Survey Templates Website Surveys Web Demographics Survey Template

Web Demographics Survey Template

Web Demographics Survey Template offers questions about customer website usage. QuestionPro questionnaire sample has a list of more than 25 questions such as where did the customer find the organization's information from or for how long have the users been using the internet.

use this free template

Preview this template

How did you find about this site? (Please check all that apply)

Followed a text link from another web page

Followed a graphical banner/icon from another web page

Found using a search engine

Saw posting on a newsgroup

Guessed the URL address

Was told URL by friend

Read about it in a newspaper/magazine

Remembered to participate from the last survey

Don't remember

Other

How long have you been using the Internet (including using e-mail, gopher, ftp, etc.)?

Less than 6 months

6 to 12 months

1 to 3 years

4 to 6 years

7 years or more

What is your primary language (i.e., the one you speak most of the time)?

English

Spanish

Chinese

French

German

Dutch

Japanese

Hebrew

Swedish

Other

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.)

Rather not say

Vision impaired

Hearing impaired

Motor impaired

Cognitively impaired

Not impaired

How frequently do you access the internet from the following places?

	Daily	Weekly	Monthly	Less than once a month	Never	Can't say
Home	Daily	Weekly	Monthly	Less than once a month	Never	Can't say

Work	Daily	Weekly	Monthly	Less than once a month	Never	Can't say

School	Daily	Weekly	Monthly	Less than once a month	Never	Can't say

Cyber café	Daily	Weekly	Monthly	Less than once a month	Never	Can't say

Other	Daily	Weekly	Monthly	Less than once a month	Never	Can't say

Who pays for your Internet access? (Please check all that apply.)

Self/spouse

Parents

Work

School

Don't know

Other

Are you currently registered to vote?

Rather not say

No

Yes

Not applicable

What type of industry do you work in (e.g. software, government, IT etc)?

Which of the following best describes your role in industry?

Upper Management

Middle Management

Junior Management

Administrative Staff

Support Staff

Student

The organization you work for comes under which of the following categories?

Public sector (e.g. government)

Private sector (e.g. most businesses and individuals)

Not-for-profit sector

Do not know

Other

What is your organization's total budget for this year, from all sources?

less than $1 million (US)

$1 million to $10 million (US)

$10 million to $100 million (US)

$100 million to $500 million (US)

$500 million to $1 billion (US)

over $1 billion (US)

Do not know

Rather not say

During an average week, most of your professional correspondence (postal mail or e-mail) is with which of the following:

Public sector (e.g. government)

Private sector (e.g. most businesses and individuals)

Not-for-profit sector

Do not know

Other

Please indicate which of the following are sources of revenue for your organization: (Please check all that apply.)

Sales to individuals or private organizations (but not contracts)

Sale to government organizations (but not contracts)

Contracts to do work for private organizations

Contracts to do work for government organizations

Contracts to do work for other organizations

Government appropriations

User charges and fees

Donations

Don't know

Other

Please indicate the highest level of education completed.

Grammar School

High School or equivalent

Vocational/Technical School (2 year)

Some College

College Graduate (4 year)

Master's Degree (MS)

Doctoral Degree (PhD)

Professional Degree (MD, JD, etc.)

Other

What is your sex?

Female

Male

Note: Although this is a sensitive question, the answer can help Internet developers to understand the needs of current web users. It is not intended to offend.
How would you classify yourself?

Rather not say

Caucasian/White

African American

Indigenous or Aboriginal Person

Asian/Pacific Islander

Hispanic

Latino

Multiracial

Other

What is your current marital status?

Rather not say

Divorced

Living with another

Married

Separated

Single

Widowed

Where are you located?

Africa

Antarctica

Asia

Oceania (Australia, New Zealand, etc.)

Europe

USA

Canada

Mexico

Central America

South America

Other

Which of the following best describes the area you live in?

Urban

Suburban

Rural

How many children under 16 years old live in your household?

None

1

2

3

4 or more

Please indicate your current household income in U.S. dollars

Rather not say

Under $10,000

$10,000 - $19,999

$20,000 - $29,999

$30,000 - $39,999

$40,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $150,000

Over $150,000

What is your age?

What is your primary computing platform?

Windows

Macintosh

Linux

Unix

Other

use this free template

Related templates and questionnaires

Evaluation of Potential for E-Commerce Services Survey

15 questions

Digital Marketing Activities Survey Template

18 questions

Web Customer Service Evaluation Survey Template

18 questions