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Name:_____________________________
Date:______________________________
Day/Period:________________________
Climate Change Questionnaire
Directions: Interview at least two people using the form and questions below. You must
interview one classmate and one adult (parent/relative/guardian) and record their
responses in the spaces provided.
Person A: name___________________, age_________
Person B: name___________________, age_________
1. Do you feel that the world's climate is changing?
A.
B.
2. Is climate change a result of human activities (like burning fossil fuels)?
A.
B.
3. Is climate change a natural occurrence?
A.
B.
4. What indicators tell you that climate is changing?
A.
B.
5. What is your perception of media coverage regarding climate change?
A.
