry clothes outdoors or on an indoor rack.
Always Sometimes Never

3. We use an energy-efficient refrigerator.
Yes No

4. We have a second refrigerator / freezer.
Yes No

5. We use 5 or more compact fluorescent light bulbs.
Yes No

6. I turn off lights, computer, and television when they're not in use.
Yes No

7. To cool off, I use:
Air conditioning: car Air conditioning: home Electric fan Nothing

8. My clothes washer is a:
Top load Front load Laundromat

Clothings

1. I change my outfit every day and put it in the laundry.
Yes No

2. I am wearing clothes that have been mended or fixed.
Yes No

3. One-fourth of my clothes are handmade or secondhand.
Yes No

4. Most of my clothes are purchased new each year.
Yes No

5. I give the local thrift store clothes that I no longer wear.
Yes No

6. I never wear _____ % of the clothes in my closet.
Less than 25% 50% 75% More than 75%

7. I buy _____ new pairs of shoes every year.
0-1 2 to 3 4 to 6 7 or more

Waste Management

1. All my garbage from today could fit into a:
Shoebox Small garbage can Kitchen garbage can No garbage created today!

2. I recycle all my paper, cans, glass and plastic.
Yes No

3. I reuse items rather than throw them out.
Yes No

4. I repair items rather than throw them out.
Yes No

5. I avoid disposable items as often as possible.
Yes No

6. I use rechargeable batteries whenever I can.
Yes No

7. In my home we have __ number of Electronics?
0-5 5-10 10-15 More than 15

8. How much equipment is needed for typical activities?
None Very little Some A lot