Internet and Computer Survey Examples (PDF)

The purpose of a survey is to simply gather data in hopes that the institution will be able to learn newer things and conditions not only with regards to their clientele or to their research participants. There are certain surveys that are intended for academic purposes only (e.g. thesis related). While there are others that conduct simple surveys in order to understand a certain situation and how it can be controlled should the need arise.

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For instance, it is important for parents and other concerned parties (e.g. government officials handling the use of technology, medical centers, doctors, psychologists, etc…) to try and understand as to whether that person is using the Internet wisely or is he rather addicted to it.

People who conduct the survey understand the need for confidentiality and discretion which is why they would normally not include your basic information other than your sex and your age in their survey since those two aspects are essentially the heart and soul of your data. Without them, you would just have random answers without really knowing anything. Listed below is a sample survey that gathers data on the asks how much certain people use the Internet and what they use it for. For more examples, you may also see marketing questionnaire to know more.

Internet Survey

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Computer and Internet Survey Outline Example

This questionnaire is part of a study of computer and Internet use. Your participation in this study is voluntary, and your answers will form part of a statistical study and will not identify you as an individual. 

Please first answer these background questions, then complete the rest of the survey.

Sex: (M/F)

Age:

Which of the following best describes your educational level? None, Elementary, Secondary, Bachelor’s Degree, Post-graduate Degree, Doctorate Degree

What country were you born?

What country do you presently reside?

What is your religion?

Which of the following settings have you ever made use of a computer connected to the internet? At an internet cafe, at a library, at home, at a friend’s home, at school or work 

In which of the following settings do you most frequently use a computer to access the Internet? At an internet cafe, at a Library, at home, at a friend’s home, at school or work 

How often do you access the Internet? Once a month/less, once a week, several times a week, everyday, several times a day

How many hours per week do you spend online? 

When you access the Internet, which of the following do you usually do? Using the Internet for entertainment purposes, using the internet for school or for work-related tasks, sending/receiving email, using various social media sites to chat each other, playing computer games, writing on a word-processing software, downloading music/videos/games, using of other computer applications

You may also like student questionnaire examples.

Internet Survey

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Computer and Internet Survey Outline Example (continuation)

Do you have certain Web sites that you visit regularly? Yes or No

If yes, please list some of your most popular Web sites (with addresses, if you know them). What sorts of Web sites have you visited in the last month? Chat, retail sales, educational/school, games, music/film/celebrity, news, religion, sports, others (please specify)   

Do you have a personal Web page? Yes or No

Do you have at least one nickname you can use in chat, instant message or email? Yes or No 

Do you ever pretend to be someone else (e.g. different age, sex, or appearance) in chat, instant message or email? Yes or No

Have you ever become romantically involved while on-line with someone you did not know in person but met through chat or instant messaging? Yes or No

Have you ever become romantically involved in real life with someone you first met through chat or instant messaging? Yes or No

Do you play interactive combat or adventure games (e.g. Quake, Tomb Raider) on the Internet? Yes or No 

Do you play interactive strategy games (e.g., Age of Empires, Starcraft) with other people on the Internet? Yes or No

Do you participate in role-playinf or simulation games (e.g. EverQuest, The Sims) with other people on the Internet? Yes or No 

If you play any game on the Internet, what is your favorite game?

How many hours per week do you spend playing this game? 

Internet Survey

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Size: 97 KB

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You may also see online questionnaire if you need more input in making a survey. Just remember that in drafting a survey, you need to ask yourself on why you are doing so in the first place and what goals can it achieve once the data is in your reach.

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