Various Demographic Pretesting Activities

Questionnaire on Computer and Internet Experience and Demographics
1. Do you use a computer at home or 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
___ 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. On average, about how many hours do you use the Internet per week?
___ 0 hours
___ 1-3 hours
___ 4-6 hours
___ 7or more hours
5. What do you use the Internet for more:
_____ Searching / Surfing the web

or

______ Answering / Sending e-mail

6. Have you ever done research on the American Community Survey data?
Yes
No
a. If yes, about how many times has your research used data from the American Community Survey?_____
b. If yes, have you researched information on the American Community 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

8

9

Internet

1

2

4

5

5

6

7

8

9

9. 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.)
___ Databases (MS-Access, etc.)
___ Accounting or tax software
___ Engineering, scientific, or statistical software
___ Other applications, please specify_________________________________________________
Circle one number for each question below.

Not Comfortable

Comfortable

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

1

2

3

4

5

11. Computer windows can minimize,
resize, and scroll through. How
comfortable are you in manipulating
a window?

1

2

3

4

5

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

1

2

3

4

5

Never

Very Often

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

1

2

3

4

5

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

1

2

3

4

5

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

1

2

3

4

5

Not familiar

Very familiar

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

1

2

3

4

5

17. How familiar are you with the
current American Community
Survey Web site?

1

2

3

4

5

18. What is your date of birth?

___________________________________
month
year

19. 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: ________________________________
20. What is your gender?
_____ Male

_____ Female

21. Do you consider yourself to be of Hispanic, Latino, or Spanish origin?
______ Yes

______ No

22. 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 or Pacific Islander
_______Native Hawaian or Other Pacific Islander
_______American Indian or Alaska Native