Basic Demographics Survey Template with sample Questions
SurveyShare is an online survey tool. You can get your own survey or questionnaire online fast by pulling questions from SurveyShare templates like this Basic Demographics Template below. You can always add questions or edit the template to suit your needs.
This is a survey example with demographics. You cannot respond to this version of the web survey.
These questions are intended to show you samples from one of our
free survey templates
that measure basic demographics.
View
other templates , or see more
sample questions .
1) Are you Male or Female?
2) What is your age?
Select one...
18-21
22-25
26-30
31-40
41-50
51-60
61 or over
3) What is the highest level of education you have completed?
Select one...
Less than High School
High School/GED
Some College
2-Year College Degree(Associates)
4-Year College Degree(BA,BS)
Master's Degree
Doctoral Degree
Professional Degree(MD,JD)
4) What is your incoming and your total household income?
Your income
Select one...
Less than $10,000
$10,000-$19,999
$20,000-$29,999
$30,000-$39,999
$40,000-$49,999
$50,000-$59,999
$60,000-$69,999
$70,000-$79,999
$80,000-$89,999
$90,000-$99,999
$100,000-$149,000
More than $150,000
Total household
Select one...
Less than $10,000
$10,000-$19,999
$20,000-$29,999
$30,000-$39,999
$40,000-$49,999
$50,000-$59,999
$60,000-$69,999
$70,000-$79,999
$80,000-$89,999
$90,000-$99,999
$100,000-$149,000
More than $150,000
5) What is your current marital status?
6) What is your religious affiliation?
7) What is your race?
Select one...
White
White, non-Hispanic
African-American
Hispanic
Asian-Pacific Islander
Native American
8) What is the highest level of education your parents have completed?
Mother
Select one...
Less than High School
High School/GED
Some College
2-Year College Degree(Associates)
4-Year College Degree(BA,BS)
Master's Degree
Doctoral Degree
Professional Degree(MD,JD)
Father
Select one...
Less than High School
High School/GED
Some College
2-Year College Degree(Associates)
4-Year College Degree(BA,BS)
Master's Degree
Doctoral Degree
Professional Degree(MD,JD)
9) If you wish to join our mailing list, please enter your information below: