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Hello:

You are invited to participate in our survey [Project Description Here]. 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 stricly 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.


 
 
 
* How old are you?
 
12-18
 
19-25
 
26-37
 
38-49
 
49-60
 
60 or more
 

 
 
 
Gender?
 
Male
 
Female

 
 

What is your family income?
 
$20 000 or less
 
$20 000 to $50 000
 
$50 000 to $100 000
 
$100 000 or more
 
 

 
 

Which state or territory do you live in?
 
NSW
 
ACT
 
VIC
 
TAS
 
SA
 
WA
 
NT
 
QLD

 
 
What does the word "France" evoke to you?
Rank your answers by order of importance (1 being the most important). Do not number answers which do not seem relevant to you
The Rainbow Warrior episode
French cuisine
The Anzac spirit
The nuclear tests at Moruruoa
The French Rugby Union team
The French Pacific territories: New Caledonia, French Polynesia, Wallis and Futuna
President Jacques Chirac
La PĂ©rouse
The Common Agricultural Policy
Non-participation in the war in Iraq
Arrogance
 
 
Do you agree with the idea that France has a legitimate place and role in the Pacific today?
 
 
Kind of
 
YES
 
NO
 
Not really
 
I don't know

 
 
 
Favorite Drink...
 
Coke
 
Pepsi
 
Sprite
 
Mountain Dew
 
A&W Root Beer
 
 
 
Additional Comments/Suggestions for improvement
   
 
Please contact [email protected] if you have any questions regarding this survey.
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