Free Demographic Questionnaire Template

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Free Demographic Questionnaire Template

Demographic Questionnaire

Please fill out the form with your information below.

General Information

Age

    Gender

      • Male

      • Female

      Marital Status

        Number of Children (if any)

          Education & Employment

          Highest Level of Education Completed

            High SchoolBachelor's DegreeMaster's DegreeDoctorateOther:

            Current Employment Status

              Employed Full-TimeEmployed Part-TimeSelf-EmployedRetiredUnemployedOther:

              Primary Occupation/Industry

                Income & Living Situation

                Household Income Range (Annual)

                  Below $30,000$30,000 - $50,000$50,000 - $75,000$75,000 - $100,000Above $100,000Prefer not to say

                  Living Situation

                    Own HomeRentLive with FamilyOther:

                    Lifestyle & Health

                    Do you have any chronic health conditions?

                    If yes, please specify

                      How often do you engage in physical activity?

                        • Never

                        • Rarely

                        • Occasionally

                        • Regularly

                        • Daily

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