Importance Scale Survey
Name:
Age:
Gender:
For each question below, circle the number to the right that best fits your opinion on the importance of the issue. Use the scale above to match your opinion.
Question	Scale of Importance
Not at all	Not very	No Opinion	Some-what	Extremely
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5
Add your own question	1	2	3	4	5