Political Survey Template
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1.
How frequently do you speak about politics with your friends and/or family?
Everyday
3 or 4 times a week
1 or 2 times a week
Less than oncee a week
Never
Not sure
2.
How many times did you talk politics with your friends and/or family last week?
...
Never
1
2
3
4
5
6
Everyday
Not sure
...
...
Never
1
2
3
4
5
6
Everyday
Not sure
3.
How often do you watch the news on the TV?
Everyday
3 or 4 days a week
1 or 2 days a week
Never
Not sure
4.
When watching the news, do you find yourself interested in the political news?
No interest
Low interest
Medium interest
High interest
Not sure
5.
How often did you read a newspaper last week?
Never
1-2 days
3-4 days
5-6 days
Everyday
Not sure
6.
When reading the newspaper, are you interested in the political section?
Not interested
Low interest
Medium interest
High interest
Not sure
7.
How often do you attend meetings or forums on politics?
Never
Occasionally
Often
Not sure
8.
Where do you go for political information/knowledge?
Family
Friends
TV news
Newspapers
Not sure
9.
How old are you?
...
20 or younger
21 to 30
31 to 40
41 to 50
51 to 60
Over 60
...
...
20 or younger
21 to 30
31 to 40
41 to 50
51 to 60
Over 60
10.
Gender
Male
Female
The survey is now finished. Thank you for you time!
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