Sample Social Questionnaire

A social questionnaire can be defined as a well-framed questionnaire which can be used for evaluating and understanding social life. These questionnaires are an excellent medium of studying and researching social life.  These can be regarded as one of the best quantitative measures of gathering social data pertaining to various aspects of social life.

Sample social questionnaire:

Personal Information

Name of Participant

Address

State

City

Zip

Phone

Email

Age

Questionnaire

Q1 Do you think television is an effective form of media?

• Very effective
• Quite effective
• Effective to some extent
• Not at all effective 

Q2 What role does television plays in your social life?

Q3 Which age group is most influenced by television?

• 4 – 10
• 11 – 14
• 15 – 18
• 18 – 25
• 26 – 32
• 33 – 38
• 39 – 45
• Above 45

Q4 What kind of influence of television is mostly observed in the teenagers?

Q5

Do you think television is responsible for the violent behavior among the children and teenagers?

• Yes
• No
• To quite a high extent
• To some extent

Q6 What do you consider television in today’s developing world?

• A boon
• A bane
• A mixture of both

Q7 Do you feel that children below 18 years of age should not be allowed to see all sorts of channels on television?

• Yes
• No

Q8 Do you feel that television is responsible for curbing the physical activity in children?

• Yes
• No

To some extent

Date