My Master's Degree Survey Template for answers
If you wish to answer the questions - just copy and paste the following into the comment and procede to select the answer, delete the answers that do not apply.
1. What is your age?20-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 0ver 60
2. What is your ethnic background?Asian Native American Black Caucasian Hispanic
3. What is your highest degree?
High School Diploma/GED Associates Bachelors Masters Doctorate
4. What is your employment status?
Not employed Employed Part-time Employed Full-Time Other Status (i.e. leave)
5. If you are employed, what is your current level at your employer?Entry level General Staff Supervisor Upper Management Executive Owner
6. What is your individual yearly income level?
$0-$20,000 $21,000-$35,000 $36,000-$50,000 $51,000-$65,000 $66,000-above
7. How often do you have a drink containing alcohol?
Never Monthly or less 2-4 times a month 2-3 times a week 4 or more times a week
8. How many drinks containing alcohol do you have on a typical day when you are drinking?
1 or 2 3 or 4 5 or 6 7 to 9 10 or more
9. How often do you have six or more drinks on one occasion?Never Less than Monthly Monthly Weekly Daily or almost daily
10. How often during the last year have you found that you were not able to stop drinking once you had started?
Never Less than Monthly Monthly Weekly Daily or almost daily
11. How often during the last year have you failed to do what was normally expected of you because of drinking?
Never Less than Monthly Monthly Weekly Daily or almost daily
12. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
Never Less than Monthly Monthly Weekly Daily or almost daily
13. How often during the last year have you had a feeling of guilt or remorse after drinking?
Never Less than Monthly Monthly Weekly Daily or almost daily
14. How often during the last year have you been unable to remember what happened the night before because of your drinking?
Never Less than Monthly Monthly Weekly Daily or almost daily
15.Have you or someone else been injured because of your drinking?
No Yes, but not in the during the last year Yes, last year
16. Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?
No Yes, but not in the during the last year Yes, last year
17. On a scale of one to ten with ten being the most you have ever felt, please rate your current level of stress at work.
1 2 3 4 5 6 7 8 9 10
18. Do you make decisions at your company that affect the bottom line?
Yes No
If you answered yes to number 18, please continue. If you answered no, you are done with the survey.
19. How many times in the past year have you made a decision that cost your company money?
None 1or2 3 or 4 5 or 6 7 to 9 10 or more
20. Approximately how much money did your company lose in the past year due to your poor decision?
(<$5,000) (>$5,001<$10,000) (>$10,001<$25,000) (>$25,000<$100,000) (>$100,000)
1. What is your age?20-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 0ver 60
2. What is your ethnic background?Asian Native American Black Caucasian Hispanic
3. What is your highest degree?
High School Diploma/GED Associates Bachelors Masters Doctorate
4. What is your employment status?
Not employed Employed Part-time Employed Full-Time Other Status (i.e. leave)
5. If you are employed, what is your current level at your employer?Entry level General Staff Supervisor Upper Management Executive Owner
6. What is your individual yearly income level?
$0-$20,000 $21,000-$35,000 $36,000-$50,000 $51,000-$65,000 $66,000-above
7. How often do you have a drink containing alcohol?
Never Monthly or less 2-4 times a month 2-3 times a week 4 or more times a week
8. How many drinks containing alcohol do you have on a typical day when you are drinking?
1 or 2 3 or 4 5 or 6 7 to 9 10 or more
9. How often do you have six or more drinks on one occasion?Never Less than Monthly Monthly Weekly Daily or almost daily
10. How often during the last year have you found that you were not able to stop drinking once you had started?
Never Less than Monthly Monthly Weekly Daily or almost daily
11. How often during the last year have you failed to do what was normally expected of you because of drinking?
Never Less than Monthly Monthly Weekly Daily or almost daily
12. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
Never Less than Monthly Monthly Weekly Daily or almost daily
13. How often during the last year have you had a feeling of guilt or remorse after drinking?
Never Less than Monthly Monthly Weekly Daily or almost daily
14. How often during the last year have you been unable to remember what happened the night before because of your drinking?
Never Less than Monthly Monthly Weekly Daily or almost daily
15.Have you or someone else been injured because of your drinking?
No Yes, but not in the during the last year Yes, last year
16. Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?
No Yes, but not in the during the last year Yes, last year
17. On a scale of one to ten with ten being the most you have ever felt, please rate your current level of stress at work.
1 2 3 4 5 6 7 8 9 10
18. Do you make decisions at your company that affect the bottom line?
Yes No
If you answered yes to number 18, please continue. If you answered no, you are done with the survey.
19. How many times in the past year have you made a decision that cost your company money?
None 1or2 3 or 4 5 or 6 7 to 9 10 or more
20. Approximately how much money did your company lose in the past year due to your poor decision?
(<$5,000) (>$5,001<$10,000) (>$10,001<$25,000) (>$25,000<$100,000) (>$100,000)
posted by Greg & Sheri at
11:15 AM
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