SAMPLE SURVEY

Gender	Male Female Tell Later
Age	10-20 20-40 40-60 60-100
Education	Higher Secondary U.G college P.G college Profession
Qualifications	U.G college P.G college Profession
Income	1000-5000 5000-10,000 10,000-50,000 Other
Marital Status	Single Married Seperate Divorced
Region	White Black Asian Other
Employment Status	Full time Part time Self employment other
Do you own a home computer?	Yes No
Do you own a lap top computer?	Yes No
Do you own a handheld computer?	Yes No
What type of home computer do you use?	PC Other
How often do you use your home computer in an average week?	1-10 Hrs 10-20 Hrs 20-50 Hrs 50-More
On a weekly basis, approximately how many hours do you use a computer?	1-10 Hrs 10-20 Hrs 20-50 Hrs 50-More
How would you rate your computer expertise?	Good Very Good Bad Average
For which of the following purposes do you use your home computer?	Personal Official Business Other
What is the MAIN use of your home computer?	Financial Word Processing Internet/Online Gaming Other
Do you have a computer at your residence (desktop computer or a laptop that you use at home)?	Yes No
What type of internet connection do you use?	Dial-up Modem (28k) Dial-up Modem (56k) Cable Modem DSL
For what purposes do you connect to the internet?	E-Mail Shopping Pay Bills Banking Online Gaming Online Education Other
How often do you connect to the internet?	Daily Weekly Monthly
For what other purposes do you connect to the internet?	Personal Official Business
What is the MAIN reason you connect to the internet?	Pay Bills Shopping Other
Which e-mail system do you use most often (please circle one)?	Outlook Web browser Web mail Other
If you use an external mail service (e.g. Hotmail, Yahoo mail, AOL, etc.), indicate the usage frequency	Always Frequently Occasionally
How much you paying the internet bill?	100-500 Rs 500-1000 Rs 1000-5000 Rs 5000-10,000 Rs
Which broadband is using for Internet?	Airtel Bsnl Reliance Other
What is the speed of internet connection?	112 kbps 256 kbps 512 kbps Other
Are you satisfied with your Broadband connection?	Yes No
Which is the best time to contact you?	Morning Evening Anytime
What is the best way to contact you?	Phone E-Mail Chat Other
No. of childrens in your family?	0 1-2 2-5 Other
How many family members in your family?	1-5 5-10 10-15 15-25
E-mail address
E-mail Address: *
Annual income	1000-5000 Rs 5000-10,000 Rs 10,000-1,00,000 1,00,000-5,00,000 Other


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