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1. What is your gender?
 
Male
 
Female
 
 
 
2. What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
 
3. What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
4. What is the highest level of schooling you have completed or the highest degree you have received?
 
Less than high school degree
 
High school degree or equivalent (e.g. GED)
 
Some college but no degree
 
Associate degree (e.g. AA, AS)
 
Bachelor's degree (e.g. BA, AB, BS)
 
Master's degree (e.g. MA, MS, MBA)
 
Professional degree (e.g. MD, DDS, JD)
 
Doctorate degree (e.g. PhD)
 
 
 
5. Please describe your current residence:
 
Owned by you or someone in household with a mortgage or loan
 
Owned by you or someone in household free and clear (no mortgage or loan)
 
Rented
 
Occupied without payment of rent
 
 
 
6. Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
7. How frequent you use internet services?
 
1. Never
 
2. Sometimes
 
3. Often
 
4. Daily
 
Other
 
 
 
 
8. Have you ever visited online shopping sites?
 
a. Yes
 
b. No
 
 
 
9. If the product has the same price in both shops and on the internet, where do you prefer to buy it?
 
a. Online
 
b. Store
 
 
10. Indicate your willingness to buy the following products from an Internet retailer.
Will never buy may never buy May or may not buy May buy Will always buy
Purchase books, music, videos,
Software, consumer electronics (TV, radio, cameras)
Clothing (apparel)
Research investments online
Research or purchase travel options and prices
Research or purchase automotive information
Grocery & food
Sports/outdoor
Online medicines/ pharma
Perfumes
Jewellery
 
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