Internet/Website Demographics Survey Template

Internet/ Website demographic survey template by QuestionPro comprises of questions and examples that aim at finding out the internet usage of consumers. This questionnaire has demographic questions that help a surveyor understand his/her target audience. This sample survey template has 33 questions and can be customized based on the needs of a surveyor. It also has questions that help get a complete insight into how much a person spends on internet bills, what are the websites they frequently visit, how long have they been using the internet etc.



   
 

Internet Usage
 
   
 
What is your primary computing platform?
 
   
 
How long have you been using the Internet (including using e-mail, gopher, ftp, etc.)?
 
Less than 6 months
 
6 to 12 months
 
1 to 3 years
 
4 to 6 years
 
7 years or more
 
   
 
How did you find about this site? (Please check all that apply.)
 
Followed a text link from another Web page
 
Followed a graphical banner/icon from another Web page
 
Found using a search engine
 
Saw postings to WWW related newsgroups
 
Received e-mail from www-surveying mailing list
 
From a friend
 
Read about it in a newspaper/magazine
 
Remembered to participate from last survey
 
Other
 

 
   

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?
 
Self/spouse
 
Parents
 
Work
 
School
 
Other
 
Don't know

 
   
 
During an average week, most of your professional correspondence (postal mail or e-mail) is with which of the following:

 
Public sector (e.g. government)
 
Private sector (e.g. most businesses and individuals)
 
Not-for-profit sector
 
Do not know
 
Other
 
   


Personal Information
 
   

Date of Birth
 
   
 
What is your sex?
 
Female
 
Male
 
   
 
What is your current marital status?
 
Rather not say
 
Divorced
 
Living with another
 
Married
 
Separated
 
Single
 
Widowed
 
   
 
Ethnicity
 
Caucasian/White
 
African American
 
Indigenous or Aboriginal Person
 
Asian/Pacific Islander
 
Hispanic
 
Latino
 
Multiracial
 
Rather not say
 
Other
 
   

Note: This is a sensitive question that can help Internet developers to understand the needs of current Web users--it is not intended to offend.

 
   
 
Please indicate your current household income in U.S. dollars
 
   
 
How many children under 16 years old live in your household?
 
None
 
1
 
2
 
3
 
4 or more
 
   
 
Are you disabled or impaired?
 
Vision impaired
 
Hearing impaired
 
Motor impaired
 
Cognitively impaired
 
Rather not say
 
Other
 

   


Note: This is a sensitive question that can help Internet developers to understand the needs of current Web users--it is not intended to offend.
 
   


Location
 
   
 
Where are you located?
 
   
 
Which of the following best describes the area you live in?
 
Urban
 
Suburban
 
Rural
 
   
 
What is your primary language (i.e., the one you speak most of the time)?

 
English
 
Spanish
 
French
 
German
 
Dutch
 
Japanese
 
Chinese
 
Hebrew
 
Swedish
 
Other
 
 
   


Professional Information
 
   
 
Are you currently registered to vote?
 
Yes
 
No
 
N/A
 
   
 
Please indicate the highest level of education completed.
 
Grammar School
 
High School or equivalent
 
Vocational/Technical School (2 year)
 
Some College
 
College Graduate (4 year)
 
Master's Degree (MS)
 
Doctoral Degree (PhD)
 
Professional Degree (MD, JD, etc.)
 
Other
 
   
 
Which of the following categories best describes the industry you primarily work in ?
 
   
 
Which of the following best describes your role in industry?
 
   
 
The organization you work for is in which of the following:
 
Public sector (e.g. government)
 
Private sector (e.g. most businesses and individuals)
 
Not-for-profit sector
 
Do not know
 
Other
 
 
   
 
Please indicate which of the following are sources of revenue for your organization:
 
Sales to individuals or private organizations (but not contracts)
 
Sale to government organizations (but not contracts)
 
Contracts to do work for private organizations
 
Contracts to do work for government organizations
 
Contracts to do work for other organizations
 
Government appropriations
 
User charges and fees
 
Donations
 
Other
 
Do not know

 
   
 
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)
 
Do not know
 

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