Dr. Friedman

Constructing a Questionnaire

Basic Question Types:
(A) Importance Questions:

1. How important is each of the following factors in your choice of a toothpaste?

(B) Performance Rating Questions:

1. Please rate Crest toothpaste on each of the following factors:

2a. Overall, how would you rate the performance of Verizon?
__excellent  __very good  __good  __fair  __poor  __very poor __awful

2b. Overall, how satisfied are you with the performance of Verizon?
___extremely satisfied  ___satisfied  ____neither satisfied nor dissatisfied   ___dissatisfied  ____extremely dissatisfied

2c. Using a 9-point scale, where 9 means extremely satisfied and 1 means not at all satisfied, how satisfied are you with the New York City subway system overall?

Extremely satisfied 9   8  7  6  5  4  3  2  1 Not at all satisfied

3. Please describe briefly why you responded the way you did in question 2. _____________________________________

(C) Agreement/disagreement Questions:
Please indicate how strongly you agree or disagree with each of the following statements:

1. Marriage is a wonderful institution.
___strongly agree ___agree ____neither agree nor disagree ___disagree ____strongly disagree

2. Married people are happier than single people.
___strongly agree ___agree ____neither agree nor disagree ___disagree ____strongly disagree

(D) Open-ended Questions:

1. What improvements, if any, should be made to better the subway system? ___________________________________

(E) Demographic Questions: (belong at the end of the questionnaire).
1. Your sex: ___Male ___Female

2. Your age: __Under 25 __25 to 34 __35 to 44 __45 to 54 __55 to 64 __65 or older

3. Your education:
__less than high school graduate __high school graduate __some college __college graduate __some postgrad. college work

4. Family Income (before taxes): __Under $15,000 __$15,000 - 24,999 __$25,000 - 34,999 __$35,000 - 49,999 __$50,000 - 79,999 __$80,000 or more

5. Your ethnicity:
__Caucasian (white) __African-American (black) ___Hispanic ___Asian __Other (please specify):_______________

6. Current marital status: __Married/living together __single/never married ___widowed/divorced/separated