Climate Action Survey INSTRUCTIONS: Please check the box that corresponds to your answer for each question below. Your answers will be kept strictly confidential. Thank you for participating in our Climate Action Survey. Your Priorities How worried are you that climate change will have a catastrophic impact on the world in the next decade? Very Worried Somewhat Worried Not Very Worried Not Worried Are you concerned that our nation’s leaders and the media tend to overlook the impact of soaring global population growth on our planet’s climate? Yes No Not Sure Do you agree that our nation’s leaders must take immediate action to tackle global population growth and address climate change? Yes No Not Sure Do you consider it important for K–12 students to receive education in the classroom that specifically focuses on the impacts of rapid population growth? Yes No Not Sure Do you think it’s essential to reduce millions of unintended pregnancies by increasing U.S. funding for global programs that improve access to voluntary family planning and reproductive health care? Yes No Not Sure About You How critical do you think it is for our nation’s leaders to invest more money in international family planning programs that save lives and prevent more unintended pregnancies? Absolutely critical Pretty important Not too important More concerned about other urgent issues Do you agree that more Americans should grasp the importance of empowering women and girls through education and family planning so that we can stop climate change? No, I think our country should focus on other climate change priorities Yes, I do think so but haven’t known how to take action Yes, I believe this is absolutely critical and think we must press our policy makers to do more To help us understand how you’d prefer that we prioritize our resources, please check the activities you think make the most impact:(answers will be kept strictly confidential) Lobbying lawmakers to increase international family planning funding Urging the permanent repeal of the Global Gag Rule Educating K–12 students about the ramifications of global population growth Speaking on college campuses about the connections between global population growth and climate change Alerting the media to the often-overlooked role of population growth in climate change Training volunteers to become effective ambassadors for our cause and spread our message in their local communities Other: Do you want to receive emails from Population Connection to stay up to date on our work and to take action on urgent legislation? Email Please sign me up to receive legislative developments, constituent calls to action, and information about events in my area by email.If you have any questions or would like more information, please contact our Development staff at firstname.lastname@example.org or 877-319-9880. Thank you for taking the time to share your opinions with us!