Personal Information Questionnaire Form


A personal information questionnaire form is a document which contains questions aimed at gathering personal information about a certain individual. These are primarily factual questionnaires and hence the questions must be framed in that way as well. However, only relevant questions must be asked, and the answers must be accurate and precise.

Sample Personal Information Questionnaire Form

Name: _______________________________

Age: ________________________ Sex: ____________________

Date of birth: _________________________________

Current residence: _______________________________

Permanent residence: _________________________

Contact number: _____________________________

  1. What are you chief identification documents? Please tick the correct options:

(a)Voter Identification Card

(b)Personal Account Card

(c) Passport

(d)Electricity Bill/Telephone Bill

  1. Are you a citizen of the United States? ________________________________________________________________________
  2. What is your current profession? What is your present designation in that particular profession? ________________________________________________________________________
  3. Have you ever been implicated in a criminal case? Have you ever faced a lawsuit or indulged in any unlawful activity? ________________________________________________________________________
  4. Do you have any serious medical problems? Are you undergoing any treatment for the same? ________________________________________________________________________
  5. Are you married? If so, please name your spouse. If not married, or divorced or widowed, please mention the same: ________________________________________________________________________
  6. Are you covered by any kind of insurance? If yes, please mention the details: ______________________________________________________________________

Download Personal Information Questionnaire Form


Category: Questionnaire Forms

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