Questions marked with () are required.
Page 1 of 1
 
 
 
1.How did you find about this site? (Check all that apply)
 
 
 
 
 
 
 
 
 
 
2.How long have you been using the Internet?
 
 
 
 
 
 
3.What is your primary language (i.e., the one you speak most of the time)?
 
 
 
 
 
 
 
 
 
 
 
4.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)
 
 
 
 
 
 
 
5.How frequently do you access the web from the following places?
  Daily Weekly Monthly Less than once a month Never
From home (including a home office)     
From work     
From school     
From a public terminal (e.g. library, cybercafe, etc.)     
From other places     
 
6.Who pays for your Internet access? (Please check all that apply)
 
 
 
 
 
 
 
7.Are you currently registered to vote?
 
 
 
 
 
8.Which of the following categories best describes the industry you primarily work in (regardless of your actual position)?
 
 
9.You are:
 
 
 
 
 
10.Which of the following best describes your role in industry?
 
 
11.The organization you work for is in which of the following:
 
 
 
 
 
 
12.What is your organization's total budget for this year, from all sources?
 
 
 
 
 
 
 
 
 
13.During an average week, most of your professional correspondence (postal mail or e-mail) is with which of the following:
 
 
 
 
 
 
14.Please indicate which of the following are sources of revenue for your organization: (Please check all that apply)
 
 
 
 
 
 
 
 
 
 
15.Please indicate the highest level of education completed:
 
 
 
 
 
 
 
 
 
 
16.Sex:
 
 
 
17.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?
 
 
 
 
 
 
 
 
 
 
18.What is your current marital status?
 
 
 
 
 
 
 
 
19.Where are you located?
 
 
 
 
 
 
 
 
 
 
 
 
 
20.Which of the following best describes the area you live in?
 
 
 
 
21.How many children under 16 years old live in your household?
 
 
 
 
 
 
22.Please indicate your current household income in U.S. dollars:
 
 
 
 
 
 
 
 
 
 
 
23.Age:
 
 
24.What is your primary computing platform?