1. How often do you either track tags on Twitter Search or send a Tweet?
a. Daily
b. Once a week
c. Once a month
d. What's a tweet?

2. How many Facebook applications have you used?
a. I am not on Facebook
b. 1-10
c. 11-20
d. 21+

3. Rate how strongly you agree with this statement: Once you have built a social network it takes off itself.
(1 = strongly disagree, 10 = strongly agree)

1 2 3 4 5 6 7 8 9 10

4. On which of the following can you NOT upload original content?
a. YouTube
b. Motionbox
c. Veoh
d. Hulu

5. How many contacts do you have on LinkedIn?
a. 1-150
b. 151-300
c. 301-500
d. 500+

6. Technorati, Addictomatic and AllTop all provide which one of the following services?
a. Find Social Networks I may want to join
b. Aggregate what's being said online about a particular subject
c. Locate people I may know on Facebook
d. Find the best online shopping sites for a particular product

7. Rate how strongly you agree with this statement: I know what sites and tools my target audience is engaged with online.
(1 = strongly disagree, 10 = strongly agree)

1 2 3 4 5 6 7 8 9 10

8. I subscribe to this many RSS feeds in my Google Reader:
a. 1-5
b. 6-10
c. 11-15
d. 16-20

9. Rate how strongly you agree with this statement: Social media has become important enough to my marketing program that it's worth allocating a budget towards it.
(1 = strongly disagree, 10 = strongly agree)

1 2 3 4 5 6 7 8 9 10

10. Rate how strongly you agree with this statement: I know how the online community at large feels about my brand or product.
(1 = strongly disagree, 10 = strongly agree)

1 2 3 4 5 6 7 8 9 10

11. I have the following amount of tags in my Delicious account:
a. 1-25
b. 26-100
c. 101-250
d. 251-500
e. 500+
f. I don't have a Delicious account