Please do not write your name on this questionnaire. Your answers will remain anonymous.
What is your age? _______
What is your sex? [ ] Male [ ] Female
With which of the following religions do you most closely identify?
[ ] Christian / Catholic
[ ] Jewish
[ ] Muslim
[ ] Buddhist
[ ] Other, please specify:___________________
[ ] None
Which of the following best describes your ethnicity?
[ ] Black / African American
[ ] American Indian / Alaskan Native
[ ] Asian / Hawaiian / Pacific Islander
[ ] Hispanic / Latino
[ ] White (non-Hispanic)
[ ] Other, please specify:___________________
Generally speaking, do you usually think of yourself as a
Republican, a Democrat, an Independent, or what?
[ ] Democrat
[ ] Independent
[ ] Republican
[ ] Other, please specify:__________________
[ ] I don?t know
Where would you place yourself on a seven-point scale ranging
from very liberal to very conservative? Please circle the
appropriate number or check the ?I don?t know? box below.
1 2 3 4 5 6 7
Very Moderate Very
Liberal Conservative
[ ] I don?t know
In the past week, please estimate the total days and hours per
day you used the following news sources?
Local TV News (i.e. Eyewitness News)
_____days _____hours/day
National TV News (i.e. NBC Nightly News)
_____days _____hours/day
Cable News (i.e. CNN, MSNBC)
_____days _____hours/day
Newspaper _____days _____hours/day
Internet (Web) _____days _____hours/day
Radio _____days _____hours/day
Which of the following best describes your annual income?
[ ] $0-$9,999
[ ] $10,000-$14,999
[ ] $15,000-$24,999
[ ] $25,000-$35,999
[ ] $36,000-$49,999
[ ] $50,000+
What is the highest level of education that you have completed?
[ ] Less than High School
[ ] High School or GED
[ ] Some College
[ ] AA Degree
[ ] BS, BS degree or higher
How many children do you have under age 18? ________
Do you practice yoga?
[ ] No
[ ] Yes
If Yes, On average, how often do you practice yoga?
[ ] Less than once a week
[ ] 1-3 times a week
[ ] 3 or more times a week
And, how long have you been practicing yoga?
[ ] Less than a year
[ ] 1-3 years
[ ] More than 3 years
Which best describes your occupation?
[ ] White Collar (managerial, professional, or business owner)
[ ] Blue Collar (other worker)
Please Specify Your Occupation: ______________________
When thinking about the water quality in Hilo Bay, would you
say it is?
[ ] Clean
[ ] Somewhat Clean
[ ] Somewhat Polluted
[ ] Very Polluted
[ ] Don?t know
On a scale from 1-7, 1 representing the least interest, what
would you rate your level of interest in environmental issues or
supporting environmental causes?
1 2 3 4 5 6 7
Least
Most
Interest
Interest
On a scale from 1-7, 1 representing least interest, what would
you rate your level of interest in the global warming issue?
1 2 3 4 5 6 7
Least
Most
Interest
Interest
Do you support the legalization of alcohol consumption on
beaches?
[ ] Strongly Support
[ ] Support
[ ] Don?t Care
[ ] Oppose
[ ] Strongly Oppose
On a scale of 1-7, 1 representing the least confident, what
would you rate your confidence level of political knowledge on
current events?
1 2 3 4 5 6 7
Least
Most
Confident Confident
Please check all activities that you have performed in the past
3 months:
[ ] Participated in a beach clean up/ highway clean up
[ ] Planted a tree
[ ] Recycled
[ ] Donated to an environmental group
[ ] Ate organic foods
[ ] Ate vegetarian or vegan
[ ] Used eco-friendly household products
[ ] Purchased fair trade or alternative fibered clothing
[ ] Used alternative transportation (e.g: bus, walk, bike)
[ ] Used alternative energy (solar, water catchment, biodiesel)
[ ] Made an effort to consume less
Which of the following is most responsible for the water quality
on Hilo Bay? (check only one)
[ ] Industry
[ ] Farms
[ ] Residents
In your opinion, what water quality problems exist in Hilo Bay?
(check all that apply)
[ ] Algae Blooms
[ ] Oil Slicks
[ ] Fuel Spills
[ ] Litter / Trash
[ ] Low fish population
[ ] Runoff or leaching of waste from other areas
Which of the following do you use on your property? (check all
that apply)
[ ] Chemical fertilizer
[ ] Organic fertilizer
[ ] Chemical pesticide
[ ] Organic pesticide
[ ] Compost
Which of the following best estimates how often you wash your
car(s)?
[ ] More than once a month
[ ] About once a month
[ ] Every few months
[ ] 2-3 times per year
[ ] Once a year or less often
Do you agree or disagree with the following statements:
It is safe to eat fish caught in Hilo Bay.
[ ] Agree [ ] Disagree [ ] Don?t Know
Pet waste poses a problem for Hilo Bay water quality.
[ ] Agree [ ] Disagree [ ] Don?t Know
Runoff from farms poses a problem for Hilo Bay water quality.
[ ] Agree [ ] Disagree [ ] Don?t Know
Cesspools pose a problem for Hilo Bay water quality.
[ ] Agree [ ] Disagree [ ] Don?t Know
Cruise ships pollute Hilo Bay.
[ ] Agree [ ] Disagree [ ] Don?t Know
Do you participate in any of the following activities in or around
Hilo Bay? (check all that apply)
[ ] Walking or Beachcombing
[ ] Running/Jogging
[ ] Bicycling
[ ] Swimming
[ ] Fishing
[ ] Surfing or Paddleboarding
[ ] Canoe Paddling or Kayaking
[ ] Sail or Powerboating
Thanks for your help!