Various Pretesting Activities (see attached list)

Generic Clearence for Questionnaire Pretesting Research

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Various Pretesting Activities (see attached list)

OMB: 0607-0725

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Attachment A: Demographic and Computer Experience Questionnaire
YOUR ANSWERS ARE CONFIDENTIAL
Demographics
1. What is your age? _______________
2. Are you male or female?_________________
3. What is your level of education?
___grade school
___some high school
___high school degree
___some college
___2-year college degree
___4-year college degree
___some postgraduate study (e.g., M.A., M.B.A., J.D., Ph.D., M.D., etc.programs)
___postgraduate degree (e.g., M.A., M.B.A., J.D., Ph.D., M.D.)

Computer Experience
1. Do you use a computer at home, at work, or both?
(Check all that apply.)
___Home
___Work
___Somewhere else, such as school, library, etc.
2. If you have a computer at home,
a. What kind of modem do you use at home?
___Dial-up
___Cable
___DSL
___Wireless (Wi-Fi)
___Other __________
___Don’t know _____
b. Which browser do you typically use at home? Please indicate the version if you can recall it.
___Firefox
___Internet Explorer
___Netscape
___Other ___________
___Don’t know
c. What operating system does your home computer run in?
___MAC OS
___Windows 95
___Windows 2000
___Windows XP
___Windows Vista

3

___Other ___________
___Don’t know
3. On average, about how many hours do you spend on the Internet per day?
___0 hours
___1-3 hours
___4-6 hours
___7or more hours
4. Please rate your overall experience with the following:
Circle one number.
No experience

Very experienced

Computers

1

2

3

4

5

6

7

8

9

Internet

1

2

4

5

5

6

7

8

9

5. What computer applications do you use?
Mark (X) for all that apply
___E-mail
___Internet
___Word processing (MS-Word, WordPerfect, etc.)
___Spreadsheets (Excel, Lotus, Quattro, etc.)
___Accounting or tax software
___Engineering, scientific, or statistical software
___Other applications, please specify____________________________

For the following questions, please circle
one number.

Not Comfortable
1

6. How comfortable are you in learning to
navigate new Web sites?

4

2

Comfortable
3

4

5

7. Computer windows can minimize,
resized, and scrolled through. How
comfortable are you in manipulating a
window?

Not Comfortable
1
2

8. How comfortable are you using, and
navigating through the Internet?

1

2

3

4

3

4

Never

Comfortable
5

5

Very Often

9. How often do you work with any type
of data through a computer?

1

2

3

4

5

10. How often do you perform complex
analyses of data through a computer?

1

2

3

4

5

1

2

3

4

5

11. How often do you use the Internet
or Web sites to find information? (e.g.,
printed reports, news articles, data
tables, blogs, etc.)

12. How familiar are you with the
Census (terms, data, etc)?

13. How familiar are you with the
current American Community Survey
(ACS) and American FactFinder (AFF)
sites (terms, data, etc.)?

Not familiar

Very familiar

1

2

3

4

5

1

2

3

4

5

5


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Authormurph031
File Modified2009-03-06
File Created2009-03-06

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