Basic demographic questionnaire template

1. Are you male or female?

Male
Female

2. Which category best represents your age?

17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older

3. What is your marital status?

Married
Widowed
Divorced
Separated
Never married

4. In what state or territory do you live?

500

5. In what ZIP code is your home located?

Enter 5-digit ZIP code; for example, 00544 or 94305

6. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree
High school degree or equivalent
Some college but no degree
Associate degree
Bachelor degree
Graduate degree
No degree or higher education

7. Does anyone in your household own a small business or farm?

8. Which of the following categories best describes your employment status?

Employed, working 1-39 hours per week
Employed, working 40 or more hours per week
Not employed, looking for work
Not employed, NOT looking for work
Retired
Disabled and/or not able to work

9. What was your Net income in the last year?

This includes working income; income from business, rental income; pensions; dividends; interest; social security income; Please report the total amount of money you earned - do not subtract the amount

$0 - $9,999
$10,000 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $69,999
$70,000 - $79,999
$80,000 - $89,999
$90,000 - $99,999
$100,000 or More

10. What was your Net Household income in the last year?

This includes working income; Business income, Rental income; pensions; dividends; interest; social security income; and all other monetary income received by taxpaying adult members of your household

$0 - $4,999
$5,000 - $7,499
$7,500 - $9,999
$10,000 - $12,499
$12,500 - $14,999
$15,000 - $19,999
$20,000 - $24,999
$25,000 - $29,999
$30,000 - $34,999
$35,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 or More

11. Are you Mexican, Mexican-American, Chicano, Puerto Rican, Cuban, Cuban-American, Hispanic, Latino or other Spanish denomination?

I am not Spanish, Hispanic, or Latino
Mexican
Mexican-American
Chicano
Puerto Rican
Cuban
Cuban-American
Some other Spanish, Hispanic, or Latino group
From multiple Spanish, Hispanic, or Latino groups

12. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian / Pacific islander or other?

White
Black or African-American
American Indian or Alaskan Native
Asian
Native Hawaiian or other Pacific Islander
From multiple races

13. What are your current living conditions?

Owned or being bought by you or someone in your household
Mortgaged
Rented
Occupied without payment of rent

14. How many children age 17 below live in your household?

Demographics Survey

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Demographic research as part of a diploma thesis or a basis for a sociological survey? Use the demographic questionnaire template and verify its functionality.

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The survey sample is ideal for

companies,
students,
researchers.

As a student, you don’t have to think about where to create a similar survey. Simply edit it and send it to respondents. You will save time spent compiling questions and can focus on other parts of your work. As a company that cares about its customers in terms of precisely targeting an advertising campaign, customizing a product or finding sales potential, you can work with the survey in the same way. Even for these purposes, the template from Survio is a suitable solution.

The questionnaire template can be fully edited. Survio will process your answers into well-arranged tables and graphs.

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Survey creation is straightforward and simple. Easy to navigate as a survey creator as well as a survey respondent. Quick to make unique surveys tailored to your and your company's purpose.

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I've been able to design multiple surveys in just a few minutes. I'm particularly excited about the data collection, analysis, reporting & exporting capabilities, which are critical to my success as an HR.

Liam J. HR specialist

I highly recommend Survio as it is user-friendly and professional. It is definitely worth updating the free account to get more advanced features and make it an integral part of your workflow.

Edward G. Sales director

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

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Basic demographic questionnaire template

1. Are you male or female?

2. Which category best represents your age?

3. What is your marital status?

4. In what state or territory do you live?

5. In what ZIP code is your home located?

6. What is the highest level of school you have completed or the highest degree you have received?

7. Does anyone in your household own a small business or farm?

8. Which of the following categories best describes your employment status?

9. What was your Net income in the last year?

10. What was your Net Household income in the last year?

11. Are you Mexican, Mexican-American, Chicano, Puerto Rican, Cuban, Cuban-American, Hispanic, Latino or other Spanish denomination?

12. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian / Pacific islander or other?

13. What are your current living conditions?

14. How many children age 17 below live in your household?

Demographics Survey

Template categories

Survio is a survey software for everyone.

Create a questionnaire in less than one minute

Collect survey responses on multiple channels

Analyze survey results with a single click

What people say about us

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

Basic demographic questionnaire template

1. Are you male or female?

2. Which category best represents your age?

3. What is your marital status?

4. In what state or territory do you live?

5. In what ZIP code is your home located?

6. What is the highest level of school you have completed or the highest degree you have received?

7. Does anyone in your household own a small business or farm?

8. Which of the following categories best describes your employment status?

9. What was your Net income in the last year?

10. What was your Net Household income in the last year?

11. Are you Mexican, Mexican-American, Chicano, Puerto Rican, Cuban, Cuban-American, Hispanic, Latino or other Spanish denomination?

12. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian / Pacific islander or other?

13. What are your current living conditions?

14. How many children age 17 below live in your household?

Demographics Survey

Template categories

Survio is a survey software for everyone.

Create a questionnaire in less than one minute

Collect survey responses on multiple channels

Analyze survey results with a single click

What people say about us

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

Enter Survio

Create engaging surveys, get genuine data and make the right decisions.

Start surveying now!

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