The aim of this questionnaire is to select informants for a study on the “Causes of
Unemployment” for a subject’s baby thesis. The study will be about Unemployment. Please
answer the questions honestly.
Name:
Age:
INSTRUCTION: Please put a checkmark as a response for each question. If two responses
apply, put checkmarks on both.
1. Gender (please check one):
☐ Male
☐ Female
2. Marital Status (please check one):
☐ Single (Never Married)
☐ Married (Not Separated)
☐ Widowed
☐ Separated
3. Highest level of education completed:
☐ Elementary School graduate
☐ Elementary Undergraduate
☐ High School graduate
☐ High School Undergraduate
☐ College graduate
☐ College Undergraduate
4. What best describes your type of unemployment:
☐ Voluntary unemployment (quit job)
☐ Involuntary (dismissal, company closure, laid-off, fired)
☐ Seasonal unemployment (work available only during certain times of the year)
5. How long have you been unemployed?
☐ Less than 6 months
☐ 6-12 months
☐ More than 1year
6. Why are you not employed?
☐ voluntarily left job to search for a different job
☐ Last job contract is finished
☐ Was fired by the boss on the last job
☐ Last job was short-term contract
☐ Didn’t qualify the requirements
☐ Lack of education
☐ If others, please specify
7. If you do want a job, what do you think the chances are that you will find one in the next 6
months?
☐ Very likely
☐ Somewhat likely
☐ Somewhat unlikely
☐ Very unlikely
☐ Don't know
8. Where are you temporarily taking money for everyday life?
☐ Part time job
☐ Parents/relatives
☐ Debt(utang)