1   Gender  Male   Female

2.  Race

        Select One:  African/African American Caucasion/White Asian/Pacific Islander Hispanic Latino

3.  On average, how many hours a week do you spend on the Internet ?

        Select One:  0-1 hrs/week 2-6 hrs/week 7-20 hrs/week over 20 hrs/week

4.  How long have you been using the Internet ?

        Select One:  < less than a year 1-3 years 3-4 years > 4 years

5.  In the last 18 months, how much have you spent purchasing a product or service on the Internet ?

        Select One:  < $100 (US) $101-1,000 (US) $1,001-$3,000 (US) over $3,001 (US)

6.  What are the top two reasons why you shop on the Internet?

        Price

        Convenience

        No pressure from salespeople    

        Availability of information from vendors

7.  Would you be interested in making bill payments over the Internet ?   

        Check One:  Yes   No

8.  Would you be interested in accessing your account information from your utility companies on the internet?

        Check One:  Yes   No

9.  Do you feel that transacting business on the Internet is safe ? 

        Check One:  Yes   No

10. Do you trust providing personal information over the Internet ? 

        Check One:  Yes  No

The following questions are optional

1.  Please indicate the highest level of education completed.

        High School Technical School (2yrs) College Graduate Master's Degree Professional Degree (MD, JD, etc.) Other

2.  Which of the following categories best describes your primary occupation?

        Computer related Management Professional Educator and/or Student Other

3. What is your marital status?

        Single Married Divorced Widowed

4.  Please indicate your current household income in US dollars.

        Under $10,000 $10,001 - $49,999 $50,000 - $99,999. over $100,000

5.  What is your age?

        Under 30 31 - 40 41-50 over 50