What email address or phone number would you like to use to sign in to Docs.com?
If you already have an account that you use with Office or other Microsoft services, enter it here.
Or sign in with:
Signing in allows you to download and like content, and it provides the authors analytical data about your interactions with their content.
Embed code for: questionnaire home energy
Select a size
An survey for household surveys in Nanchang
This survey to gather information about the perceptions of energy issues. Responses you provide will not be attributed to you. It should take about 3-5 minutes to answer the following 10 questions. Thank you for your help.
Key terms: questionnaire design, survey objectives, constraints, field test.
What are the main machines in your family ?
What is the average monthly income of your household?
O Less than 6000yuan
O Between 6000yuan and 15000yuan
O More than fifteen thousand yuan
Q1.What do you think about saving energy?
O Just so so
O I don not care
Part 1. Household electrical appliances
Q2. What kinds of light do you use ?
Do you turn off the light when you leave? O Yes O No
Q3. How often do you wash your clothes?
O Half a month
O More than once a month
Q4. In summer, what is the range of the temperature (room heat) :
O Over 26 ℃
O 20 ℃ ~ 25 ℃
O Below 20 ℃
O I don’t know
Q5. What kinds of machine do you use to boil the water? ____________
(Electric water/Microwave/Others) . It uses___________________________
(sunlight/electricity/coal/gas/natural gas) to boil the water.
Part 2. Energy Situation
Q6. Which appliances do you think use the most energy? The least?
The number of usage of machines of saving energy in your home is:
O more than 4
Q7.How many prize of energy you may cost for a month ?
Electric fee ____________ Water fee _____________Car fuel fee ____________
A.0 yuan~50yuan B. 51 yuan~150yuan C. 151 yuan~250yuan
D. 251 yuan~350yuan E. above 350yuan
Q8. Do you prefer common energy or renewable energy?__________(Yes / No)
If not, what are for you the disadvantages to using renewable energy over tradition gas or electricity energy?
O I don’t see any disadvantages to using renewable energy
O Installation cost
O Feel it is not fully established
O Lack of information on how it works
O Other, please specify:____________________
Part 3. Thinking and Improving
Q9 Do you contribute to a renewable energy project (charity), own a renewable energy source such as solar panels or do something else you feel relevant?
Q10. Do you have any energy-saving habits? Is it necessary to save energy by using energy-saving machine and how could people change their energy habits by this?