BUZZAAR
User Questionnaire Template
Family
Please indicate you marital status.
Married
Single
I live with a partner
Do you have kids?
Yes
No
How many kids do you have?
–
+
Please indicate your children's date of birth if applicable.
Submit
Pets
Do you have pets?
Yes
No
Please specify the species and breed of your pet (please list details of all pets if you own several).
Specify the age of your pet(s).
Submit
Appearance
Please indicate your skin type.
Dry
Normal
Combined
Oily
Please indicate the color of your hair.
Brunette
Redhead
Blond
Brown
Light brown
Gray-haired
Submit
Health conditions
Please indicate if you have [the name of the disease]?
Yes
No
Please specify parameters [...]. (where clarification is required)
Submit
Other targeting criteria
Which of the following brands do you use / buy?
Brand 1
Brand 2
Brand 3
Brand 4
Brand 5
Please indicate your occupation.
Please indicate your education level?
High school graduate
Professional education
Incomplete higher education
University graduate (BA/BS)
University graduate (MA/MBA/MS/MFA)
PhD
Please rate your monthly income level.
Income is insufficient to purchase food.
Income is sufficient to purchase food.
Income is sufficient to purchase all necessary products and clothes; larger purchases must be postponed.
The purchase of most durable goods (refrigerator, TV) does not cause difficulties, but buying an apartment is out of range.
Income is sufficient to purchase everything required and desired.
Are you a smoker?
Yes
No
Please specify what do you smoke?
Regular factory produced cigarettes (with filter / without filter)
E-cigarettes
Cigarillos
Self-made cigarettes
Cigars
Smoking tube
Hookah
None of the above
Do you drink alcohol?
Yes
No
Please specify, how often do you consume alcoholic beverages?
Few times a week
Several times a month
Several times a quarter
On holidays and special occasions
Almost never
I do not drink at all
Please indicate your living conditions.
College dorm
Living with parents (not your apartment)
Rental apartment
Own apartment
Own house
Do you have a car?
Yes
No
Do you have [a type of gadget]?
Yes
No
Submit