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Academic Research Participant Questionnaire

This document is a questionnaire for an academic research study. It asks respondents for their personal details like name, address, age, sex, education level, occupation, income, and whether they live in a rural or urban area. The introduction explains that identities will remain confidential and encourages respondents to freely provide personal information.

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Prasanna Rasal
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8 views2 pages

Academic Research Participant Questionnaire

This document is a questionnaire for an academic research study. It asks respondents for their personal details like name, address, age, sex, education level, occupation, income, and whether they live in a rural or urban area. The introduction explains that identities will remain confidential and encourages respondents to freely provide personal information.

Uploaded by

Prasanna Rasal
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

QUESTIONNAIRE

(The information below is meant for an academic research purpose only.


This questionnaire
is worth your time and effort. The respondents must feel free to submit
personal details in
PART A, as the identity would not be disclosed to anybody).
PART A
Name: ---------------------------------------------------------------------------------------------------Address: ----------------------------------------------------------------------------------------------------

-----------------------------------------------------------------------------------------------------------------

Locality:
Urban [ ]
Rural [ ]

Age Group (in years):


15-24 [ ]
25-34 [ ]
35-44 [ ]
45- 54 [ ]
Above 55 [ ]
Sex:
Male [ ]
Female [ ]
Educational Qualification:
Under Matric [ ]
Matriculate [ ]
Higher Secondary [ ]
Under Graduate [ ]
Post-graduate & above [ ]

Occupation:
Studying [ ]
Teaching [ ]
Research [ ]
Business [ ]
Service:
Private Sector [ ]
Govt. Sector [ ]
Annual Income: (if Any)
Nil [ ]
Below Rs. 50, 000/- [ ]
Rs. 50,000 Rs.150, 000/- [ ]
Rs. 150, 000-Rs.300, 000/- [ ]
Above Rs. 300,000/- [ ]

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