Name:

Ecological footprint data collection

In fourth grade we have been talking about what it means to live sustainably. We will be completing a fun online survey that helps to estimate our ecological footprint.

Please ask an adult at home to help you answer these questions. The amounts do not have to be exact, but just an estimation. This will allow us to calculate our ecological footprint in class.

1. What kind of food does your family eat? (check one)

_______ just vegetables (vegan) ______ vegetables, eggs, dairy (vegetarian)

____ not vegetarian or vegan

2. How much of your food comes from local sources, like farmer’s markets, home gardens, CSA’s or a local farm?

_________¼ ________½ _________¾ ________All

3. About how far do you travel in a car each week?

__________________________________ miles

4. What is the gas mileage of the car you travel in most often?

________________________________ miles per gallon (mpg)

5. About how many large trash bags or trash cans do you put out each week? Remember this is an estimate – it doesn’t mean it’s exactly the same every week.

_________________ Trash bags or cans per week (1, 2, 3, ….)