Sales:  +1 (800) 531-0228  |  Live Chat  |  About Us  |  Login »

Survey Template Library

 
Survey Name Demographic questionnaire
Description Untitled
Category    (Browse All Categories)

Create a free account and customize this survey


Join Now!
It's completely Free!
 

   

What is your age?
25 or under
26-40
41-55
56 or older
 
   
What is your gender?
Female
Male
 
   
What is your primary language?

Arabic
English
Spanish
Other
 
   
What is the highest level of education you have completed?
Grammar school
High school or equivalent
Vocational/technical school (2 year)
Some college
Bachelor's degree
Master's degree
Doctoral degree
Professional degree (MD, JD, etc.)
Other
 
   
How would you classify yourself?
Arab
Asian/Pacific Islander
Black
Caucasian/White
Hispanic
Indigenous or Aboriginal
Latino
Multiracial
Would rather not say
Other
 
   
What is your current marital status?
Divorced
Living with another
Married
Separated
Single
Widowed
Would rather not say
 
   
Where do you currently reside?
Egypt
Unites States
Other
 
   

How long have you been living there?
Less than 9 years
10-19 years
20-29 years
30-39 years
More than 40 years
All my life
 
   

Where were you born?
Egypt
United States
Other
 
   
What is your current household income in U.S. dollars?
Under $10,000
$10,000 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $150,000
Over $150,000
Would rather not say
 
   
Which of the following best describes the area you live in?
Urban
Suburban
Rural
 
   
How many children under 16 years old live in your household?
None
1
2
3
4 or more
 
   
Which of the following categories best describes your primarily area of employment (regardless of your actual position)?
Homemaker
Retired
Student
Unemployed
Agriculture, Forestry, Fishing, or Hunting
Arts, Entertainment, or Recreation
Broadcasting
Education - College, University, or Adult
Education - Primary/Secondary (K-12)
Education - Other
Construction
Finance and Insurance
Government and Public Administration
Health Care and Social Assistance
Hotel and Food Services
Information - Services and Data
Information - Other
Processing
Legal Services
Manufacturing - Computer and Electronics
Manufacturing - Other
Military
Mining
Publishing
Real Estate, Rental, or Leasing
Religious
Retail
Scientific or Technical Services
Software
Telecommunications
Transportation and Warehousing
Utilities
Wholesale
Other
 
   
Which of the following best describes your role in industry?
Upper management
Middle management
Junior management
Administrative staff
Support staff
Student
Trained professional
Skilled laborer
Consultant
Temporary employee
Researcher
Self-employed
Other
 
   
The organization you work for is in which of the following:
Public sector
Private sector
Not-for-profit
Don't know
Other
 
   
What is your organization's total budget for this year, from all sources?
less than $1 million (US)
$1 million to $10 million (US)
$10 million to $100 million (US)
$100 million to $500 million (US)
$500 million to $1 billion (US)
Over $1 billion (US)
Don't know
Would rather not say
 
   
How long have you been using the Internet?
Never used it
Less than 6 months
6 to 12 months
1 to 3 years
4 to 6 years
7 years or more
 
   

How frequently do you access the web from the following places?
Daily Weekly Monthly Less than once a month Never
From home (including a home office)
From work
From school
From a public terminal (e.g. library, cybercafe, etc.)
From other places
 
   
Who pays for your Internet access? (Please check all that apply.)
Self/spouse
Parents
Work
School
Other
Don't know
 
   
What is your primary computing platform?
DOS
Macintosh
OS2
Unix
PC running Unix
Windows
Terminal/vt100
WebTV
Don't know
Other
 


Create a free account and customize this survey


Join Now!
It's completely Free!
 



© QuestionPro Online Survey Software | 800-531-0228
QuestionPro Inc, Market Survey Companies, Seattle, WA