The demographic questionnaire is often a mixture of both close-ended and open-ended questions. It is intended to gather as much demographic details as is possible using succinct, unambiguous and clear questions. While designing the questionnaire, the research company ensures that the chances of the questions having different meanings to different people are minimized. This means that the questionnaire is designed with specifics in mind. While gauging the frequency of something done in the society for example, the questionnaire will avoid the use of adjectives like often, sometimes or rarely and instead use quantifiable choices such as once, twice, thrice or never.
Q1. Gender
Male Female
Q2. Age_____
Q3. Marital status
Single
Married
Divorced
Separated
Q4. How many people (including you) live in your house? _____
Q5. What is the highest education you have attained?
High school diploma
College diploma
Bachelor’s degree
Master’s degree
Doctorate
Q6. What is your current employment standing?
Employed
In a part time job
Looking for a job
Self employed
Jobless
Q7. What is the total annual income in your household?
Please indicate $_____
Q8. Please provide the background details of children under your care below
Name____________________ Age_____________ sex___________ DOB______
Q9. What is your relationship to the children?
Biological parent Adoptive parent Foster parent
Parent’s partner Step parent Other (please state)
Q10. How many children are in school? ___________. State their current education levels below
____________________
____________________
____________________
____________________
Q11. Do you enlist any outside help in taking care of the children? (Depending on whether married, divorced, separated or single)
Yes
No
