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Hi:

I am with [MARKET_RESEARCH_COMPANY], a market research company based in [LOCATION]. We are conducting a survey about [SUBJECT] that might be of interest to you. We would like to include your opinions in this study. This is a marketing research study only, and we will not attempt to sell you anything at all today or in the future.




Thank you for your participation
 
 

Branching: Pick only age group 25-64


Age
Which of the following best describes your age?
 
 

Branching: Discard Retired..
Branching: Full-time homemaker


Employment
Do you work full time or part time, outside the home?
 
Full-time [35+ Hours per week]
 
Part-time [15-20 Hours per week]
 
 

Branching: High School Graduates and Above


Education
Which of the following best describes the highest level of education completed?
 
Some Secondary School
 
Completed Secondary School
 
Some Further Education College
 
Some Higher Education College or University
 
Post Graduate
 
 

Online Services
a. Do you log on and use the Internet by yourself, without help, at either work or home?
 
Yes
 
No
 

b. How long have you been using the Internet, by yourself?
 
Less than 6 months
 
6 - 12 months
 
1 - 2 year
 
More than 2 years
 

c. How often do you use the Internet, not including email, by yourself, either at work or at home?
 
Less than one hour/week
 
1 - 2 hours/week
 
2 - 3 hours/week
 
More than 3 hours/week
 

d. On a scale of 1 to 5, with 1 being the least comfortable and 5 being the most comfortable, how comfortable and familiar are you using the Internet, including such things as links, site addresses, or search engines?
Least (1)
2 3 4 Most (5)
 
 

Computer Usage
When using the Internet, either at home or at work, which do you use more often?
 
IBM Compatible PC
 
Mac
 
 

Branching: End if involved in prior market research studies


Experience of On-line Forums
Aside from using emails and Messenger-type programs, have you ever participated in on-line chatrooms, discussions or focus groups or forums, in the last 12 months?
 
Yes
 
No
 
 
 
* If your answer to the last question was YES, please describe your experience below:
   
 
 
 
* Name
   
Phone
   
* Email Address
   
 
 


Thank You for completing the Questionnaire... Your honest responses are truly appreciated.


Please click on the Finish Survey button to complete this Survey.
 
Please contact [email protected] if you have any questions regarding this survey.