Carbon Footprint Survey
Name
Mobile Number
City/Village Name
Block/Tehsil/District
Type (Rural/Urban)
Select option
Rural
Urban
Latitude
Longitude
Get Current Location
Date of Survey
Pin Code
Number of People in the House
Type of Vehicle if Any
Type of Vehicle
Two wheeler
Four wheeler
None
No of Two wheelers owned
No of Four wheelers owned
Car Travel per Week (km)
Vehicle Fuel Type
Select Fuel Type
Petrol
Diesel
Electric
CNG
Public Transport used per week(number of times) (km)
Number of Short Haul Flights per year
Number of Long Haul Flights per year
Monthly Electricity Usage (kWh)
Cooking Fuel Type
Cooking Fuel Type
LPG
Electricity
Firewood
If using Firewood (Kg/month)
Monthly LPG Usage (kg)
Monthly Generator Diesel (litres)
Monthly Water Usage (litres)
Solar Energy if any(kW)
Do You Segregate Waste?
Select option
Yes
No
Do You Compost Waste?
Select option
Yes
No
Average Garbage generated per week (kg)
Food Habits
Select option
Vegetarian
Mixed Diet
Meat-Heavy
Paper Used per Month (kg)
Screen Time per Day (hours)
Additional Comments
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