Don t know / No answer

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Basic Demographics

Basic Demographics • Extensive Demographics • Banking & Finance • Communications • Page 1 of 7

Extensive Demographics

Banking & Finance

Communications

Gender

• Male • Female

Do you live in:

• Metro • Rural

Are you prepared to do more than two paid surveys per month:

• Yes • No

From time to time, I-view conducts face to face interviews or group discussions at selected central venues where we pay you for your time. Would you be interested in hearing more about these? • Yes • No • $50,000-$54,999 • $55,000-$59,999 • $60,000-$64,999 • $65,000-$69,999 • $70,000-$74,999 • $75,000-$79,999 • $80,000-$84,999 • $85,000-$89,999 • $90,000-$94,999 • $95,000-$99,999 • $100,000-$124,999 • $125,000-$149,999 • $150,000-$199,999 • $200,000-$249,999 • More than $250,000 • Don’t know / No answer

Is your mailing address identical to residential address?

• Yes • No

Which bank do you consider to be your main financial institution? • ANZ • Bank of Melbourne • Bank of Queensland • Bankwest • Bendigo Bank • Citibank • Commonwealth Bank

• Credit Unions_Building Societies • HSBC

• ING

• National Australia Bank • St George

• Suncorp Metway • Westpac • Other Bank

Number of people in household:

Number (1 to 9+)

Marital Status:

• Single (never married) • Married

• Domestic partnership/ De Facto • Widowed

• Divorced • Separated

• Don’t know / No answer

Number of children:

Number (1 to 9+)

Do you currently own a credit card?

• Yes • No

Do you own a mobile phone?

• Yes • No

Which company do you use for your mobile phone?

• Telstra • Optus • 3 • AAPT • Other • Don't Know • Virgin • Vodafone

Check each kind of credit card owned.

• American Express Gold Card • American Express Blue • Mastercard

• Visa

• Visa Gold Card • Diners Club • Bankcard • Other • Don't Know • None of the above

Primary Grocery Buyer:

• Yourself

• Other member of household • Both

Please choose an avatar:

Image

Publish your name if you win a prize:

• Yes • No

• Suncorp Metway • Westpac

• Credit unions/Building societies • Bank of Queensland • Bankwest • ING • HSBC • Other • No other banks

What other banks do you use?

• ANZ

• Bank Of Melbourne • Bendigo Bank • Citibank

• National Australia Bank • Commonwealth Bank • St George

Number of Children living at home:

Number (1 to 9+)

Which of the following statements most closely describes the structure of the household in which you live:

• Live alone

• Live in shared accommodation • Live with spouse/partner only • Live with spouse/partner & child or children

• Living in your parent’s home • Live with relatives other than your parents

• Live with more than one family • Live as a single parent

Total Household Income: (Combined Income of every member of the household before tax) • Less than $5,000 • $5,000-$9,999 • $10,000-$14,999 • $15,000-$19,999 • $20,000-$24,999 • $25,000-$29,999 • $30,000-$34,999 • $40,000-$44,999 • $45,000-$49,999 Street Type: • Avenue • Boulevard • Circuit • Close • Court • Crescent • Drive • Gardens • Grove • Heights • Highway • Lane • Mall • Not Applicable • Other • Parade • Place • Promenade • Reserve • Road • Square • Street • Terrace • Thoroughfare • Way Age

Open Answer (Number)

State:

• New South Wales • Victoria

• Queensland • South Australia • Western Australia • Tasmania

• Australia Capital Territory • Northern Territory

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Communications • Health & Lifestyle • Insurance • Page 2 of 7

Is your main mobile phone prepaid, or do you pay for it on a plan?

• Prepaid

• Plan (bill is sent) • Don’t Know

What type of data plan do you have for your mobile phone? • Unlimited data plan

• Dataplan with a fixed daily or monthly limit

• Pay as you go arrangement for data

Does your mobile phone have any of these functions? • Take Photos

• Send photos to others • Record photos • Send video to others • Play games

• Play games with others • Determine location by satellite • Navigate using maps

• Connects to the internet via a wireless internet connection (wireless LAN)

• Download or stream music, video or games

• Browse the internet • Watch TV, films or sports programs

• Listen to the radio

• Download and install applications • Send text messages

• Listen to voice mail • Share data via bluetooth • Receive and send email • Keep up to date with friends via social networks

• Contribute to blogs, internet forums

• None of these • Don't know

Are any of the following of interest to you?

• Surveys completed via text message

• Surveys via mobile internet • Downloading a small application to your phone allowing you to complete surveys

• Surveys where you can upload pictures or videos

• Completing diaries on your mobile phone

• Surveys where the location of your mobile phone is identified for research purposes

• Downloading an application that monitors your mobile phone usage • None of these

Do you take over-the-counter painkilling medication such as paracetamol, Nurofen, etc? • Yes

• No

Have you ever been covered by Private Health Insurance? • Yes

• No

Which of the following types of insurance do you currently have for the car you drive most often for personal use?

• Fully Comprehensive • Third Party Property Damage • Fire/Theft

• Compulsory Third Party • Don't Know/None Do you currently have Private

Health Insurance?

• Yes - Private Hospital Insurance ONLY

• Yes - Extras or ancillary insurance for things like optical and dental ONLY

• Yes – BOTH Private Hospital Insurance and Extras or ancillary insurance

• No

Have you consulted any form of complementary health

practitioner (eg: Naturopath, osteopath, homeopath, acupuncturist, Chinese

Traditional) in the last five years? • Yes

• No Do you or anyone in your

household suffer from any of the following medical conditions? • Allergies (including Hayfever) • Arthritis

• Asthma • Back Problems • Blind or sight impaired

• Breast, Lung, Bowel or Prostate Cancer (in the last 5 years) • Chronic Obstructive Pulmonary Disease (COPD) or Chronic Obstructive Airways Disease (COAD) • Deaf • Depression • Dermatitis/eczema/psoriasis • Diabetes Type 1 • Diabetes Type 2 • Erectile Dysfunction • No Data plan

• Don't know • Gastro-Intestinal problems• Gynaecological problems • Having a physical handicap • Having a mental handicap • Herpes

• Glaucoma • Heart problems • High Blood Pressure • High Cholesterol • Kidney Disease • Migraine Headache

• Overweight / Excess Weight • Sinusitis

• Stroke (in the last 5 years) • Urinary Incontinence • Osteoporosis • Vaginal Thrush • None of the above

Which company provides your Private Hospital Insurance? • AHM • Australian Unity • AXA/National Mutual • Grand United • HBA • HBF • HCF • Health Partners • IOR • Manchester Unity • MBF • Medibank Private • Mutual Community • NIB • SGIC • Territory Mutual • Other

Which company provides your Extras and Ancillary Insurance? • AHM • Australian Unity • AXA/National Mutual • Grand United • HBA • HBF • HCF • Health Partners • IOR • Manchester Unity • MBF • Medibank Private • Mutual Community • NIB • SGIC • Territory Mutual • Other

Which company provides your Private Health Insurance? • AHM • Australian Unity • AXA/National Mutual • Grand United • HBA • HBF • HCF • Health Partners • IOR • Manchester Unity • MBF • Medibank Private • Mutual Community • NIB • SGIC • Territory Mutual • Other

Health & Lifestyle

Insurance

You said you have Full Comprehensive insurance. With which company is that vehicle insured for Full Comprehensive insurance? • AAMI

• Allianz/FAI Allianz • AMP

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Insurance • Media • Page 3 of 7

• APIA • Bingle • Budget Direct • CGU • Commonwealth Bank/CommInsure • GIO

• Just Car Insurance • NAB • NRMA • QBE/Western QBE • RACQ • Real Insurance • Shannons • Suncorp • Westpac • Youi • Other • Don't know

You said you have Third Party Fire and Theft insurance. With which company is that vehicle insured for Third Party Fire and Theft insurance? • AAMI • Allianz/FAI Allianz • AMP • ANZ • APIA • Bingle • Budget Direct • CGU • Commonwealth Bank/CommInsure • GIO

• Just Car Insurance • NAB • NRMA • QBE/Western QBE • RACQ • Real Insurance • Shannons • Suncorp • Westpac • Youi • Other • Don't know • Commonwealth Bank/CommInsure • GIO

You said you have Compulsory Third Party insurance.

With which company is that vehicle insured for Compulsory Third Party insurance?

• AAMI • Allianz/FAI Allianz • AMP • ANZ • APIA • Bingle • Budget Direct • CGU • AAMI

• Allianz / FAI Allianz • AMP

• ANZ

• APIA / Australian Pensioners • Budget Direct • CGU • Commonwealth Bank/CommInsure • GIO • NAB • NRMA

• QBE / Western QBE • RACQ • Real Insurance • Suncorp • Westpac • Other • Don't Know • Real Insurance • Suncorp • Westpac • Other • Don't Know • AAMI

• ANZ

• QBE / Western QBE • RACQ

Thinking about the home you live in now, which of the following types of insurance do you have?

You said you have Contents insurance. With which company is your Contents insurance with?

• Australian Gourmet Traveller • Australian PC User

• Australian Reader's Digest • Australian Table

• Australian Women's Weekly • Belle

• Better Homes and Gardens • BRW • The Bulletin • Cleo • Cosmopolitan • Delicious • Dolly • Donna Hay • Family Circle • FHM • Girlfriend • Good Medicine • Harper's Bazaar • House & Garden • InStyle • Madison • Marie Claire • Men's Health • New Idea • New Woman • NW

• Playstation2 Official Magazine Australia

• Ralph • Smash Hits • Super Food Ideas • Time

• TV Hits • Vogue Australia Which of the following magazines do you read?

You said you have Valuable insurance. With which company is your additional personal effects or valuable insurance with?

• Building • Contents

• Additional personal effects or valuable

• Don't know/None

You said you have Building insurance. With which company is your Building insurance with? • AAMI

• ANZ

• QBE / Western QBE • RACQ • Real Insurance • Suncorp • Westpac • Other • Don't Know

You said you have Third Party Property insurance.

With which company is that vehicle insured for Third Party Property insurance? • AAMI • Allianz/FAI Allianz • AMP • ANZ • APIA • Bingle • Budget Direct • CGU • Commonwealth Bank/CommInsure • GIO

Media

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Media • Online • Pets • Shopping & Recreation • Page 4 of 7

• Vogue Living • Wheels • Who

• Woman's Day • None of the Above Which of the following newspapers do you read?

• The Australian

• The Australian Financial Review • The Financial Times

(Asian Edition)

• The Asian Wall Street Journal • The International Herald Tribune • The Daily Telegraph

• The Sydney Morning Herald • The Age

• Herald Sun

• The Sunday Telegraph • The Sun Herald • The Sunday Age • The Advertiser • Sunday Mail • The Courier Mail • The West Australian • The Sunday Times • The Courier Mail • Hobart Mercury • Other

In an average week, how many hours do you spend connected to, and actively using

the Internet? Number (1 to 168) • AAPT • iiNet • TPG • Other • Don't Know • Virgin • Vodafone

Which company provides your Internet access?

• Telstra/Bigpond • Optus

• iPrimus

Where do you primarily access the Web?

• Your home

• Your home-based business • Your workplace outside the home • School/University/College • A library, community centre, or other public facility • Internet café/bar • Copy shop

(e.g., Kinko's, Kwik Kopy etc.) • A friend's house

• A relative's or parent's house • Hotel

• Other

Which of the following activities do you:

• Buy or sell stock or other investments

• Conduct online banking with your bank or other financial institution • Download music or MP3 files • Listen to music

• Gamble or make wagers • Book accommodation • Book travel

• Purchase merchandise • Play games

• Conduct instant messaging • Purchase grocery items or fresh produce

Online

Do you have any of the following pets in your household?

• Cat • Dog • Other

• None of the Above

Do you own, or care for a horse, or pony?

• Yes • No

Please indicate which of the following types of alcoholic beverages you consume at least once per month: • Beer

• Wine • Spirits

(Vodka, Scotch, Brandy, etc.) • Liqueur (Irish Cream, etc.) • Other

• None of the above

How many times have you been to the cinema to see a movie in the last 12 months? • Once

• Twice • 3 - 5 times • 6 - 10 times • More than 10 times

• I haven't been to the movies in the last 12 months Please check all that you currently own:

• Car

• Caravan Campervan

How many cars do you own? • 1 • 2 • 3 Car Make: • Alfa Romeo • Aston Martin • Audi • Austin • Bedford • Bentley • BMW • Buick • Cadillac • Chevrolet • Chrysler • Citroen • Cobra • Daewoo • Daihatsu • Daimler • Datsun • Dodge • Ferrari • Fiat • Ford • GM • Hillman • Hino • Holden • Honda • Hummer • Hyundai • Isuzu • Jaguar • Jeep • Kia • Lamborghini • Lancia • Land Rover • Lexus • Leyland • Lincoln • Lotus • M.G. • Maserati • Mazda • Mercedes • Mini • Mitsubishi • Morris • Nissan • Oldsmobile • Peugeot • Plymouth • Pontiac • Porsche • Proton • Rambler • Renault • Rolls Royce • Rover • SAAB • Seat • Skoda • Smart • Ssangyong • Studebaker • Subaru • Sunbeam • Suzuki • Toyota • Triumph • TVR • Vauxhall • Volkswagen • Volvo • Wolseley • Other • Mobile Phone • Digital Camera • Game Console

• Digital Interactive Cable • Motorbike

• Pager

• Personal Computer Or Laptop • Personal Digital Assistant • Portable MP3 Player • Don’t Know

• None Of The Above

Pets

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Shopping & Recreation • Surveys • Technology • Transport & Travel • Utilities & Services • Page 5 of 7

Open answer Car model:

Open answer Car Year:

• Playing pokies or electronic gaming machines

• Betting on table games like blackjack, roulette or poker in a casino

• Betting on horse racing or harness racing - excluding sweeps

• Betting on greyhounds • Betting on sports and event results - like betting on football, cricket, elections and TV show competitions

• Keno

• Lotto such as Tattslotto and Powerball

• Played scratch tickets or instant-win lottos like Scratch n Win • Bingo or housie

• Buying tickets in raffles, sweeps, prize draws and art unions • Competitions where you enter by phone or SMS

• Informal private betting for money such as with friends or family • Online gambling such as casino games excluding using the internet to gamble on horse racing through established betting agencies such as the TAB

• Don't know/ can't recall any gambling

• None of the Above

• Sell your house • Buy a new car

• Buy a second hand car • Buy an investment property • Invest in shares • Go on a holiday overseas • Build a house • Retire • Mozilla Firefox • Opera • Web TV • Other • Don’t Know Which of the following have you

participated in during the last twelve months?

Are you looking to do any of the following in the next year, or two?

• None

• Number (1 to 5+)

Apart from this market and social research panel, how many other research panels do you belong to?

• Week Day • Week Night • Weekend • Anytime

What time would you normally complete online surveys?

• Microsoft Internet Explorer version 6

• Microsoft Internet Explorer version 7

• Microsoft Internet Explorer version 8 or higher

• Microsoft Internet Explorer, not sure which version • Google Chrome • Apple Safari

Which Web browser do you use the most often with this computer?

Which of the following are attached and working with this computer?

• Speakers • Web camera

• CD/DVD Writer/Burner • Printer

• None of the above

Please indicate at what speed you usually access the Internet/World Wide Web. • Less than 14.4 K modem • 28.8 K modem

• 33.6 K modem • 56 K modem • Cable modem

• DSL modem (ADSL and other) • Satellite • Web TV • T1 • Mobile Broadband • Other • Don’t Know

Does the computer you mostly use have Adobe Flash Player installed?

• Yes • No

• Don’t Know

Do you have Cable television in your home?

• Yes • No

Which provider do you have that

service with? How many round trips by air, business and personal, have you taken in the past twelve months in each of the categories listed below?

International Business Travel International Personal Travel Domestic Business Travel Domestic Personal Travel

• Foxtel • Foxtel Digital • Austar • Optus • Other • Number (1 to 10+) • None

Which company do you use most for your fixed line residential long distance telephone calling? • Telstra • Optus • 3 • AAPT • Other • Don't Know • None • Primus

• I do not have a fixed line residential phone • Virgin

Which company currently provides electricity to your household?

• AGL/ACTEW • Aurora Energy

• Country Energy/Advance/ North Power/

Great Southern Energy • Energex • Energy Australia • Ergon • Integral Energy • Jack Green • Origin Energy • Powerwater On how many weekdays do you

usually use public transport each week:

• 4-5 Days • 2-3 Days • 1 Day

• Less than once a week (eg. once every few weeks) • Never

What times of day would this be: • Before 7am

• 7am - 10am

• Between 10am and 4pm • 4pm - 7pm

• After 7pm

Have you used public transport on weekends in the last

3 months? • Yes • No

Which types of public transport have you used in the last 3 months? • Train • Bus • Tram • Ferry • Other

Surveys

Technology

Transport & Travel

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Utilities & Services • Work & Education • Household Details • Page 6 of 7

• South Australia Electricity • Tru Energy • TXU • Victoria Electicity • Western Power • Don't Know • Other

Have you signed a negotiated contract with your supplier for electricity supply, or are you on general supply? • Signed a negotiated contract • Remained on general supply • Unsure

• Employed, full-time • Employed, part-time • Self-employed

What is the highest level of formal education that you have completed? (Check ONE)

Which of the following best describes your current

employment status? (Check ONE) • Post Graduate

• Bachelor / Honours degree • Currently studying at University • Undergraduate Diploma • Currently studying at TAFE • TAFE/College certificate • Some TAFE but no certificate • Now studying or completed HSC/Year 12/6th Form • Now studying or completed Year 10/4th Form

• Some high school • Completed primary school • Some primary school • Other • Don't Know • Home duties • Student • Retired • Currently unemployed • Other

• Don't Know/No Answer Which of the following best describes your current occupation? (Check ONE) • Accountant/Auditor • Administrative/Clerical • Ambulance officer • Analyst • Architect/Draftperson • Artist/Musician/Actor/Entertainer • Author/Editor/Writer • Broker/Trader/Advisor • Carpenter • CEO/President/Chairman • CFO • COO,CTO,CIO,CMO • Clergy • Computer Professional/IT/IS • Construction labourer • Consultant • Designer (print/digital/other) • Designer (fashion/fabrics/interiors) • Dentist • Director • Driver – truck/courier/taxi • Educator/Teacher/Professor • Electrician • Engineer • Factory Worker • Farmer – cropping only • Farmer – livestock only • Farmer – cropping & livestock • Farmer – intensive livestock (dairy, pigs, poultry, other) • Farmer – horticulture • Farmer – other specify • Fireman

• Government Employee • Health care worker (other than doctor or nurse)

Work & Education

• Lawyer/Barrister/Judge • Manager (Senior) • Manager (Junior)

• Marketing or advertising role • Mechanic/Fitter & Turner • Military • Nurse • Partner/Principle/Owner • Pharmacist • Physician/Doctor • Plumber • Policeman • Researcher

• Sales Manager/Account Executive • Scientist • Secretarial/PA • Self-Employed • Service provider • Skilled labourer • Social worker • Supervisor • Technician • Tradesperson • Vice President/SVP/EVP • Veterinarian • Other Specify

Which of the following best describes the type of industry you are employed in?

• Agriculture • Armed Forces

• Architecture/ Building/Construction • Automobile

• Broadcast Media/ TV/Radio • Business/Office Support Supplier • Cable Service Provider

• Computer Software/ Hardware/Networking • Consulting

• Consumer Electronics • Consumer Package Goods • Education/ Teaching • Employment Service • Financial Service • Food Service

How many people are employed by the company that you work for?

• Number (1 to 1000+) • Don't Know

Please indicate if you own or operate a business.

• Yes • No

Is this business based in your home, at another location, or both?

• Home

• Another location • Both

Is this business a farming, or agricultural business? • Yes

• No

Is the place in which you live...? • Owned outright

• Owned but mortgaged • Rented

• Neither • Don't Know

Are you currently pregnant? • Yes

• No

Are you considering becoming pregnant in the next 6 months? • Yes

• No

• Yes • No

• Decline to answer What is your company's annual

turnover? • Less than 100k • 100k to less than 500k • 500k to less than 1million • 1milllion to less than 20million • 20million to less than 100million • 100 million and over

• Don't Know

Is the company based in Australia or internationally? • Australia • International • Government Service • Hotel/Travel/ Entertainment • Insurance

• Internet Provider/ Internet Related • Legal

• Manufacturing (Computer Products) • Manufacturing (Food) • Manufacturing

(Health & Personal Care) • Marketing/ Advertising • Market Research • Medical and Health Care Profession • Mining • Petroleum/Gas • Publisher • Real Estate • Retail/Sales • Telecommunications • Transport • Utilities • Wholesaler • Other

Household Details

Do you or anyone in your household speak a language other than English as a first language?

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Household Details • About this PDF • Myview Quality Accreditations • Page 7 of 7

What language or languages is it? • Arabic • Cantonese • Croatian • Dutch • Finnish • French • German • Greek • Hindi • Hokkien • Hungarian • Indonesian • Italian • Japanese • Korean • Lebanese • Macedonian • Malay • Maltese • Mandarin • Maori • Polish • Portuguese • Romanian • Russian • Samoan • Serbian • Spanish • Swedish • Tagalog • Tamil • Thai • Turkish • Vietnamese • Other

Which of the following

categories best describes your annual personal gross income? • Less than $5,000 • $5,000-$9,999 • $10,000-$14,999 • $15,000-$19,999 • $20,000-$24,999 • $25,000-$29,999 • $30,000-$34,999 • $35,000-$39,999 • $40,000-$44,999 • $45,000-$49,999 • $50,000-$54,999 • $55,000-$59,999 • $60,000-$64,999 • $65,000-$69,999 • $70,000-$74,999 • $75,000-$79,999 • $80,000-$84,999 • $85,000-$89,999 • $90,000-$94,999 • $95,000-$99,999 • $100,000-$124,999 • $125,000-$149,999 • $150,000-$199,999 • $200,000-$249,999 • $250,000 or more • Don’t know / No answer

Do you or anyone in your household smoke cigarettes? • Yes I do

• I don’t but another household member does

• No one in household smokes Is there another member of your household who would be prepared to do market research and join the MyView panel? • Yes

• No

Are you an Aboriginal or Torres Strait Islander? (ATSI) • Yes

• No

Who contributes to your total household income?

(Check ALL that apply) • Myself

• Partner/Spouse • Child

• Other relative • Other unrelated adult

MyView is a panel of Australians from all over the country who participate

in market and social research surveys.

As at September 2010, the MyView community has over 180,000 people.

This PDF represents the MyView panel establishment questions as at September 2010, and can be found in the Panel Counts section of the MyView website:

http://www.myview.com.au

About this PDF

MyView Quality Accreditations

I S O 2 6 3 6 2

M A R K E T & S O C I A L