| | Total (Tonnes of CO²-e) |
| 1. Which State do you live in? | |
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| 2. What sort of home do you live in? | |
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| 3. What is your electricity usage? | |
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| 4. Do you use GreenPower? | |
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| 5. What is your gas consumption? | |
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| 6. What energy saving measures have you taken? | |
Roof Insulation Wall &/or Floor Insulation Double-Glazed Windows Energy-Efficient Lights Energy-Efficient Appliances
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| 7. What energy saving habits do you employ? | |
Dry your clothes on a clothes-line rather than using a dryer Drapes and Blinds installed on windows to retain heat Switch off lights when you leave the room Switch off electrical equipment all the wall when you are not using it
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8. How much garbage do you produce?  | |
| Bin Size | |
9. How much do you spend on groceries?  | |
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10. How much do you spend on consumables (clothing, shoes, appliances, furniture)  | |
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| 11. How much do you spend on financial and legal services, including insurance? | |
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| 12. How is your water heated? | |
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| 13. What water saving devices have you installed? | |
Water-saving shower heads Low flow taps Rainwater tank for watering the garden Rainwater tank for flushing the toilet and/or laundry use | |
| 14. What water saving habits do you employ? | |
Shower rather than use the bath Wash clothes in cold water Plant drought-resistent species in the garden Collect water in the shower to use on the garden Follow water restrictions | |
| 15. What vehicles do you drive? | |
Km Km Km Km Km Km |
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| 16. What public transport do you use? | |
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| Total | |
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