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1.
Your Age
Under 0 -19
20 - 30
31 - 40
41 - 50
51 - 60
61 - 70
70 +
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2.
Gender
Male
Female
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3.
Household Income ( US Dollars)
Under $10,000
$10,000-$19,999
$20,000-$29,999
$30,000-$39,999
$40,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000 - $199,000
Over $200,000
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4.
How often do you access the Internet?
Daily
Weekly
Monthly
Less than once a month
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5.
Formal Education
Grammar School
High School or Equivalent
Vocational/Technical School (2 year)
Some College
College Graduate (4 year)
Master's Degree (MS)
Doctoral Degree (PhD)
Professional Degree (MD,JD, etc.)
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6.
Race
Caucasian/White
African American
Indigenous or Aboriginal Person
Asian/Pacific Islander
Latino
Multiracial
Other
Decline response
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7.
Marital Status
Single
Divorced
Cohabiting
Widow / Widower
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8.
Current Residence
Africa
Antarctica
Asia
Oceania (Australia, New Zealand, etc.)
Europe
USA
Canada
Mexico
Central America
South America
Middle East
West Indies
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9.
How long have you been using the Internet?
Less than 6 months
6 to 12 months
1 to 3 years
4 to 6 years
7 years or more
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10.
Internet Connection
DSL
Cable
Dialup Connection
Other
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