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Gender
 
Male
 
Female
 
 
 
Marital status
 
Single
 
Married
 
Divorced
 
Separated
 
 
 
Age
 
from 18 -> 25
 
26 -> 35
 
36 -> 45
 
46 -> 55
 
56 -> 65
 
66 and over
 
 
 
Annual income
 
Under 25,000$
 
25,000$ -> 35,000$
 
35,000$ -> 50,000
 
50,000$ -> 75,000$
 
75,000$ -> 100,000$
 
100,000 and over
 
 
 
Educational level
 
High school
 
Intermediate college
 
University
 
 
 
Occupation
 
Student
 
Skilled worker
 
Housewife
 
Semi-skilled worker
 
Clerical worker
 
Self - employed worker
 
Professional
 
Executive Manager
 
Retired
 
Unemployed
 
Other please define
 
 
 
 
 
Purpose of visit
 
Recreation
 
Culture
 
Sports
 
Conference & Meeting
 
Therapeutic
 
others?
 
 
 
 
 
Country of Origin
 
Italy
 
Germany
 
Russia
 
England
 
Other
 
 
 
 
 
Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] 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. 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 [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
Accompany status
 
Alone
 
With friends
 
with spouse
 
With family and children