Various Demographic Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

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Various Demographic Pretesting Activities

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Questionnaire on Computer-and-Internet Experience and Demographics



Check (X) for all that apply.


1. Do you use a computer at home or at work or both?

___ Home

___ Work

___ Somewhere else, such as school, library, etc.

2. If you have a computer at home,

a. What type of internet connection 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 _____________

___ Google Chrome

___ Safari

___ Other ______________

___ Don’t know


c. What operating system does the home computer you typically use run in?

___ MAC OS

___ Windows 95

___ Windows 2000

___ Windows XP

___ Windows Vista

___ Windows 7

___ Other _____________

___ Don’t know


3. On average, about how many hours do you spend on the Internet per day total?

___ 0 hours ___ 1-3 hours ___ 4-6 hours ___ 7or more hours


4. On average, about how many hours do you use the Internet per week total?

___ 0 hours ___ 1-3 hours ___ 4-6 hours ___ 7or more hours


5. Which of the following activities do you use the Internet for more often?


_____ Searching / Surfing the web or ______ Answering / Sending e-mail


6. Have you ever filled out a survey on the Internet?

Yes No


a. If yes, about how many surveys do you think you have filled out on the Internet?_____

b. If yes, have you filled out a survey on the Internet in the last two months?

Yes No


7. How often do you use different media (i.e., photos, audio, video streams) on the Internet?







8. Please rate your overall experience with the following. Circle one number.


No experience Very experienced

Computers 1 2 3 4 5 6 7


Internet 1 2 3 4 5 6 7


Google.gom 1 2 3 4 5 6 7


Bing.com 1 2 3 4 5 6 7


American Factfinder 1 2 3 4 5 6 7


9. What computer applications do you use? Check (X) for all that apply.

___ E-mail

___ Internet

___ Word processing (MS-Word, WordPerfect, etc.)

___ Spreadsheets (Excel, Lotus, Quattro, etc.)

___ Databases (MS-Access, etc.)

___ Accounting or tax software

___ Engineering, scientific, or statistical software

___ Other applications, please specify___________________________________________


10. When you are seeking information on the Internet, how do you typically start? __________________



Please circle one number for each question below.


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


12. Computer windows can be minimized, resized, and scrolled through. How comfortable are you in manipulating a window?


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



14. How often do you work with any type of data using a computer?


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


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


16a. When you use the Internet to find information, how often do you use a “Search” function?


16b. When you use the Internet to find information, how often do you use the Web site’s topic navigation?






17. How familiar are you with the Census Web site (location, tools, terms, data, etc)?



18. How familiar are you with the American FactFinder Web site?



19. How familiar are you with Google.com?



20. How familiar are you with Bing.com?



Not at all Very

Comfortable Comfortable


1 2 3 4 5




1 2 3 4 5





1 2 3 4 5



Never Very Often


1 2 3 4 5




1 2 3 4 5




1 2 3 4 5





1 2 3 4 5





1 2 3 4 5









Not at all Very

Familiar Familiar


1 2 3 4 5





1 2 3 4 5




1 2 3 4 5




1 2 3 4 5







21. What is your date of birth? ___________________________________

month year


22. What is the highest grade of school you have completed, or the highest degree you have received?

a) [ ] Completed ninth grade or below

b) [ ] Some high school, but no diploma

c) [ ] Completed high school with diploma or received a GED

d) [ ] Vocational training beyond high school

e) [ ] Some college credit

f) [ ] Associates degree (AA/AS)

g) [ ] Bachelor’s Degree (BA/BS)

h) [ ] Master’s degree (MA/MS)

i) [ ] Professional degree

j) [ ] Doctoral degree


For options D through J above, indicate area of study: ________________________________


23. What is your gender?


_____ Male _____ Female


24. Do you consider yourself to be of Hispanic, Latino, or Spanish origin?

(Optional. We ask this question to ensure a diverse sample of people is in each study.)


______ Yes ______ No


25. What is your race? Choose one or more races.

(Optional. We ask this question to ensure a diverse sample of people is in each study.)


_______ White

_______ Black or African American

_______ Asian

_______ Native Hawaiian or Other Pacific Islander

_______ American Indian or Alaska Native



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