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0%
 
 
What is your approximate age?
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 and over
 
 
 
Indicate your marital status.
 
Single
 
Married
 
Widowed
 
Divorced
 
 
 
What was the last grade you completed in school?
 
Some high school
 
High school graduate
 
Some college
 
College graduate
 
Postgraduate/professional
 
Other
 
 
 
 
What is your current work status?
 
Work outside home full time
 
Work outside home part time
 
Do not work outside home
 
Other
 
 
 
 
Please indicate your approximate yearly household income before taxes. (Include total income of all adults living in your household.)
 
Under $25,000
 
$25,001 - $49,999
 
$50,000 - $74,999
 
$75,000 - $99,999
 
$100,000 -$149,999
 
$150,000 and over
 
 

Is your home
 
a single family house
 
a two family house
 
an apartment
 
a mobile home
 
Other
 
 
 
Below is a list of statements. Please indicate how you feel about each statement by indicating your degree of agreement or disagreement with each statement.
Strongly agree Agree Neutral Disagree Strongly disagree Not sure
Financial security is very important to me.
I'd say I'm rebelling against the way I was brought up.
I believe that "industrial growth" should be limited.
Generally speaking, most people are trustworthy and honest.
Everything is changing too fast today.
In general, it's more important to understand my inner self than to be famous, powerful, or wealthy.
My greatest achievements are ahead of me.
I believe a woman can work outside the home even if she has small children and still be a good mother.
I certainly am more conventional than experimental.
I like to try new and different things.
Strongly agree Agree Neutral Disagree Strongly disagree Not sure
It's very important to me to feel I am a part of a group.
Overall, I'd say I'm very happy.
TV is my main form of entertainment.
I'm a "spender" rather than a "saver."
I would rather spend a quiet evening at home than go out to a party.
My family is the single most important thing to me.
I think I have more self-confidence than most people.
I like to think I'm a bit of a swinger.
A woman's life is fulfilled only if she can provide a happy home for her family.
My social status is an important part of my life.
I act on my hunches.
 
 
 
Indicate activities/interests which you and/or household members enjoy on a regular basis:
 
Bicycling/running
 
Camping
 
Dieting
 
Crafts
 
Foreign travel
 
Gourmet/fine food
 
Coin/stamp collecting
 
Fashion clothing
 
Bible/devotional reading
 
Physical fitness/exercise
 
Stereo/records and tapes
 
Sweepstakes
 
Sewing
 
Needlework/knitting
 
Art/antiques
 
Outdoor gardening
 
Wildlife/environment issues
 
Do-it-Yourself/workshop
 
Recreational vehicles
 
Health foods/vitamins
 
Money making opportunities
 
Video cassette recordings
 
Book reading
 
Self improvement
 
Compact discs
 
Watching sports on TV
 
Charities/volunteer work
 
Other
 
 
People look for or want different goals out of life. Please study this list carefully and then rate each item in terms of how important it is to you in your daily life on the scale indicated.
1
Extremely Important
2 3 4 5 6 7 8 9
Extremely Unimportant
Sense of belonging
Fun and enjoyment in life
Warm relationships with others
Self-fulfillment
Being well respected
Excitement
A sense of accomplishment
Security
Self-respect
 
Please contact [email protected] if you have any questions regarding this survey.
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