Socio Demographic Questionnaire
A socio demographic questionnaire is developed for purposes of gauging the social status of a specific community or society. The formulated questions are usually subjective in nature and gauge things such as individual educational level, one’s income, assets and occupational status. The questionnaire is also used to identify the respondent’s age, gender, health status and racial group. Such questionnaires are commonly used in national household surveys for purposes of establishing the social status of an identified community. During the construction of the questionnaire, consultations are done to ensure that the survey questions are valid and acceptable in the target community.
Q1. Age ______
Q3. What is your marital status?
Single______ Married______ divorced ______ separated______
Q4. What is your employment status?
Full time employed______
Part time employed______
Q5. What is your highest level of education?
Q6. What is your degree level?
High school diploma______
Q6. Where do you live?
In my house______
In my parents’ house______
In a co-owned/rented house______
Q7. How many other people live in the same house with you?
More than two______
Q8. How many other people in the house earn an income?
Other (specify) ______
Q9. What is your main source of financial support?
My income (paycheck or income from businesses) ______
Family support (including alimony or child support) ______
Q10. Do you have any outstanding debts? If so how much are they worth?
$500 or less______
Between $500 and $4999______
Between $5000 and $9,999______
More than $10,000______
Category: Social Questionnaire
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