Online User Survey

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Online User Survey

Survey Security
*Password:
Personal Information
*How did you here about us?		Television Radio Newspaper Friend Search Engine User Group Direct Mail Telemarketing Other
*What is your gender?		Male Female
*How would you classify yourself?		Rather not say Caucasian/White African American Indigenous or Aboriginal Asian/Pacific Islander Hispanic Latino Multiracial Other
*What is your marital status?		Rather not say Single Married Divorced Widowed
*What is your age?		Rather not say Under 13 13 - 15 16 - 20 21 - 25 26 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 or above
*What is your annual household income?		Rather not say Under $10,000 $10,000 - $19,999 $20,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 - $59,999 $60,000 _ $69,999 $70,000 - $79,999 $80,000 - $89,999 $90,000 - $99,999 $100,000 or above
*Where are you located?		U.S. North East U.S. South East U.S. Mid West U.S. Great Plains U.S. North West U.S. South East Canada
*Describe the area you live in.		Urban Suburban Rural
*What is highest level of education completed?		Grammar School High School or equivalent Vocational/Technical School Some College Associates Degree (2 year) College Graduate (4 year) Master`s Degree (MS) Doctoral Degree (PhD) Professional Degree (MD etc.) Other
*Are you currently registered to vote?		Yes No
*How many children live in your household?		None 1 2 3 4 or more
Employment or Business Information
*What type of industry do you work in?
*What type of role do you perform?		Upper Management Middle Management Junior Management Administrative Staff Support Staff Student Trained Professional Skilled Laborer Consultant Temporary Employee Researcher Self-employed/Partner Other
*The organization you work for is in which of the following:		Public sector (government) Private sector (businesses) Not-for-profit sector Don`t know Other
*The main source of revenue for your organization is:		Sales to individuals Sales to private businesses Sales to government Contracts to individuals Private business contracts Government contracts Other organization contracts Government appropriations User charges and fees Donations Other Don`t know
Internet Usage Information
*Which of these groups have you become more connected to through the Internet?		None Common political groups Common hobbies/recreational People who share my religion People in my profession People in my family Common life situations Other groups
*How often do you give false information on the internet?		Never falsified information Under 25% of the time 26 - 50% of the time 51 - 75% of the time Over 75% of the time Never registered with a site
*How long have you been using the Internet?		Less than 6 months 6 to 12 months 1 to 3 years 4 to 6 years 7 years or more
*Home web access: How often?		Daily Weekly Monthly Less than once a month Never
*Work web access: How often?		Daily Weekly Monthly Less than once a month Never
*School web access: How often?		Daily Weekly Monthly Less than once a month Never
*Public web access: How often?		Daily Weekly Monthly Less than once a month Never
*Who pays for your Internet access?		Self/Spouse Parents Work School Other Don`t Know
*How often do you make purchases online?		Daily Weekly Monthly Less than once a month Never
*Reason for not shopping online:		Never tried it Too complicated to place order Faster to purchase locally Not familiar with vendor Credit card security No receipt/documentation Unknown quality Not enough information Uncomfortable with the idea Other people`s bad experiences My bad experience in the past Personal information privacy Don`t have a credit card Against company procedures Prefer to deal with people Hard to find specific web site No option to purchase No one to receive the delivery Other reasons
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