Various Demographic Area Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

omb1222NCTusabilityenc3

Various Demographic Area Pretesting Activities

OMB: 0607-0725

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Attachment B

Questionnaire on Statistical Background, Computer Use, Internet Experience



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., 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

___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

___7 or more hours

  1. If you have a tablet PC like an iPad, how many hours do you use it per day?



____ Don’t have a tablet or iPad

___0 hours

___1-3 hours

___4-6 hours

___7 or more hours



5. Please rate your overall level of experience with the following:

Circle one number.



No experience Very experienced



Computers 1 2 3 4 5 6 7 8 9 10



Internet 1 2 4 5 5 6 7 8 9 10







6. 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.



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

Not Comfortable Comfortable



1 2 3 4 5




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



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







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



11. How often do you perform complex analyses of data using a computer?



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



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



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










File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKathleen T. Ashenfelter
File Modified0000-00-00
File Created2021-02-02

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