JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The Lamp Prospective Readership Survey
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your sex?
*
Female
Male
How old are you?
*
Under 21
21-25
26-30
31-40
41-50
51-60
61+
What is the highest level of education you have completed?
*
High school or equivalent
Undergraduate degre
Master's degree
Professional degree
Doctoral/other terminal degree
Are you married?
*
Yes
No
How many children do you have?
*
None
1
2
3+
Are you Catholic?
*
Yes
No
Do you attend Mass weekly?
*
Yes
Not weekly, but a few times a month
No
What is your profession?
*
Your answer
What sector are you employed in?
*
Private sector
Government
Education
Self-Employed
Retired
In a typical week, do you consume:
*
Alcohol
Tobacco
I consume alcohol, but not on a weekly basis
I sometimes consume tobacco, but not on a weekly basis
None
Required
Do you currently give financial support to Catholic parishes and schools?
*
Yes
No
Do you currently subscribe to any Catholic news sources?
*
Yes
No
Mark the boxes below that reflect some of your hobbies.
*
Attending the theater
Visiting museums
Going to concerts
Vacationing internationally
Attending lectures and symposia
Reading books
Volunteering in your parish
Sports, weightlifting, or other exercise
Fishing, hunting, boating, and other outdoor activities
Required
How many books do you read in a typical month?
0 or less than 1
1 to 3
3 to 5
5+
Clear selection
What periodicals do you currently subscribe to?
*
Your answer
Is there anything else you want to tell us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
