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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
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| Is surfing the internet safe? |
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| Additional Comments/Suggestions for improvement | | |
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How did you find about this site? (Please check all that apply.)
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What is your primary language (i.e., the one you speak most of the time)?
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Note: This is a sensitive question that can help Internet developers to understand the needs of current Web users--it is not intended to offend.
Are you disabled or impaired? (Please check all that apply.)
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How frequently do you access the web from the following places?
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| Who pays for your Internet access? (Please check all that apply.) |
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| Are you currently registered to vote? |
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Which of the following categories best describes the industry you primarily work in (regardless of your actual position)?
Check here if you are
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Please indicate the highest level of education completed.
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| Which of the following best describes the area you live in? |
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How did you find about this site? (Please check all that apply.)
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What is your primary language (i.e., the one you speak most of the time)?
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Note: This is a sensitive question that can help Internet developers to understand the needs of current Web users--it is not intended to offend.
Are you disabled or impaired? (Please check all that apply.)
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How frequently do you access the web from the following places?
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| Who pays for your Internet access? (Please check all that apply.) |
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| Are you currently registered to vote? |
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Which of the following categories best describes the industry you primarily work in (regardless of your actual position)?
Check here if you are
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Please indicate the highest level of education completed.
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| Which of the following best describes the area you live in? |
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