Market Sampling

1. Where were you born? (Country)

2. Where do you currently reside? (Country, state, city)

Country

State

City

3. What is the primary language you use for communicating?

4. What’s your occupation?

5. What’s your gender?

Male

Female

6. What’s your age?

Less than 15 years

15-19 years

20-30 years

31-40 years

41-50 years

Above 50 years

Prefer not to answer

7. What’s your marital status?

Married

Single

Widowed

Divorced

Separated

Never married

Living with partner

Prefer not to answer

8. What’s your ethnic background?

Hispanic

Asian

Native American

African American

Caucasian

Prefer not to answer

9. What is your religious affiliation?

Protestant Christian

Roman Catholic

Evangelical Christian

Jewish

Muslim

Hindu

Buddhist

Prefer not to answer

10. What is the highest level of education you have received?

Less than high school

High school

Some college

2 year college

4 year college

Master’s degree

Doctoral

Prefer not to answer

11. What’s your average annual household income?

Under $20,000

$20,000-$30,000

$30,000-$40,000

$40,000-$50,000

$50,000-$60,000

$60,000-$70,000

More than $70,000

I’d prefer not to answer

12. What’s your employment status?

Employed

Self-employed

Out of work and looking for work

Out of work but not currently looking for work

A homemaker

A student

Retired

Unable to work

Prefer not to answer

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Market Sampling

Personal Information

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