Basic Demographic example

This is an example Basic Demographic survey. This survey includes questions like:

We hope this will help you create your own Basic Demographic survey. We have not tested the validitiy or reliability of this survey. However, you may use this as a starting point to help your own survey instrument. Feel free to change and edit any of our survey templates to help you get started.

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1) What is your sex?
  • Male
  • Female
2) What is your age?
3) What is the highest level of education you have completed?
4) What is your own yearly income?
5) What is the total yearly income of all earners in your household?
6) What is your current marital status?
7) What is your religious affiliation?
8) What is your race? (Check as many as apply)
  • White
  • White, Non-Hispanic
  • African-American
  • Hispanic
  • Asian-Pacific Islander
  • Native American
9) What is the highest level of education your mother has completed?
10) What is the highest level of education your father has completed?
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