Survey

Survey I created for collecting data on my subject matter.

Age:

Sex: Male/Female:

Location: City/State/Country:

Marital status: Married/Single/Separated/Divorced/Widowed:

Occupation:

 

How many hours do you spend on the computer (Internet, checking emails, etc.) daily/weekly?

 

How many hours do you spend watching television daily/weekly?

 

How many hours do you spend on the phone (including text messaging) daily/weekly?

 

How many hours do you spend shopping daily/weekly?

 

How many hours do you spend socializing with friends and family (does not include talking on phone or computer) daily/weekly?

 

Do you know how to cook? If so how many meals do you cook at home daily/weekly (this does NOT include prepackaged or ready-made meals)?

 

How often do you eat out or order take away?

 

Do you own a car or use public transportation?

 

Approximately, how much time do you spend commuting each week?

 

How do you spend your days off or free time?

 

How many hours do you sleep each night?

 

How many hours do you exercise or participate in sports daily/weekly? 

Do you know how to sew or do any other arts, crafts or hobbies? If so, how much time do you spend doing so daily/weekly?

 

Do you know how to grow your own garden; fruits, vegetables, flowers, herbs, etcetera?

 

If you could take a class to learn a new trade what would you want to learn?

 

What are you most proud of in life?

 

If you had more time in your daily schedule how would you spend it? 

 

Are you happy? (put a mark next to your answer)

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

 

As a child, did you spend more time outdoors or indoors playing?

 

What is your most prized possession?

 

Do you recycle and if so, what do you recycle, how much and how often?

 

Do you buy items like clothing, appliances and furniture brand new or do you shop in vintage (second-hand) shops?

 

If something breaks in your home like a kitchen chair or an appliance do you try to fix it first or just throw it in the bin?

 

Do you volunteer in your community?

 

Do you know your neighbors/community?

 

Are you a member of any groups or organizations?

 

Do you have close connections with friends and/or family?

 

Do you currently feel that if you were to go through hard times you have people around that will support you and can help you?

 

Add any personal information or comments here that you feel might be relevant to this subject: