First Name

Last Name

Staff or Student

Staff
Student
 

I pledge to use a reusable water bottle for:

the next week
the month of - If month, please select January February March April May June July August September October November December
this year
all the time from now on
 

How many bottles of water do you currently buy per day (on average)?

I don't purchase bottled water anyway
1 bottle per day
2 bottles per day
3 bottles per day
4 bottles per day
5 bottles per day
Other =

Prior to this campaign, did you know you could locate refill points at UOW using the UOW Campus Beta Map?

Prior to this campaign, were you aware of the impact of purchased water bottles on the environment?

Thank you for your time and your commitment to take the plunge and pledge.