This demographic survey questions PDF gives research teams a clean, single-page form with 6 confidential background questions that describe who took part in a study. It prints on one sheet and takes about two minutes to complete, so you can attach it to any survey, interview, or intervention without slowing participants down.
What this survey measures
The questionnaire captures the standard participant characteristics most studies need to report: age group, gender with an option to self-describe, highest level of education, employment status, annual household income, and household size. Neutral, inclusive wording and a "prefer not to say" option on sensitive items help you collect accurate data while respecting participant privacy.
How to use it on paper
Hand this page out at the start or end of a study session, clip it to a consent packet, or leave copies at a registration desk. Participants fill the checkboxes with a blue or black pen. Collect the completed forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and converts any written responses to text automatically, so your demographic breakdowns appear in the dashboard without manual data entry.
Customize this template
Add your institution or project logo, reword the income brackets to match your currency and region, or add and remove questions to fit your study protocol. The paper layout reflows automatically as you edit, and every copy you print stays scannable.
Preview the PDF above, or use this template to start collecting participant demographics today.