Qualitative Research Demographic Questionnaire Form
Please complete this demographic questionnaire to help us understand the background of our research participants. All questions are non-sensitive and your responses will remain confidential.
What is your age group?
*
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Which gender do you most identify with?
*
Female
Male
Non-binary
Prefer not to say
Other
Which of the following best describes your ethnicity?
*
Asian
Black or African descent
Hispanic or Latino
Middle Eastern or North African
White
Indigenous
Prefer not to say
Other
What is your highest level of education completed?
*
Some high school
High school diploma or equivalent
Some college/university
Associate degree or vocational training
Bachelor’s degree
Graduate or professional degree
Prefer not to say
What is your current employment status?
*
Employed full-time
Employed part-time
Self-employed
Unemployed
Student
Retired
Homemaker
Other
Which range best describes your total annual household income (USD)?
*
Under $25,000
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 or more
Prefer not to say
In which country do you currently reside?
*
Please Select
United States
Canada
United Kingdom
Australia
India
Other
What is your primary language spoken at home?
*
How would you describe your comfort level with technology?
*
Not comfortable at all
1
2
3
4
Extremely comfortable
5
1 is Not comfortable at all, 5 is Extremely comfortable
If there is any other aspect of your background you feel is relevant to this research, please specify below:
Submit
Should be Empty: