Do you or does any member of your household work for:
Branching: Pick only age group 25-64 Age
Which of the following best describes your age?
Branching: Discard Retired.. Employment
Do you work full time or part time, outside the home?
Branching: High School Graduates and Above Education
Which of the following best describes the highest level of education completed?
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Family Status
Which of the following statements applies to you:
Online Services
a. Do you log on and use the Internet by yourself, without help, at either work or home?
b. How long have you been using the Internet, by yourself?
c. How often do you use the Internet, not including email, by yourself, either at work or at home?
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?
Branching: End if involved in prior market research studies Research Experience
Aside from political surveys, have you participated in any market research studies such as panel discussions, focus groups or surveys, in the last 12 months?
We are conducting a research study with people like yourself. The purpose of our research is to [PURPOSE]. No products or services will be offered or sold at this research session.
In order to show our appreciation, each participant in this study will be given $XX.
