Market Equity - Buzz Sample Survey

The Buzz
- Sample Survey-

Welcome to this sample online survey for Market Equity.

There are three types of questions on this page:
- Single response questions - select one answer
- Multiple response questions - select as many answers as appropriate
- Open ended questions - type in your comments
- Scroll down the page to view the next question
- Please follow the instructions provided as you may not have to answer all questions.
- Make sure you press the 'Finish!' button at the end to record your results.

Topic 1


Q1. For each of the following personal health issues, please indicate whether you personally think they are...
	(please select one item for each row)

	...of strong concern to me	...of moderate concern to me	...of little concern to me	...of no concern to me
Physical Exercise
Nutrition
Smoking
Passive Smoking
Sexually Transmitted Diseases
Alcohol
Drugs


Q2. For each of following, could you please indicate how you feel about whether or not people should be allowed to smoke in those locations:
	(please select one item for each row)

	Strongly Opposed to People Smoking in this location	Somewhat Opposed to People Smoking in this location	Not Really Opposed to People Smoking in this location	Not at all Opposed to People Smoking in this location	Don't Know
Restaurants
Bars
Clubs
Concerts
Streets
Parks
Workplace
Cinemas
Shopping Centres
Outside Hospitals


Q3. Do you smoke?
	(please select the circle next to the most appropriate item)

		Yes
		No
		Socially

About you...


Which of these age groups do you fit into?
	(please select the circle next to the most appropriate item)

		18-24 years
		25-29 years
		30-34 years
		35-39 years
		40-44 years
		45-54 years
		55-64 years
		65+ years


What is your Gender?
	(please select the circle next to the most appropriate item)

		Male
		Female


Which of these categories does your combined household income fall into, before tax?
	(please select the circle next to the most appropriate item)

		Nil to $10,000 p.a.
		$10,001 to $20,000 p.a.
		$20,001 to $30,000 p.a.
		$30,001 to $40,000 p.a.
		$40,001 to $50,000 p.a.
		$50,001 to $60,000 p.a.
		$60,001 to $70,000 p.a.
		$70,001 to $80,000 p.a.
		over $80,000 p.a.


What is your household Structure?
	(please select the circle next to the most appropriate item)

		Young single/living out of home
		Young couple with no children
		Two or single parent family with youngest child 12 or under
		Two or single parent family with youngest child teenager/adult at home
		Older couple without children living at home
		Older single


Please click the "Finish!" button once to record your results. (this button has been disabled in the sample survey)



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