Survey Question to Self-Report on Behaviors and Beliefs

Base: Respondents in online survey assigned to self-report on behaviors and beliefs

For each of the following, is it true of you? 

1  Yes

2  No

8  Not Sure

[RANDOMIZE]

1  I often drive over the speed limit.

2  I do volunteer work.

3  I exercise regularly.

4  I go to a church/mosque/synagogue most weeks.

5  I believe in God.

6  I clean my teeth twice a day or more often.

7  I feel sexually attracted to someone of the same sex.

8  I give money to charity regularly.

9  I have gambled in the last month.

10  I have been diagnosed with depression.

11  I drank beer, wine, or spirits in the last week.

Base: Respondents in telephone survey

Next, we have a series of quick questions.

1  Do/Did

2  Do/Did NOT

3  Not Sure

4  Decline to Answer

[RANDOMIZE]

1  Do you often drive over the speed limit?

2  Do you do volunteer work?

3  Do you exercise regularly?

4  Do you go to church/mosque/synagogue most weeks?

5  Do you believe in God?

6  Do you clean your teeth twice a day or more often?

7  Do you feel sexually attracted to someone of the same sex?

8  Do you give money to charity regularly?

9  Did you gamble in the last month?

10  Have you been diagnosed with depression?

11  Did you drink beer, wine or spirits in the last week?