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Demographic Survey Questions

Sample demographic survey questions for demographics (respondent characteristics); a free template easy to use with your survey tool.

Note: This example is meant as a starting point that you can then customize to your situation. The questions are not exactly as a respondent would see them; they are instead formatted in such a way that they can easily be copied and pasted into an online survey tool (such as SurveyMonkey), so please feel free to do so!

[Text in brackets are your instructions for setting up the survey and should not appear in the survey]

[Business to Consumer]

1. What is your gender?
Male
Female
Rather not say

2. What is your age?
Under 18 years
18 to 24 years
25 to 34 years
35 to 44 years
45 to 54 years
55 to 64 years
65 or older
Rather not say

3. What is your race?
American Indian or Alaskan Native
Asian
Black or African-American
Latino or Hispanic
Native Hawaiian or other Pacific Islander
White/Caucasian
From multiple races
Other (specify) [Text Box]
Rather not say

4. What is your marital status?
Now married or living with partner
Widowed
Divorced
Separated
Never married
Rather not say

5. What is your employment status?
Employed full time
Employed part time
Unemployed
Retired
Student
Rather not say

6. What is the highest level of education you have completed?
Less than high school
Completed some high school
High school graduate
Completed some college
Associate degree
Bachelor's degree
Completed some postgraduate
Master's degree
Ph.D., law or medical degree
Other advanced degree beyond a Master's degree
Rather not say

7. Approximately what is your household income?
$0 - $9,999
$10,000 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $69,999
$70,000 - $79,999
$80,000 - $89,999
$90,000 - $99,999
$100,000 - $149,999
$150,000 or more
Rather not say

8. Where are you located?
New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)
Middle Atlantic (New Jersey, New York, Pennsylvania)
East North Central (Illinois, Indiana, Michigan, Ohio, Wisconsin)
West North Central (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota)
South Atlantic (Delaware, District of Columbia, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia)
East South Central (Alabama, Kentucky, Mississippi, Tennessee)
West South Central (Arkansas, Louisiana, Oklahoma, Texas)
Mountain (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming)
Pacific (Alaska, California, Hawaii, Oregon, Washington)
Rather not say

[Business to Business]

9. What is your job title?
[Text Box]

10. Including yourself, how many people are employed at your organization in all locations?
1
2-4
5-9
10-19
20-99
100-499
500+
Don't know
Rather not say

11. Including yourself, how many people are employed at your organization in your location?
1
2-4
5-9
10-19
20-99
100-499
500+
Don't know
Rather not say

12. What is the principal industry of your organization?
Agriculture, Forestry, Fishing and Hunting
Mining, Quarrying, and Oil and Gas Extraction
Utilities
Construction
Manufacturing
Wholesale Trade
Retail Trade
Transportation and Warehousing
Information
Finance and Insurance
Real Estate and Rental and Leasing
Professional, Scientific, and Technical Services
Management of Companies and Enterprises
Administrative and Support and Waste Management and Remediation Services
Educational Services
Health Care and Social Assistance
Arts, Entertainment, and Recreation
Accommodation and Food Services
Other Services (except Public Administration)
Public Administration

13. Approximately what is the annual revenue of your organization?
Less than $10,000
$10,000 to $49,999
$50,000 to $99,999
$100,000 to $499,999
$500,000 to $999,999
$1 million to $4.9 million
$5 million to $9.9 million
$10 million to $24.9 million
$25 million to $49.9 million
$50 million to $100 million
More than $100 million
Don't know
Rather not say

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