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The Economic Survival Survey
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Thanks for taking time to complete this survey. You will receive your evaluation at the end.

Has the recent economic crisis changed your political views?
      Yes - more conservative
      Yes - more liberal
      No change
   

During this economic downturn, has your lifestyle changed?
      It's worse
      It's better
      No change

 

Has the economic downturn impacted your social life?
      I socialize less
      I socialize more
      No change

 

Has your on-the-job stress increased in the last year?
      A lot
      A little
      No change
      Less stress
      Not employed

 

Do you think you are being taken advantage of by your employer?
      A lot
      A little
      No
      Not applicable

 

What term best describes your political views?
      Very Conservative
      Conservative
      Moderate
      Libertarian
      Liberal
      Very Liberal
      I have no political orientation

 

Overall, do you think you are using more or less electricity than you did a year ago?
      Less
      More
      About the same

 

Have you changed your spending habits during the economic downturn?
      Spending more than 50% less
      Spending between 15-50% less
      Spending between 5-15% less
      Spending about the same
      Spending less

 

Are you female or male?
     
Female       Male      

 

Which of the following reasons do you think contributed most to the economic downturn?
      Deregulation of the financial markets
      High energy prices
      Collapse of the housing market
      Greed

 

How old are you?

 

Has the economic downturn delayed your decision to have a child?
      Yes
      No
      Not applicable
     

 

Has the economic downturn negatively impacted your (or your child's) educational opportunities?

      Yes
      No
      Not applicable
     

 

If you were to have another child (or first child), would you want a....?
      Daughter
      Son
      Doesn't matter

 

How many people live in your household that are not related to you by blood or marriage?
      0      1      2      3      4      5      6      7      8 or more

 

What is your marital status?
      Married      Divorced       Single     

 

Overall, do you think you are using more or less gasoline than you did a year ago?
      Less
      More
      About the same
      Not applicable

 

 

On average, what percent of a restaurant check do you normally tip?
      0-5%
      6-10%
      11-15%
      16-20%
      21-25%
      26-30%
      31-40%
      41+%

 

Are you eating out more or less than you were a year ago?
      More
      Less     
      About the same

 

Are you more attracted to people with...
      lighter skin than you?
      darker skin than you?
      same skin color?
      No preference

 

Are you more attracted to people with...
      lighter hair than you?
      darker hair than you?
      about the same hair color?
      No preference

 

Are you giving more or less to charity than you did before the economic downturn?
      Less
      More
      No change

 

Has anyone in your immediate family (up to first cousin) been diagnosed with...? (check all that apply)
      Schizophrenia
      Autism
      Asperger syndrome
      Rett syndrome
      None
      Not sure


Would you give your life to save your child?
      Yes
      No
      Not sure

 

Would you donate a kidney to save a sibling's life?
      Yes
      No
      Not sure

 

 Would you donate a kidney to save a parent's life?
      Yes
      No
      Not sure    

 


 





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