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Surveys
2013
April
R
Relationshps Survey
Relationshps Survey
Relationship Survey for Focus Group
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Hello:
You are invited to participate in our survey Relationship Survey. In this survey, approximately up to 500 people will be asked to complete a survey that asks questions about relationships. It will take approximately 5-7 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. You will be anonymous when answering this survey. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Pink Fusion Co. at
[email protected]
.
Thank you very much for your time and support. Please start with the survey now by clicking on the
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button below.
I Agree
What age group are you in?
18 - 24
25 - 29
30 - 35
36 - 45
45 and older
What is your gender?
Male
Female
What is your current relationship status?
Single
In a Relationship
Just Dating
Engaged
Married
Divorced
I Don't Know What the Heck I'm In!
If you were watching a show that discussed relationship topics, what would you be interested in? The topics listed below, please rate them 1 -5 with 1 being the lowest and 5 being the highest.
"Cuffing season"
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
How to deal with Exes
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Money in relationships
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Common interest with your mate
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Mates with children
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Social Media usage & Relationships
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
"Booty Calls"
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
How to prepare for a date
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Healthy relationships vs. unhealthy relationships
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Mate working too much
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Cellphone usage
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Religions
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
Mate's friends
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
What status do you want to be in? (What are you looking for)
I want to be in a relationship
I just want to date
I want to be single don't want to look for a mate
I want to settle down
I want to be single so I can mingle
I want to sleep around
I'm just confused
What was your longest relationship? (Can also be counted as an engagement, marriage, etc.)
Less than 6 months
6 months or more
1-3 years
4-6 years
6-10 years
10 years or more
Does any of these apply to you? (Select more than one)
Cheated on a mate
Stuck in the friend zone
Been cheated on
Had a one-night stand
Walked out on a mate
Mate walked out on you
You're the man-snatcher
You're the woman-snatcher
You're the player
Interracial relationship
Mate used you (for a particular purpose)
You used a mate (for a particular purpose)
Dated a wealthy person
You took care of a mate (financially, etc.)
Was/Is a golddigger
The Prude
The "loose" woman
The "loose" man
In a happy, healthy relationship
In an unhealthy relationship
Battered woman
Battered man
What media market are you currently living in?
New York
Los Angeles
Chicago
Philadelphia
Dallas-Ft. Worth
San Francisco-Oakland-San Jose
Boston
Atlanta
Washington, DC
Houston
Other
What is your highest level of education completed?
High School/GED
Some College/Currently in College
Completed College
In Graduate School/Professional Program
Completed Grad/Professional Program
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