Family Footprint Form

Submit this form and we will send you your Family Footprint Report
(Make sure you fill in all the grey boxes)

1. Personal Information

First Name Last Name Phone (with area code):

Age Grade School Email:

2. Family Automobiles (If your family does not have a car Enter "0" for all grey boxes)

TIP: You can look up the fuel economy of almost any car very quickly at www.fueleconomy.gov/feg/findacar.htm

example	1999	Ford	Mustang	3.8 litre	5 Speed/ Auto	24,000	10.7
Vehicle	Year	Make	Model	Engine	Trans- mission	Yearly Use (km/ year)	Fuel Economy (Litres/ 100km)
Car 1
Car 2
Car 3
Boat
Motorcycle

Did you know that the average Canadian spends $3,418 per year on gasoline, insurance, tires and repair.

The average Canadian car owner drives 20,000 km per year.

Half of all the greenhouse gases we produce personally comes from our cars.

3. Air Travel (If your family does not fly Enter "0" for all grey boxes)

TIP: You can look up the flying distance between two cities very quickly at www.indo.com/distance

example	Scott	2	Calgary	1 trip = 1340km (670km each way)
	Name	Total round trips/year	Destination	Return Distance Traveled (Total km per single round trip)
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6

Did you know that a 747 jet use about the same amount of fuel as a car
driven the same distance?

The fuel economy of a Boeing 747 is roughly 50 mpg per economy seat!

4. Household Energy

TIP: If you want to look up your yearly electrical or gas consumption all you need
        is a copy of your Terasen gas bill and BC Hydro bill from you parents.
          Look it up online:                 https://ewb.bchydro.com/accountonline/index.jsp
                                                    https://accounts.terasen.com/ews/welcome.jsp

Home Size

Square Feet

Number of People in your Household

Yearly Gas Consumption	$	GJ
Yearly Electricity Consumption	$	kWh
How old is your furnace? Don't have one	1-10 years old	More than 10 years old

Did you know that 75% of all the energy used in your home is for
heating and hot water?

The average homeowner spends $2,000 per year on electricity and gas.

5. Food & Garbage

How much meat does your family eat?

Type of meat	Meals per week (If your family does not eat meat, enter "0")
Beef
Chicken/Pork/Lamb/Goat
Fish

Does your family buy organic, locally grown food?

Organic Food How many times per week?	Local Food (BC grown) How many times per week?
never	never
once per week	once per week
three times per week	three times per week
always	always

Did you know that 1 pound of industrial beef production requires 2,500 gallons of water? Learn more at: http://www.earthsave.org/environment/foodchoices.htm

The average Canadian eats 100 kg (220 pounds) of meat per year.

How many bags of garbage does your family throw out per week? bags per week

According to The Union of Concerned Scientists the two biggest things we can do to help the environment are:

1. drive a more fuel efficient car
2. eat less beef

First Name	Last Name	Phone (with area code):
Age Grade	School	Email: