Q01
Message
All templatesSustainability & Impact
Climate Change Awareness, Concern, and Action Survey
Measures how aware, concerned, and behaviorally engaged people are with climate change — from perceived risk and trust in institutions to everyday actions — with an AI follow-up that digs into the gap between stated concern and real-world behavior. Built for sustainability teams, communicators, and researchers tracking public climate sentiment.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
12 questions · ~7 min
Q02
Opinion ScaleRequired
Overall, how concerned are you about climate change?
Scale: 1 – 10
Min:Not at all concernedMax:Extremely concerned
Q03
Multiple ChoiceRequired
In the last 6 months, which of the following have you done, if any?
- Reduced energy use at home
- Used public transport, biking, or walking instead of driving
- Bought a product marketed as eco-friendly or sustainable
- Reduced meat or dairy consumption
- Contacted an elected official about climate policy
- Donated to an environmental cause
- Participated in a climate protest or event
- Talked with friends or family about climate change
Q04
MatrixRequired
How much do you agree or disagree with each of the following statements?
5 rows × 5 columns
- Human activity is the main driver of climate change.
- Climate change will significantly affect my local community in my lifetime.
- Individual actions can meaningfully reduce climate change.
- My country is doing enough to address climate change.
- Businesses have a responsibility to reduce their environmental impact.
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
Slider Matrix
How much do you trust each of the following to take effective action on climate change?
5 rows, one slider each
- National government
- Local government
- Scientists and researchers
- News media
- Businesses and corporations
Slider 0–10Min:No trust at allMax:Complete trust
Q06
Best–Worst Trade-off (MaxDiff)Required
Which of these should be the highest priority for addressing climate change?
- Transitioning to renewable energy
- Improving public transportation
- Protecting forests and natural ecosystems
- Regulating industrial emissions
- Encouraging individual lifestyle changes
- Investing in climate research and technology
- Supporting climate-focused candidates and policy
- Reducing plastic and waste production
Pick best & worst per setBest:Highest priorityWorst:Lowest priority
Q07
Multiple Choice
Where do you most often get information about climate change?
- News websites or TV
- Social media
- Scientific reports or journals
- Friends, family, or colleagues
- Government or NGO communications
- School or educational courses
Q08
Multiple Choice
What, if anything, stops you from doing more to address climate change?
- Cost of sustainable options
- Lack of convenient alternatives
- Not sure what actions actually help
- Feeling like my actions won't make a difference
- Time constraints
- Lack of information
- I don't feel it's my responsibility
Q09
AI Interview
Reconstruct the story behind this person's stated concern level and the actions they said they've taken (or haven't) in the last six months. Probe what would need to change — practically, financially, or emotionally — for them to take one additional action. If they cited a barrier, dig into whether it's really cost, convenience, skepticism about impact, or something else. If concern was low, explore what would raise it; if concern was high but reported actions were few, ask them directly to explain that gap.
Q10
Multiple Choice
What is your age group?
- Under 18
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q11
Short Text
Which country or region do you live in? (Optional — leave blank if you'd rather not say.)
Q12
Message
That's everything — thank you for sharing your views! Your answers will be combined with others to help us understand public awareness and priorities around climate change.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Goes beyond static rating scales with an AI follow-up interview that specifically probes the gap between a respondent's stated concern level and their reported real-world actions
- Combines quantitative measures (concern scale, agreement matrix, trust slider-matrix, max-diff prioritization) with qualitative depth in a single flow, rather than relying only on closed-ended questions
- Includes a dedicated question on barriers to climate action alongside behavior and information-source questions, giving both attitudinal and structural/contextual context
- Transparent, reviewable AI prompts and an auto-generated report mean researchers can see exactly how the follow-up interview was conducted and get synthesized output without manual coding
QuestionPro
Climate change survey | Climate change survey questionsThis is a directly comparable, fielding-ready climate change survey template covering awareness and concern questions similar in spirit to ours. It appears to rely on standard closed-ended question types typical of QuestionPro's survey builder rather than any adaptive interviewing layer. No mention of AI-driven follow-up probing or voice-based interviewing is indicated on the page.
What it does well
- Purpose-built climate change survey template, so no need to adapt a generic questionnaire
- Backed by QuestionPro's established survey platform with broad question-type and distribution options
- Likely quick to deploy for teams already familiar with QuestionPro's interface
Where it falls short
- No indication of adaptive AI follow-up questions that probe inconsistencies between stated concern and reported behavior
- No voice AI interview option or guided screen-share tasks mentioned
- No published transparent prompt methodology or automated per-response quality scoring described
Frequently asked questions
What questions are in the “Climate Change Awareness, Concern, and Action Survey” template?
The template includes 12 ready-to-use questions, starting with: “Thanks for taking part in this short survey about climate change! We're interested in your honest views and everyday hab…” · “Overall, how concerned are you about climate change?” · “In the last 6 months, which of the following have you done, if any?”. The full set is previewed above, and every question is editable.
How long does this survey take to complete?
Respondents typically finish the 12 questions in about 7 minutes.
Can I customize this template?
Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.
Is this template free to use?
Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.
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