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1 Basic Demographics Extensive Demographics Banking & Finance Communications Page 1 of 7 Basic Demographics Gender Male Female Age Open Answer (Number) Street Type: Avenue Boulevard Circuit Close Court Crescent Drive Gardens Grove Heights Highway Lane Mall t Applicable Parade Place Promenade Reserve Road Square Street Terrace Thoroughfare Way State: New South Wales Victoria Queensland South Australia Western Australia Tasmania Australia Capital Territory rthern Territory Do you live in: Metro Rural Is your mailing address identical to residential address? Number of people in household: Number (1 to 9+) Extensive Demographics Marital Status: Single (never married) Married Domestic partnership/ De Facto Widowed Divorced Separated Don t know / No answer Number of children: Number (1 to 9+) Number of Children living at home: Number (1 to 9+) Total Household Income: (Combined Income of every member of the household before tax) Less than $5,000 $5,000-$9,999 $10,000-$14,999 $15,000-$19,999 $20,000-$24,999 $25,000-$29,999 $30,000-$34,999 $40,000-$44,999 $45,000-$49,999 $50,000-$54,999 $55,000-$59,999 $60,000-$64,999 $65,000-$69,999 $70,000-$74,999 $75,000-$79,999 $80,000-$84,999 $85,000-$89,999 $90,000-$94,999 $95,000-$99,999 $100,000-$124,999 $125,000-$149,999 $150,000-$199,999 $200,000-$249,999 More than $250,000 Don t know / No answer statements most closely describes the structure of the household in which you live: Live alone Live in shared accommodation Live with spouse/partner only Live with spouse/partner & child or children Living in your parent s home Live with relatives other than your parents Live with more than one family Live as a single parent Primary Grocery Buyer: Yourself member of household Both Please choose an avatar: Image Publish your name if you win a prize: Are you prepared to do more than two paid surveys per month: From time to time, I-view conducts face to face interviews or group discussions at selected central venues where we pay you for your time. Would you be interested in hearing more about these? Banking & Finance Which bank do you consider to be your main financial institution? Bank of Melbourne Bank of Queensland Bankwest Bendigo Bank Citibank Bank Credit Unions_Building Societies HSBC ING National Australia Bank St George Metway Bank What other banks do you use? Bank Of Melbourne Bendigo Bank Citibank National Australia Bank Bank St George Metway Credit unions/building societies Bank of Queensland Bankwest ING HSBC other banks Do you currently own a credit card? Check each kind of credit card owned. American Express Gold Card American Express Blue Mastercard Visa Visa Gold Card Diners Club Bankcard ne of the above Communications Do you own a mobile phone? Which company do you use for your mobile phone? Telstra 3 AAPT Virgin Vodafone
2 Communications Health & Lifestyle Insurance Page 2 of 7 Is your main mobile phone prepaid, or do you pay for it on a plan? Prepaid Plan (bill is sent) Does your mobile phone have any of these functions? Take Photos Send photos to others Record photos Send video to others Play games Play games with others Determine location by satellite Navigate using maps Connects to the internet via a wireless internet connection (wireless LAN) Download or stream music, video or games Browse the internet Watch TV, films or sports programs Listen to the radio Download and install applications Send text messages Listen to voice mail Share data via bluetooth Receive and send Keep up to date with friends via social networks Contribute to blogs, internet forums ne of these What type of data plan do you have for your mobile phone? Unlimited data plan Dataplan with a fixed daily or monthly limit Pay as you go arrangement for data Data plan Are any of the following of interest to you? Surveys completed via text message Surveys via mobile internet Downloading a small application to your phone allowing you to complete surveys Surveys where you can upload pictures or videos Completing diaries on your mobile phone Surveys where the location of your mobile phone is identified for research purposes Downloading an application that monitors your mobile phone usage ne of these Health & Lifestyle Do you or anyone in your household suffer from any of the following medical conditions? Allergies (including Hayfever) Arthritis Asthma Back Problems Blind or sight impaired Breast, Lung, Bowel or Prostate Cancer (in the last 5 years) Chronic Obstructive Pulmonary Disease (COPD) or Chronic Obstructive Airways Disease (COAD) Deaf Depression Dermatitis/eczema/psoriasis Diabetes Type 1 Diabetes Type 2 Erectile Dysfunction Gastro-Intestinal problems Gynaecological problems Having a physical handicap Having a mental handicap Herpes Glaucoma Heart problems High Blood Pressure High Cholesterol Kidney Disease Migraine Headache Overweight / Excess Weight Sinusitis Stroke (in the last 5 years) Urinary Incontinence Osteoporosis Vaginal Thrush ne of the above Do you take over-the-counter painkilling medication such as paracetamol, Nurofen, etc? Have you consulted any form of complementary health practitioner (eg: Naturopath, osteopath, homeopath, acupuncturist, Chinese Traditional) in the last five years? Insurance Do you currently have Private Health Insurance? - Private Hospital Insurance ONLY - Extras or ancillary insurance for things like optical and dental ONLY BOTH Private Hospital Insurance and Extras or ancillary insurance Private Hospital Insurance? AHM Australian Unity AXA/National Mutual Grand United HBA HBF HCF Health Partners IOR Manchester Unity MBF Medibank Private Mutual Community NIB SGIC Territory Mutual Extras and Ancillary Insurance? AHM Australian Unity AXA/National Mutual Grand United HBA HBF HCF Health Partners IOR Manchester Unity MBF Medibank Private Mutual Community NIB SGIC Territory Mutual Private Health Insurance? AHM Australian Unity AXA/National Mutual Grand United HBA HBF HCF Health Partners IOR Manchester Unity MBF Medibank Private Mutual Community NIB SGIC Territory Mutual Have you ever been covered by Private Health Insurance? types of insurance do you currently have for the car you drive most often for personal use? Fully Comprehensive Third Party Property Damage Fire/Theft Compulsory Third Party /None You said you have Full Comprehensive insurance. vehicle insured for Full Comprehensive insurance?
3 Insurance Media Page 3 of 7 You said you have Third Party Property insurance. vehicle insured for Third Party Property insurance? You said you have Third Party Fire and Theft insurance. vehicle insured for Third Party Fire and Theft insurance? You said you have Compulsory Third Party insurance. vehicle insured for Compulsory Third Party insurance? Thinking about the home you live in now, which of the following types of insurance do you have? Building Contents Additional personal effects or valuable /None You said you have Building insurance. With which company is your Building insurance with? Allianz / FAI Allianz / Australian Pensioners QBE / Western QBE You said you have Contents insurance. With which company is your Contents insurance with? Allianz / FAI Allianz / Australian Pensioners QBE / Western QBE You said you have Valuable insurance. With which company is your additional personal effects or valuable insurance with? Allianz / FAI Allianz / Australian Pensioners QBE / Western QBE Media magazines do you read? Australian Gourmet Traveller Australian PC User Australian Reader's Digest Australian Table Australian Women's Weekly Belle Better Homes and Gardens BRW The Bulletin Cleo Cosmopolitan Delicious Dolly Donna Hay Family Circle FHM Girlfriend Good Medicine Harper's Bazaar House & Garden InStyle Madison Marie Claire Men's Health New Idea New Woman NW Playstation2 Official Magazine Australia Ralph Smash Hits Super Food Ideas Time TV Hits Vogue Australia
4 Media Online Pets Shopping & Recreation Page 4 of 7 Vogue Living Wheels Who Woman's Day ne of the Above newspapers do you read? The Australian The Australian Financial Review The Financial Times (Asian Edition) The Asian Wall Street Journal The International Herald Tribune The Daily Telegraph The Sydney Morning Herald The Age Herald Sun The Sunday Telegraph The Sun Herald The Sunday Age The Advertiser Sunday Mail The Courier Mail The West Australian The Sunday Times The Courier Mail Hobart Mercury Online In an average week, how many hours do you spend connected to, and actively using the Internet? Number (1 to 168) Internet access? Telstra/Bigpond iprimus AAPT iinet TPG Virgin Vodafone Where do you primarily access the Web? Your home Your home-based business Your workplace outside the home School/University/College A library, community centre, or other public facility Internet café/bar Copy shop (e.g., Kinko's, Kwik Kopy etc.) A friend's house A relative's or parent's house Hotel activities do you: Buy or sell stock or other investments Conduct online banking with your bank or other financial institution Download music or MP3 files Listen to music Gamble or make wagers Book accommodation Book travel Purchase merchandise Play games Conduct instant messaging Purchase grocery items or fresh produce Pets Do you have any of the following pets in your household? Cat Dog ne of the Above Do you own, or care for a horse, or pony? Shopping & Recreation Please indicate which of the following types of alcoholic beverages you consume at least once per month: Beer Wine Spirits (Vodka, Scotch, Brandy, etc.) Liqueur (Irish Cream, etc.) ne of the above How many times have you been to the cinema to see a movie in the last 12 months? Once Twice 3-5 times 6-10 times More than 10 times I haven't been to the movies in the last 12 months Please check all that you currently own: Car Caravan Campervan Mobile Phone Digital Camera Game Console Digital Interactive Cable Motorbike Pager Personal Computer Or Laptop Personal Digital Assistant Portable MP3 Player ne Of The Above How many cars do you own? Car Make: Alfa Romeo Aston Martin Audi Austin Bedford Bentley BMW Buick Cadillac Chevrolet Chrysler Citroen Cobra Daewoo Daihatsu Daimler Datsun Dodge Ferrari Fiat Ford GM Hillman Hino Holden Honda Hummer Hyundai Isuzu Jaguar Jeep Kia Lamborghini Lancia Land Rover Lexus Leyland Lincoln Lotus M.G. Maserati Mazda Mercedes Mini Mitsubishi Morris Nissan Oldsmobile Peugeot Plymouth Pontiac Porsche Proton Rambler Renault Rolls Royce Rover SAAB Seat Skoda Smart Ssangyong Studebaker Subaru Sunbeam Suzuki Toyota Triumph TVR Vauxhall Volkswagen Volvo Wolseley
5 Shopping & Recreation Surveys Technology Transport & Travel Utilities & Services Page 5 of 7 Car model: Open answer Car Year: Open answer have you participated in during the last twelve months? Playing pokies or electronic gaming machines Betting on table games like blackjack, roulette or poker in a casino Betting on horse racing or harness racing - excluding sweeps Betting on greyhounds Betting on sports and event results - like betting on football, cricket, elections and TV show competitions Keno Lotto such as Tattslotto and Powerball Played scratch tickets or instant-win lottos like Scratch n Win Bingo or housie Buying tickets in raffles, sweeps, prize draws and art unions Competitions where you enter by phone or SMS Informal private betting for money such as with friends or family Online gambling such as casino games excluding using the internet to gamble on horse racing through established betting agencies such as the TAB / can't recall any gambling ne of the Above Are you looking to do any of the following in the next year, or two? Sell your house Buy a new car Buy a second hand car Buy an investment property Invest in shares Go on a holiday overseas Build a house Retire Surveys Apart from this market and social research panel, how many other research panels do you belong to? ne Number (1 to 5+) What time would you normally complete online surveys? Week Day Week Night Weekend Anytime Technology Which Web browser do you use the most often with this computer? Microsoft Internet Explorer version 6 Microsoft Internet Explorer version 7 Microsoft Internet Explorer version 8 or higher Microsoft Internet Explorer, not sure which version Google Chrome Apple Safari Mozilla Firefox Opera Web TV are attached and working with this computer? Speakers Web camera CD/DVD Writer/Burner Printer ne of the above Please indicate at what speed you usually access the Internet/World Wide Web. Less than 14.4 K modem 28.8 K modem 33.6 K modem 56 K modem Cable modem DSL modem (ADSL and other) Satellite Web TV T1 Mobile Broadband Does the computer you mostly use have Adobe Flash Player installed? Do you have Cable television in your home? Which provider do you have that service with? Foxtel Foxtel Digital Austar Transport & Travel On how many weekdays do you usually use public transport each week: 4-5 Days 2-3 Days 1 Day Less than once a week (eg. once every few weeks) Never What times of day would this be: Before 7am 7am - 10am Between 10am and 4pm 4pm - 7pm After 7pm Have you used public transport on weekends in the last 3 months? Which types of public transport have you used in the last 3 months? Train Bus Tram Ferry How many round trips by air, business and personal, have you taken in the past twelve months in each of the categories listed below? International Business Travel International Personal Travel Domestic Business Travel Domestic Personal Travel Number (1 to 10+) ne Utilities & Services Which company do you use most for your fixed line residential long distance telephone calling? Telstra 3 AAPT ne Primus I do not have a fixed line residential phone Virgin Which company currently provides electricity to your household? AGL/ACTEW Aurora Energy Country Energy/Advance/ North Power/ Great Southern Energy Energex Energy Australia Ergon Integral Energy Jack Green Origin Energy Powerwater
6 Utilities & Services Work & Education Household Details Page 6 of 7 South Australia Electricity Tru Energy TXU Victoria Electicity Western Power Have you signed a negotiated contract with your supplier for electricity supply, or are you on general supply? Signed a negotiated contract Remained on general supply Unsure Work & Education What is the highest level of formal education that you have completed? (Check ONE) Post Graduate Bachelor / Honours degree Currently studying at University Undergraduate Diploma Currently studying at TAFE TAFE/College certificate Some TAFE but no certificate w studying or completed HSC/Year 12/6th Form w studying or completed Year 10/4th Form Some high school Completed primary school Some primary school best describes your current employment status? (Check ONE) Employed, full-time Employed, part-time Self-employed Home duties Student Retired Currently unemployed /No Answer best describes your current occupation? (Check ONE) Accountant/Auditor Administrative/Clerical Ambulance officer Analyst Architect/Draftperson Artist/Musician/Actor/Entertainer Author/Editor/Writer Broker/Trader/Advisor Carpenter CEO/President/Chairman CFO COO,CTO,CIO,CMO Clergy Computer Professional/IT/IS Construction labourer Consultant Designer (print/digital/other) Designer (fashion/fabrics/interiors) Dentist Director Driver truck/courier/taxi Educator/Teacher/Professor Electrician Engineer Factory Worker Farmer cropping only Farmer livestock only Farmer cropping & livestock Farmer intensive livestock (dairy, pigs, poultry, other) Farmer horticulture Farmer other specify Fireman Government Employee Health care worker (other than doctor or nurse) Lawyer/Barrister/Judge Manager (Senior) Manager (Junior) Marketing or advertising role Mechanic/Fitter & Turner Military Nurse Partner/Principle/Owner Pharmacist Physician/Doctor Plumber Policeman Researcher Sales Manager/Account Executive Scientist Secretarial/PA Self-Employed Service provider Skilled labourer Social worker Supervisor Technician Tradesperson Vice President/SVP/EVP Veterinarian Specify best describes the type of industry you are employed in? Agriculture Armed Forces Architecture/ Building/Construction Automobile Broadcast Media/ TV/Radio Business/Office Support Supplier Cable Service Provider Computer Software/ Hardware/Networking Consulting Consumer Electronics Consumer Package Goods Education/ Teaching Employment Service Financial Service Food Service Government Service Hotel/Travel/ Entertainment Insurance Internet Provider/ Internet Related Legal Manufacturing (Computer Products) Manufacturing (Food) Manufacturing (Health & Personal Care) Marketing/ Advertising Market Research Medical and Health Care Profession Mining Petroleum/Gas Publisher Real Estate Retail/Sales Telecommunications Transport Utilities Wholesaler How many people are employed by the company that you work for? Number (1 to 1000+) What is your company's annual turnover? Less than 100k 100k to less than 500k 500k to less than 1million 1milllion to less than 20million 20million to less than 100million 100 million and over Is the company based in Australia or internationally? Australia International Please indicate if you own or operate a business. Is this business based in your home, at another location, or both? Home Another location Both Is this business a farming, or agricultural business? Household Details Is the place in which you live...? Owned outright Owned but mortgaged Rented Neither Are you currently pregnant? Are you considering becoming pregnant in the next 6 months? Do you or anyone in your household speak a language other than English as a first language? Decline to answer
7 Household Details About this PDF Myview Quality Accreditations Page 7 of 7 What language or languages is it? Arabic Cantonese Croatian Dutch Finnish French German Greek Hindi Hokkien Hungarian Indonesian Italian Japanese Korean Lebanese Macedonian Malay Maltese Mandarin Maori Polish Portuguese Romanian Russian Samoan Serbian Spanish Swedish Tagalog Tamil Thai Turkish Vietnamese Are you an Aboriginal or Torres Strait Islander? (ATSI) categories best describes your annual personal gross income? Less than $5,000 $5,000-$9,999 $10,000-$14,999 $15,000-$19,999 $20,000-$24,999 $25,000-$29,999 $30,000-$34,999 $35,000-$39,999 $40,000-$44,999 $45,000-$49,999 $50,000-$54,999 $55,000-$59,999 $60,000-$64,999 $65,000-$69,999 $70,000-$74,999 $75,000-$79,999 $80,000-$84,999 $85,000-$89,999 $90,000-$94,999 $95,000-$99,999 $100,000-$124,999 $125,000-$149,999 $150,000-$199,999 $200,000-$249,999 $250,000 or more Don t know / No answer Who contributes to your total household income? (Check ALL that apply) Myself Partner/Spouse Child relative unrelated adult Do you or anyone in your household smoke cigarettes? I do I don t but another household member does one in household smokes Is there another member of your household who would be prepared to do market research and join the MyView panel? About this PDF MyView is a panel of Australians from all over the country who participate in market and social research surveys. As at September 2010, the MyView community has over 180,000 people. This PDF represents the MyView panel establishment questions as at September 2010, and can be found in the Panel Counts section of the MyView website: MyView Quality Accreditations MARKET & SOCIAL RESEARCH ACCESS PANEL ISO 26362
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