3 Demographic Questionnaire and Computer use and Internet

Generic Clearance for Questionnaire Pretesting Research

Attachment C_CFS Demographic Questionnaire and Computer use and Internet experience questionnaire

Usability Evaluation of the Commodity Flow Survey Portal

OMB: 0607-0725

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Demographic Information


Participant #_________



1. Title/Role of Interviewee:



2. Years in Current Position:



3. Which age range best describes you?

  • 18-25

  • 26-35

  • 36-45

  • 46-50

  • 51+



4. 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: __________________________)







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



What computer applications do you use?

Mark (X) for all that apply

___E-mail

___Internet

___Word processing (MS-Word, etc.)

___Spreadsheets (Excel, Lotus, Quattro, etc.)

___Accounting or tax software

___Engineering, scientific, or statistical software

Shape7

___Other applications, please specify below











Please rate your overall experience with the following:

Circle one number.



No Very

experience experienced


Computers 1 2 3 4 5 6 7 8 9 10





Internet 1 2 3 4 5 6 7 8 9 10









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


Not Comfortable Very Comfortable


1 2 3 4 5 6 7 8 9 10






How familiar are you with the Commodity Flow Survey (terms, data, etc.)?


Not Familiar Very Familiar


1 2 3 4 5 6 7 8 9 10



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorTemika Holland
File Modified0000-00-00
File Created2021-01-14

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