Demographic and Retail Shopping Survey Template

Retail Shopping and Demographic Survey Template is used to collect demographic and shopping intent information. These questions are also often included in other samples as well. This questionnaire example is typically used as a part of market research survey, which helps identify factors that are unique to a certain demographic and get details about a shopper's profile.

Demographic and Retail Shopping Survey Template

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Within what price range are the daytime dresses you typically purchase? $30.00 or less $30.01 to $50.00 $50.01 to $70.00 $70.01 to $90.00 $90.01 to $110.00 $110.01 to $130.00 $130.01 to $150.00 $150.01 to $170.00 $170.01 to $210.00 More than $210.00 When shopping for an everyday dress, how many stores do you typically visit? 1 2 3 4 5 6-9 10-12 More than 12 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 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 What was the last grade you completed in school? Some high school High school graduate Some college College graduate Postgraduate/professional Please indicate the number of children in your household under the age of 18. None One Two Three Four or more Including yourself, how many persons are in your household? One Two Three Four Five or more What is your current work status? Work outside home full time Work outside home part time Do not work outside home What is the present occupation of the head of household? Professional/technical Manager/official/proprietor Clerical Sales Crafts/trades Operator Laborer Service worker Retired Homemaker Student Unemployed Other Please write in your ZIP Code. Thank you for your participation.