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Time.: If You Are Nonreligious, Please Skip To Question Number 6
Time.: If You Are Nonreligious, Please Skip To Question Number 6
Time.: If You Are Nonreligious, Please Skip To Question Number 6
We are conducting research to gain further insight and a better understanding of the urban Gothic subculture in South
Africa. We kindly ask you to assist us with information by filling in the following questionnaire. Your participation is
greatly appreciated.
□ Yes □ No
2. Do you live in an urbanized area? If yes, please continue to the next question. If no, thank you for your
time.
□ Yes □ No
3. Do you consider yourself to be Goth? If yes, please continue to the next question. If no, thank you for
your time.
□ Yes □ No
4. Please indicate which of the following belief systems you follow. If you are nonreligious, please skip to
question number 6.
□ Yes □ No
6. To what extent do you agree or disagree with the following statements:
□ Yes □ No
9. Do you socially interact with other cultures? Please select one.
□ Yes □ No
10. How often do you partake in the following? Please indicate.
Sport □ □ □
Theatre □ □ □
Blogging □ □ □
Eating out □ □ □
Reading □ □ □
Shopping □ □ □
Cooking □ □ □
Music gigs □ □ □
Movies □ □ □
11. To what extent do you support the following? Please indicate.
Tattoos □ □ □
Body Piercings □ □ □
Drug use □ □ □
Alcohol consumption □ □ □
Striking hairstyles □ □ □
Self mutilation □ □ □
12. When you do your grocery shopping, how often do you purchase from the following stores? Please indicate.
Checkers □ □ □
Woolworths □ □ □
Spar □ □ □
Fruit and Veg □ □ □
Pick ‘n Pay □ □ □
Friendly Grocer □ □ □
13. How often do you purchase your clothing items through the following outlets? Please indicate.
Edgars □ □ □
Woolworths □ □ □
Truworths □ □ □
Pick ‘n Pay Clothing □ □ □
Mr Price □ □ □
Local Gothic Clothing outlet □ □ □
Online purchasing □ □ □
14. With regard to South African media, to what extent do you agree or disagree with the following statements:
15. How often do you watch the following television networks? Please indicate.
SABC 1 □ □ □
SABC 2 □ □ □
SABC 3 □ □ □
Mnet □ □ □
Kerrang! □ □ □
DSTV □ □ □
16. How often do you listen to following music genres? Please indicate.
Metal □ □ □
Rock □ □ □
Alternative □ □ □
Dance □ □ □
Punk □ □ □
Classical □ □ □
17. With regard to online activity, how often do you visit the following? Please indicate.
Twitter □ □ □
Facebook □ □ □
Myspace □ □ □
Chat sites □ □ □
Youtube □ □ □
Blogs □ □ □
18. Does the use of technology play an important role in the lifestyle of a Goth? Please select one.
□ Yes □ No
19. Do the following advertising medium, have an influence on you? Please indicate.
Radio □ □ □
TV □ □ □
Print □ □ □
Billboards □ □ □
20. Please indicate your gender? Please select one.
□ Male □ Female
21. Please indicate your age. Please select one.
□ 18 □ 20 □ 22
□ 19 □ 21 □ 23 □ 24
Thank you for filling out the questionnaire, your participation is highly appreciated.