SURVEY–ENVIRONMENTAL FACTORS AND PUBLIC PERCEPTION
CUNY HONORS COLLEGE @ BROOKLYN COLLEGE
1 = not concerned; 2 = fairly concerned; 3 = very concerned.
| Pollutants in the air: | 1 2 3 |
| Pollutants in water: | 1 2 3 |
| Pollution from automobiles: | 1 2 3 |
| Proximity of waste management sites to your home and neighborhood sites, such as schools, religious centers, parks: | 1 2 3 |
What environmental factors do you think contribute to the cause of ____?
| 1. Asthma | 1 2 3 |
| 2. Cancer | 1 2 3 |
| 3. Heart Disease | 1 2 3 |
According to a 2001 community health report by the New York City Dept. of Health and Mental Hygiene, this area has 10% more hospital admissions due to heart disease than NYC as a whole.
| Do you think the environment plays a role in this? | 1 2 3 |
How much do you think _____ effects heart disease and athsma?
| 1. Carbon monoxide* | 1 2 3 |
| 2. Ozone* | 1 2 3 |
*Several scientific studies show that carbon monoxide, ozone, and possibly
other air pollutants contribute to causing or worsening heart disease by impeding
transfer of oxygen by blood cells
Age Range: __ 18-21 __ 22-45 __ 46-65 __ 66-85 __ Other or N/A
Ethnic/national affiliation: __________________________
Length of residence in neighborhood: __ Less than 2 yrs __ 2-5 yrs __ 6-10 yrs
__ over 10 yrs