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  2. 2016
  3. January
  4. M
  5. Maria Torres
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Hello:
You are invited to participate in our survey [Demographic Survey]. 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.
 
 
 
Hello:
You are invited to participate in our survey [Demographic Survey]. 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.
 
 
 
1. Age: What is your age?
 
Under 12 years old
 
12-17 years old
 
18-24 years old
 
25-34 years old
 
35-44 years old
 
45-54 years old
 
55-64 years old
 
65-74 years old
 
75 years or older
 
 
 
Ethnicity origin (or Race): Please specify your ethnicity.
 
 
White
 
Hispanic or Latino
 
Black or African American
 
Native American or American Indian
 
Asian / Pacific Islander
 
Other
 
Other
 
Asian / Pacific Islander
 
Native American or American Indian
 
 
 
Education: What is the highest degree or level of school you have completed?If currently enrolled, highest degree received.
 
High school graduate, diploma or the equivalent (for example: GED)
 
Some college credit, no degree
 
Trade/technical/vocational training
 
Associate degree
 
Bachelor’s degree
 
Master’s degree
 
Professional degree
 
Doctorate degree
 
 
 
Marital Status: What is your marital status?
 
Single, never married
 
Married or domestic partnership
 
Widowed
 
Divorced
 
Separated
 
 
 
Employment Status: Are you currently?
 
Employed for wages
 
Self-employed
 
Out of work and looking for work
 
Out of work but not currently looking for work
 
A homemaker
 
A student
 
Military
 
Retired
 
Unable to work
 
 
 
What is your total household income?
 
 
Less than $10,000
 
$10,000 to $19,999
 
$20,000 to $29,999
 
$30,000 to $39,999
 
$40,000 to $49,999
 
$50,000 to $59,999
 
$60,000 to $69,999
 
$70,000 to $79,999
 
$80,000 to $89,999
 
$90,000 to $99,999
 
$100,000 to $149,999
 
$150,000 or more
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually