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Standard Demographic and Religious Involvement Variables:

Examples for Various Styles of Question Construction

1. Age:

Your age: ______

What is your age? ______

How old were you on your last birthday? ______

Age?      [ ] under 21      [ ] 26 – 34      [ ] 45 – 54      [ ] 65 – 74

[ ] 21 – 25      [ ] 35 – 44      [ ] 55 – 64      [ ] 75 or over

 

2. Gender:

Gender? [ ] Male      [ ] Female

What is your gender? ____ man ____ woman

 

3. Race and Ethnicity: 

Race? _____________

What is your race or ethnicity? ____________

Race? [ ] White      [ ] Black      [ ] Hispanic      [ ] Asian      [ ] Other ___________

 

4. Marital Status:

Marital Status?      [ ] Single, never married      [ ] Widowed

[ ] Separated or divorced      [ ] Married

 

What is you family status currently?

____ single, never married            ____ in a committed relationship (not legally married)

____ married (first marriage)            ____ widowed

____ divorced or legally separated      ____ remarried after divorce

____ remarried after widowhood

 

Are you married or single?       ____ single      ____ married

If currently single, have you ever been married?      ____ yes      ____ no

 

5. Income:

What is your (total household) gross annual income? _______________

 

What is your annual household (family or single living alone) income range?

[ ] Under $7,500            [ ] $15,000 – 24,999            [ ] $50,000 – 74,999

[ ] $7,500 – 14,999            [ ] $25,000 – 34,999            [ ] $75,000 or more

[ ] $35,000 – 49,999

 

Last year, your total family income was approximately:

[ ] Under $30,000            [ ] $50,000 – 74,999            [ ] $100,000 – 150,000

[ ] $30,000 – 49,000            [ ] $75,000 – 99,999            [ ] Over $150,000

 

6. Educational attainment:

How many years of schooling have you had? _________

 

What is your highest level of formal education?

____ 1) high school graduation or less            

____ 2) two year college degree, some college

____ 3) four year college degree

____ 4) some graduate education, but no degree

____ 5) master’s degree

____ 6) doctoral degree

 

7. Occupation :

What is your present occupation (or what was it before you retired)? ______________________

 

If currently employed or retired, what is/was your occupation? [ These are roughly the categories used by the U.S. Census .]

[ ] Service worker: police person, barbers, janitors, beauticians, waiters, ushers, etc.

[ ] Clerical worker : bookkeepers, secretaries, mail carriers, telephone operators, ticket agents,etc.

[ ] Farmer or farm worker

[ ] Operative or Laborer: semi-skilled & unskilled workers in construction, manufacturing, and                   transportation, apprentices, teamsters, etc.

[ ] Craftsmen, foremen: bakers, carpenters, masons, electricians, machinists, etc.

[ ] Sales worker : salespersons, insurance & real estate agents, brokers, stock & bond sales,etc.

[ ] Proprietor, manager, or official: public service, credit officers, buyers, floor managers, etc.

[ ] Professional, technical : teachers, doctors, accountants, architects, artists, nurses, lawyers,etc.

[ ] Other: ____________________________________________________________________

 

8. Employment status :

[ ] Retired                               [ ] Employed part time

[ ] Full time “homemaker” or student             [ ] Employed full time

 

9. Number and ages of children :

How many children do you have under the age of 22? ______ What are their ages? __________

 

Do you have children in any of the following groups?

a. Birth – 4 years old            [ ] Yes      [ ] No _____ Number

b. Five – 12 years old            [ ] Yes      [ ] No _____ Number

c. Thirteen – 17 years old      [ ] Yes      [ ] No _____ Number

 

10. Number of years in the community :

How many years have you lived in this community? _____________________________

 

How many years have you lived in this general area?

[ ] One year or less             [ ] 5 – 9 years            [ ] 20 or more years

[ ] 2 – 4 years                  [ ] 10 – 19 years

 

11. Distance from home to work :

How long does it take you to travel from your home to your job (one way)? ___________

 

How long does it take you to travel from your home to your job?

[ ] 5 minutes or less             [ ] 11 – 15 minutes      [ ] 31 – 44 minutes

[ ] 6 – 10 minutes            [ ] 16 – 30 minutes      [ ] 45 or more minutes

 

12. Length of membership in the congregation :

How long have you been attending this congregation? ________ years

 

How long have you been a member of this local church?

[ ] Not a member            [ ] 2 – 4 years            [ ] 10 – 19 years

[ ] One year or less            [ ] 5 -9 years            [ ] 20 or more years

 

13. Frequency of attendance :

About how many worship services do you attend at this parish during an average month?

About ________ services per month.

 

On the average, how many times have you attended worship services during the past year?

[ ] None                         [ ] About once a month

[ ] About once or twice a year             [ ] About two or three times a month

[ ] Once or twice every three months       [ ] Four or more times a month

 

14. Congregational involvement :

Apart from worship services, about how much time do you spend in committees, social events, educational and outreach programs of this church in an average month? ______ hours a month.

 

In how many church organizations, committees, and groups do you hold membership (not counting        congregational membership itself)?

[ ] None      [ ] One      [ ] Two      [ ] Three      [ ] Four or more

 

Has your involvement in the church increased, decreased, or remained the same in recent years?

[ ] Increased                  [ ] Remained the same      [ ] Decreased

 

15. Leadership roles in the congregation :

Within the last two years have you served on a parish committee or been on the Vestry?

_____ No      _____ Yes _____ Number of committees

 

16. Congregational giving :

About how much does your household contribute to the congregation each year ?

[ ] Less than $100             [ ] $600 – $1199             [ ] $1800 – $2399

[ ] $100 – $599            [ ] $1200 – $1799             [ ] $2400 or more

 

17. Distance from home to congregation :

How long does it take you to travel from your home to the church? ___________

 

How long does it take you to travel from your home to your congregation?

[ ] 5 minutes or less             [ ] 11 – 15 minutes      [ ] 31 – 44 minutes

[ ] 6 – 10 minutes            [ ] 16 – 30 minutes      [ ] 45 or more minutes

 

18. Congregational relational ties :

How many members of your household and extended family regularly attend here? ______

 

Think for a moment of your five closest friends (outside your family), how many are members of  this church? _________

 

Among the people you consider your closest friends, how many would you say are members of your Synagogue? [ ] None       [ ] A few [ ] Some [ ] Most [ ] All or almost all

 

19. Prior religious affiliation :

Have you ever belonged to a congregation of a different denomination? _____ yes _____ no

If yes, which denomination? ____________________________

 

In what denomination or religious tradition were you raised? If you were involved with more than              one denomination or religious tradition when growing up, with which did you have the greatest              identification? __________________________ (please be specific)

 

20. Importance or salience of religion :

How important would you say religion is in your own life?

[ ] Very important [ ] Somewhat important [ ] Somewhat unimportant [ ] Not important [ ] Unsure

 

21. Frequency of religious practices : (list any appropriate activity)

How often do you participate in or do the following activities:

Daily      Weekly       2-3 time a month  Once a month      Few times a year  Never

Private prayer & meditation            ( )       ( )       ( )       ( )       ( )       ( )

Bible reading                  ( )       ( )       ( )       ( )       ( )       ( )

Serve in church missions            ( )       ( )       ( )       ( )       ( )       ( )

Seek converts & new members      ( )       ( )       ( )       ( )       ( )       ( )

 

For more information and suggestions, see Studying Congregations or the Handbook for Congregational Studies.