Mitchell Research Questionnaire

This survey only takes about 5 minutes to fill out. We will not sell your information, and will only use the information to contact you about our study opportunities.

If your information matches our needs, we'll contact you to schedule you for an upcoming study. Focus group and usability studies generally pay between $50 an $75 per hour.

If you have any questions, you can email us at elizabeth@mitchellresearch.com. Thanks and we look forward to placing you in one of our studies soon!

Contact Information
Your First Name
Your Last Name
City, State
E-Mail
Phone Number

What is your age?

Gender
Male
Female

How would you describe your race?
African American
Asian/Pacific Islander
Caucasian
Hispanic
Native American
Other

Marital Status
Married
Single
Separated
Other

Are there any children under 18 living in your household?
Yes
No

Highest level of education completed
Some high school
High school or GED
Some college coursework
2 year college degree
4 year college degree
Completed graduate or professional degree

What is your yearly household income?
Less than $25,000
Between $25,000 and $49,999
Between $50,000 and $74,999
Between $75,000 and $99,999
$100,000 or more

Occupation

Have you ever worked for a market research firm or conducted a usability study?
No
Yes (please explain)

Do you own a cell phone?
Yes
No

Do you own a PDA (i.e. Pocket PC, Palm)?
Yes
No

Do you own an MP3 device (i.e. iPod)?
Yes
No

Do you own a computer?
Yes
No

How often do you use the internet?
Less than 2 hours a week
Between 2-5 hours per week
Between 5 and 10 hours per week
Over 10 hours per week

Which of these definitions best describes you?
Beginner: I am fairly new to using computers and the Internet, so I request technical support from my friends, family, or a help service very often.
Intermediate: I am somewhat comfortable using my computer, including the Internet, and can solve some minor problems myself. However, I request help fairly often.
Advanced: I am comfortable using my computer and the Internet. I can solve some moderately complex problems without assistance, but occasionally need some help.
Expert: I consider myself to be a technology expert, and rarely need help with technology issues.

How often would you say you do the following things?
 

Never

Hourly
Search for information using a search engine (google, yahoo, etc) 1 2 3 4 5
Browse the internet for fun 1 2 3 4 5
Compare information or prices using a comparison website (Nextag, Pricegrabber, etc) 1 2 3 4 5
Email 1 2 3 4 5
Play a game over the internet 1 2 3 4 5
Pay bills online 1 2 3 4 5
Bank online 1 2 3 4 5
Buy something at an online auction like Ebay 1 2 3 4 5
Buy a product from an online store 1 2 3 4 5
Participate in a chat room 1 2 3 4 5
Listen to or download online music 1 2 3 4 5
Participate in an online newsgroup, message board, forum, or blog 1 2 3 4 5
Use instant messaging 1 2 3 4 5



Survey by Mitchell Research