Surveys
2012
February
T
The Who
The Who
0%
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1. Hello:
You are invited to participate in our survey 001. In this survey, approximately ONE HUNDRED people will be asked to complete a general market questionnaire. It will take approximately FIVE 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 Sonia Toledo by email at
[email protected]
.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
2. Are you:
Male
Feamle
3. What is your age?
15-19
20-29
30-39
40-49
50-59
60 or over
4. What is the highest level of education you have completed to date? (please check only one.)
Attended High School
Graduated High School
Attended College
Graduated College
Post-Graduate Study w/o Degree
Post-Graduate Degree
5. What is your Marital Status?
Single, Never Married
Married
Separated or Divorced
Widowed
6. In which state and ZIP code area is your main residence?
7. Please indicate total annual PERSONAL income. (Include income from all sources).
Less than $30,000
$30,000-$39,000
$40,000-$49,000
$50,000-$59,000
$60,000-$74,999
$75,000-$99,999
$100,000-$149,000
$150,000-$249,999
$250,000-$499,999
$500,000-$999,999
$1,000,000 or more
8. Do you own a home, condominium or co-op as your primary residence?
Yes
No
9. In what type of business, industry or profession are you primarily engaged?
Agriculture/forestry/construction
Transportation/public utilities
Data processing/computers
Finance/banking/insurance
Education
Manufacturing
Health care (medical, dental, etc,)
Government/ public administration
Communications/ Publishing
Real estate
Wholesale trade
Retail Trade
Personal/business services
Unemployed
Other
10. What is your title, position, or rank?
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