This free survey is powered by QUESTIONPRO.COM
  1. Surveys
  2. 2011
  3. July
  4. D
  5. Demographic Questionnaire
0%
Exit Survey »
 
 
What is your gender?
 
Male
 
Female
 
Intersex
 
 
 
What is your age?
   
 
 
 
What is your marital status?
 
Single
 
Married
 
Divorced
 
Separated
 
 
 
What is your employment status?
 
Full-time employed
 
Part-time employed
 
Self-employed
 
Housewife/Husband
 
Unemployed
 
Retired
 
 
 
What is your degree of education?
 
High school diploma
 
Bachelor's degree
 
Masters degree
 
PhD
 
None
 
 
 
Where do you live?
 
In my house
 
In my parents' or other family member's house
 
In a rented apartment or house
 
 
 
How many other people live in the same house with you?
 
None
 
One
 
Two
 
More than two
 
 
 
What is your main source of financial support?
 
My income
 
Family Support(including alimony or child support)
 
Unemployment benefits
 
Workman's compensation
 
Disability benefits
 
Veterans' benefits
 
Social Security
 
 
 
Do you have any outstanding debts?
 
No
 
Yes
 
Survey Software Powered by QuestionPro Survey Software