Various Demographic Area Pretesting Activities

Attachment F: Background Questionnaire

Questionnaire on Computer-and-Internet Experience and Demographics

1. During the last month, about how many hours did you use the Internet during a typical week? __________

2. Six months ago, about how many hours did you use the Internet during a typical week? __________

3. Five years ago, about how many hours did you use the Internet during a typical week? __________

4. How much experience have you had with computers to use the Internet? Please check one option.

G A great deal

G A lot

G A moderate amount

G A little

G None

5. How much experience have you had with computers to do things other than use the Internet?

Please check one option.

G A great deal

G A lot

G A moderate amount

G A little

G None

6. During the last year, how many times did you complete a survey on the Internet? _____________

7. During the last month, where were you when you used the Internet? Please select all places.

G Home

G Work

G School

G Library

G Another place (specify: _________________________________)

8. Do you have a computer with Internet at your home?

G Yes

G No

8a. What type of internet connection do you typically use? Please check all that apply.

G Cable Service

G Dial-up Service

G DSL Service

G Satellite Dish Service

G Fiber-Optic Service

G Mobile Broadband Plan for a Computer or Cell Phone

8b. Browsers are software on a computer used to surf the Internet. Last month, which Internet browser

did you typically use? Please check all that apply.

G Firefox

G Google Chrome

G Internet Explorer

G Safari

G Other: __________________

8c. During the last month, what was the operating system on the computer you typically used?

Please check all that apply.

G Linux

G MAC OS (version: ________________)

G Windows (version: ________________)

G Other (specify: _____________)

9. During the last week, what are all the things you did on a computer? Please check all that apply.

G Budget Expenses

G Conducted statistical analyses

G Looked at and/or edited photos

G Played video games

G Typed documents

G Used the Internet

G Other (specify ____________________________________)

G Other (specify ____________________________________)

G Other (specify ____________________________________)

G Other (specify ____________________________________)

G Other (specify ____________________________________)

G Other (specify ____________________________________)

10. During the last week, how many times did you use the Internet to find information about:

A hobby ­­­__________

Church ­­­__________

Finances (e.g., accounting, stocks, mutual funds) __________

Health or medicine __________

Housing ­­­__________

Legal issues __________

Local community activities (e.g., public events) __________

Movie listings ­­­__________

News ­­­__________

Organizations (e.g., political groups, American Medical Association) __________

Other people (e.g., home addresses, phone numbers, email addresses) __________

Personal social activities (e.g., friends’ parties) __________

Places (e.g., museums, hotels) __________

Public transportation __________

Recipes ­­­__________

Sports __________

Stock reports ­­­__________

Television shows __________

The government __________

Travel __________

Weather __________

11. During the last week, how many times did you use the Internet to:

Access social networking sites (e.g., Facebook) __________

Buy things __________

Conduct personal banking __________

Contact people via email __________

Contact people via instant messaging/chat __________

Contact people via video chat __________

Download music ­­­__________

Download, look at, order, and/or edit photos ­­­__________

Gather information for work __________

Join mailing lists __________

Make travel reservations ­­­__________

Pay bills ­­­__________

Play games __________

Read news __________

Search library holdings or databases __________

Sell things __________

Visit discussion groups __________

Watch shows or videos __________

12. How difficult is it for you to learn to use Web sites that you have not visited before?

G Extremely difficult

G Very difficult

G Moderately difficult

G Slightly difficult

G Not difficult at all

13. Computer windows can be minimized, resized, and scrolled through. How difficult is it for you to manipulate a computer window?

G Extremely difficult

G Very difficult

G Moderately difficult

G Slightly difficult

G Not difficult at all

14. How difficult is it for you to use the Internet?

G Extremely difficult

G Very difficult

G Moderately difficult

G Slightly difficult

G Not difficult at all

15. Not including email, how uncomfortable are you with providing personal information on Internet forms and

surveys?

G Extremely uncomfortable

G Very uncomfortable

G Moderately uncomfortable

G Slightly uncomfortable

G Not uncomfortable at all

16. During last month, how many times did you do complex analyses of data (e.g., using SAS, SPSS, Excel)

using a computer? ­­­_________

17. How familiar are you with the Census Bureau Web site, www.census.gov (e.g., location, tools, terms,

data)?

G Extremely Familiar

G Very Familiar

G Moderately Familiar

G Slightly Familiar

G Not Familiar At All