Name:
Age:
Sex: Female Male
Place of residence:
Household income: 0 - 50.000 kr. 50.000 - 100.000 kr. 100.000 - 200.000 kr. 200.000 - 300.000 kr. 300.000 - 400.000 kr. 400.000 kr. or above
Level of education:
When did you last (by your best recollection) use the following media?
Landline phone: Within the last hour Another time today Yesterday Within the last week Seldom
Mobie phone: Within the last hour Another time today Yesterday Within the last week Seldom
Web: Within the last hour Another time today Yesterday Within the last week Seldom
Television: Within the last hour Another time today Yesterday Within the last week Seldom
Radio: Within the last hour Another time today Yesterday Within the last week Seldom
Chat/instan messaging: Within the last hour Another time today Yesterday Within the last week Seldom
Email: Within the last hour Another time today Yesterday Within the last week Seldom
Newspaper: Within the last hour Another time today Yesterday Within the last week Seldom
Cinema: Within the last hour Another time today Yesterday Within the last week Seldom
On a scale from 1 to 5, where 1 is of great importance and 5 is of little importance, how do you rate the following media?
Landline phone 1 2 3 4 5
Mobile phone 1 2 3 4 5
Web 1 2 3 4 5
Television 1 2 3 4 5
Radio 1 2 3 4 5
Chat/instant messaging 1 2 3 4 5
E-mail 1 2 3 4 5
Newspaper 1 2 3 4 5
Cinema 1 2 3 4 5