Survey Templates Psychographic And Demographic Surveys Strategic OpTions for Urban Revitalisation based o

Strategic OpTions for Urban Revitalisation based o

Web site demographics (long)

use this free template

Preview this template

Personal and Household Data

What is your sex?

Female

Male

What is your year of birth?

What is your current marital status?

Rather not say

Divorced

Living with another

Married

Separated

Single

Widowed

Please indicate the highest level of education completed

Grammar School

High School or equivalent

Vocational/Technical School (2 year)

Some College

College Graduate (4 year)

Master's Degree (MS)

Doctoral Degree (PhD)

Professional Degree (MD, JD, etc.)

Other

Which of these best describe your work status?

Full time employed empregado a tempo inteiro

Part time employed

Full time student

Worker-student

Unemployed

Retired

Other

Professional activity

Craftsman or machinery operator

Clerk or salesman

Businessman

Student

Intermediate Professional

Administrative employee

Manager or liberal professional

Number of persons of your household including yourself

Number of persons in your household with less than 16 years old

Number of persons with regular professional activity in the household

Number of persons with a valid driver license in the household

Number of automobiles in the household

Type of vehicle that you usually drive

Commercial vehicle (2 seats)

City vehicle

Family vehicle

Luxury

All-Terrain

Total monthly income of the household

0 to 1000 euros

1000 to 2000 euros

2000 to 3000 euros

3000 to 4000 euros

4000 to 5000 euros

5000 to 7500 euros

7500 to 10000 euros

10000 to 15000 euros

15000 to 20000 euros

More than 20000 euros

Travelling data

Daily Trip chain (describe all the trips and stops that you make on a working/studing day considering also transfer between modes)

	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you
Trip 1	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 2	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 3	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 4	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 5	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 6	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 7	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 8	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 9	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 10	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you
Trip 11	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 12	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 13	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 14	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 15	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 16	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 17	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 18	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 19	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 20	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Daily Trip chain (describe all the trips and stops that you make on a working/studing day considering also transfer between modes)

	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you
Trip 1	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 2	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 3	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 4	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 5	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 6	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 7	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 8	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 9	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 10	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you
Trip 11	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 12	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 13	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 14	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 15	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 16	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 17	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 18	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 19	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you

Trip 20	Origin	Destination	Mode	Mode code (e.g. bus number)	Start time	End time	Purpose	Activity time	Number of persons than go with you