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Name:
Class:
This short questionnaire will help you to identify how you use energy in your home and
what sources of energy are used.
..
..
..
What source of
energy is used
?
Computer
Television
Video/ DVD
Stereo
Camera
Calculator
Dishwasher
Kettle
Cooker
Microwave
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Washing
machine/dryer
Hair dryer
Iron
4 How many people live in your household?
Motor bike(s)
Bicycle(s)
6a What form of transport do you use to get to school each day? What is its source
of power?
Transport
By foot
Cycle
Car
Train
Bus
6b Why do you use this form of transport?
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________________________________________________________________
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7 When we transport and use fossil fuels we cause pollution. What pollution do we
cause and what effects does it have on your local area?
________________________________________________________________
________________________________________________________________
________________________________________________________________
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________________________________________________________________
7 We also have to transport fossil fuels around the world. What pollution does this
make and what effects does this have on the global environment?
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________________________________________________________________
________________________________________________________________
________________________________________________________________
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