Form 1 Demographics Questionnaire

Generic Clearance for Questionnaire Pretesting Research

Attachment B_Demographic Questionnaire

2017 Economic Census Usability Testing and Debriefs

OMB: 0607-0725

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Participant #_________

Demographic Information



1. Which age range best describes you?

  • 18-25

  • 26-35

  • 36-45

  • 46-50

  • 51+



2. What is the highest grade or year of school you have completed?

Shape1 Less than high school

Shape2 Completed high school

Shape3 Some college, no degree (indicate area of study: ______________________________)

Shape4 Associate’s degree (AA/AS) (indicate area of study: ____________________________)

Shape5 Bachelor’s Degree (BA/BS) (indicate area of study: ____________________________)

Shape6 Post-Bachelor’s degree (indicate degree and area of study: __________________________)







File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorTemika Holland
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File Created2021-01-22

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