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Basic Survey Questionnaire Template

The document is a basic survey questionnaire that collects respondent information including age, gender, ethnicity, highest level of education, marital status, employment status, and total annual household income. Respondents are asked to select the option that applies to them for each question.

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matthew persaud
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33 views3 pages

Basic Survey Questionnaire Template

The document is a basic survey questionnaire that collects respondent information including age, gender, ethnicity, highest level of education, marital status, employment status, and total annual household income. Respondents are asked to select the option that applies to them for each question.

Uploaded by

matthew persaud
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

BASIC SURVEY QUESTIONNAIRE

Name : [INSERT THE NAME]


Address : [SPECIFY THE ADDRESS]
Date : 00.00.20_

Respondent Information:

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

What is your gender?

 Male  Female

What is your ethnicity or race?

 White
 Spanish
 Latino
 Black or African American
 Native American
 Asian or Pacific Islander
 Others, please specify [ ]

What is your highest degree or level of education?

 No schooling completed
 High School Graduate
 Vocational Training
 Associate Degree
 Bachelor’s Degree
 Master’s Degree
 Doctoral Degree

What is your marital status?

 Single, never married


 Divorced
 Married
 Widowed
 Separated

What is your employment status?

 Employed, minimum wage


 Employed, above minimum wage
 Self-employed
 Homemaker
 Student
 Military
 Not able to work (PWD)

What is the total annual income of your household?

 $0 to $29,999.99
 $30,000.00 to $49,999.99
 $50,000.00 to $69,999.99
 $70,000.00 to $89,999.99
 Confidential
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This is the way you can edit the document as given below:

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2. You can change the size, font & color of the text in the Main Tab: Home

To Edit Table:
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then you can add your text.
2. You can adjust the row & column size of the table in the Main Tab: Layout

To Edit Chart:
1. Select the chart which is going to edit and then
2. In Main tab: Design -> Edit Data
3. It will open the excel sheet where you can edit the values of the chart

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