Opinion Poll - Evaluation of Present Times


	Opinion Poll

	We would appreciate very much if you could give us a few minutes of your precious time and tell us your thoughts about the following few questions.

	Filling out this form does not bind you to anything or anybody. Your answers will not be made public, all information given wil be treated confidentially unless they are violating a law or the commonly accepted "netiquette".



	My evaluation of the current times
	[Please keep your answers short]

Since you chose English, please tell us where you're from:

What do you consider to be the three biggest problems of our time?

[Please give at least 1 answer]

a.
b.
c.

Are you concerned or even worried about your personal future?

	Not at all, because
	Sometimes about

	The worst for me is...

I characterize the current times in my personal surroundings as being ...

terrible

pretty bad

average

good

excellent

because:...

What does happiness mean to you personally?

Just in case the above mentioned has not (yet) come to pass in your life - have you any thoughts about the reason why?

That's Fate!

It's my own fault because

	No, the others are to blame, because ...

	Other reasons:

If you want, please feel free to tell us something about yourself and your interests:

Since this questionnaire is still in the test phase, we would appreciate your comments about this form.

Do you feel that these questions are too personal?	Yes -- No
	Partially, i.e. question/s no.

Are there any other questions that you have thought about recently?

Is there anything else you want to tell us?

In case you happen to mention a topic which is of special interest to us - would you be interested in writing an article about that topic for us? Yes No.

Your eMail:

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Thank you very much for taking the time to fill out this questionnaire.

GerlPrint Internet & RealWorld Publications, Germany

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