Horizon Rearch
项目代号:
Hb1105
问卷编号: / qq001
访员编号: / in001
督导编号: / su001
2011年中国人眼里的美国
意见领袖调查问卷
访问对象姓名:
_________________
工作单位:
具体职务:
____________________________/ id001
____________________________/id002
单位联系电话:
____________________________/id003
Email: ____________________________
访问方式: 1. 面访 2. 电话访问 /id004
访问日期: __________月/id005_________日/id006
访问时间:
访问总时长: ____________ 分钟 /id011 【总分钟数】
访问员承诺:
开始时间:_____ 时_____分/ id007-id008 结束时间:______时______分/ id009-id010
【时间为24小时制,请督导控制访问时间,休息日和工作日的时间均衡分布】
我清楚本人的访问态度对调查结果的影响;
我保证本份问卷的各项资料都是由我本人按照公司规定的访问程序进行访问和记录的,
绝对真实无欺;
我知道若发现一份作假,本人访问的所有问卷将全部作废,并需对因此而给公司造成的
损失做出赔偿。
访员签字:___________ 访员中心:____________
问卷审核记录
第一审核
第二审核
零点研究咨询集团
2011年12月
2011年中国人眼里的美国意见领袖调查问卷 2011’零点研究咨询集团Horizon Rearch版权所有©
您好,我是零点公司的访问员。我们正在进行一项有关中国公众眼中的美国的研究,想了解一下居
民们对美国以及中美关系的一些态度、想法和做法。您是我们按照科学方法随机抽中的访问对象,您的
看法和意见对我们的研究很重要。我们的访问大概需要半小时左右,访问结束后我们将送您一份纪念
品。相信能够得到您的支持与帮助,谢谢!
A1. 请问当您想起美国时,哪件事物会最先出现在您的脑海中?请列出1项好吗? 【单选】 a101/
【在横线上直接记录受访者答案】
________________________________________________________________________________
A2. 请问您对美国的整体印象怎么样,是非常好、一般、不太好还是很差? 【单选】 a201/
1.非常好 2.一般 3.不太好 4.很差 8.拒答【不读出】 9.说不清【不读出】
A3. 今年美国对利比亚、叙利亚等国的政策和行动,让您对美国的印象变好了、变坏了还是没有改变?
【单选】a301/
1.变好 2.变坏 3.没有改变 8.拒答【不读出】 9.说不清【不读出】
A4.下面我会念到一些国家的名字,目前您认为这些国家对中国是重要的合作伙伴吗?首先,您认
【出示卡片】
为英国是中国重要的合作伙伴吗?是非常重要、比较重要、一般还是不重要的合作伙伴?【单选】
非常重要 比较重要 一般 不重要
2 3 4 8 9 A401/ 1. 英国 ·····································1
2 3 4 8 9 A402/ 2. 美国 ·····································1
2 3 4 8 9 A403/ 3. 印度 ·····································1
2 3 4 8 9 A404/ 4. 以色列 ··································1
2 3 4 8 9 A405/ 5. 日本 ·····································1
2 3 4 8 9 A406/ 6. 俄罗斯 ··································1
2 3 4 8 9 A407/ 7. 沙特阿拉伯 ···························1
不知道 说不清
【不读出】 【不读出】
A. 总体印象
A5. 在过去十年中,您认为美国的国际影响力是增强了、削弱了还是维持原样? 【单选】a501/
1. 增强了 2. 削弱了 3. 维持原样 8.拒答【不读出】 9.说不清【不读出】
A6. 请问您如何评价美国政府在处理同中国外交关系上的表现,是非常好、比较好、一般还是很差? 【单选】a601/
A7. 请问您如何评价中国政府在处理同美国外交关系上的表现,是非常好、比较好、一般还是很差? 【单选】a701/
A8. 过去一年来,请问您认为中美关系的现状及发展趋势如何,是正在变得越来越好,越来越差还是没有变
化? 【单选】 a801/
1. 越来越好 2. 越来越差 3. 没有变化 8.拒答【不读出】 9.说不清【不读出】
A9.【针对A8题选2的受访者提问】请问您认为中美关系现状中的问题是由谁造成的,是中国政府还是美国
政府? 【单选】a901/
中国政府 ·····································································································································1
美国政府 ·····································································································································2
两国政府都有责任【不读出】 ·······································································································3
两国政府都没有责任【不读出】··································································································· 4
拒答【不读出】 ···························································································································8
说不清【不读出】························································································································9
1.非常好 2. 比较好 3. 一般 4.很差 8.拒答【不读出】 9.说不清【不读出】
1.非常好 2. 比较好 3. 一般 4.很差 8.拒答【不读出】 9.说不清【不读出】
-1-
2011年中国人眼里的美国意见领袖调查问卷 2011’零点研究咨询集团Horizon Rearch版权所有©
A10. 请问您会如何评价美国文化对当前中国的影响,是有利的影响、有害的影响还是没什么影响? 【单选】a1001/
非常有利 ·····································································································································1
比较有利 ································································································································· 2
比较有害 ··································································································································· 3
非常有害 ··································································································································· 4
没有影响 ·····································································································································5
拒答【不读出】···························································································································8
说不清【不读出】 ·······················································································································9
A11. 您认为当前哪个国家的国际形象更好?中国还是美国? 【单选】a1101/
1.中国 2. 美国 3. 都一样 8. 拒答【不读出】 9. 说不清【不读出】
B. 中国崛起及其对中美关系的影响
B1. 请问您认为二十年后,下列哪一个国家或者政治集团会成为全世界的领导力量? 【单选】b101/
【出示卡片】
中国 ········································································································································ 01
美国 ········································································································································· 02
俄罗斯 ········································································································································03
欧盟 ···········································································································································04
印度 ········································································································································· 05
其他【请注明】___________________________________________________________
拒答【不读出】······················································································································· 98
说不清【不读出】 ···················································································································· 99
B2.请问您认为二十年后,下列哪一个国家会在亚太地区最具影响力? 【单选】b201/
【出示卡片】
日本·········································································································································
01
中国··········································································································································
02
美国·········································································································································
03
俄罗斯 ·······································································································································
04
韩国·······································································································································
05
澳大利亚 ································································································································
06
其他【请注明】___________________________________________________________
拒答【不读出】 ···························································································································
98
说不清【不读出】······················································································································
99
B3. 从总体来看,请问您认为目前中国的发展方向是否正确? 【单选】b301/
1. 正确 2. 不正确 8. 拒答【不读出】 9. 说不清【不读出】
B4. 请问您认为当前中国经济力量的发展是否对美国造成了威胁,是很严重的威胁,现在没有威胁但是在
未来会有威胁,没有威胁,还是中国可以成为对美国有利的经济合作伙伴? 【单选】b401/
很严重的威胁 ············································中国可以成为对美国有利的经济合作伙伴 ·······
1 4
现在没有威胁,但是未来会有威胁 ·············拒答【不读出】 ············································
2 8
没有威胁 ···················································说不清【不读出】·········································
3 9
B5. 当前有一部分人认为美国已经接受中国崛起的现实并且希望与中国建立各方面的合作关系;另一部分人不同
意上述观点,他们认为美国试图阻止中国进一步发展壮大,请问您同意哪一种观点? 【单选】b501/
美国接受中国的现状并希望合作··················拒答【不读出】 ············································
1 8
美国试图阻止中国进一步强大 ·····················说不清【不读出】 ·········································
2 9
-2-
2011年中国人眼里的美国意见领袖调查问卷 2011’零点研究咨询集团Horizon Rearch版权所有©
B6.请问以下哪两个问题是中美关系间最让您担心的问题? 【必选两项】b601-b602/
【出示卡片】
美国在中美贸易中持续逆差 ······················01 ·· 美国在亚洲部署军事力量·························10 ·
中美关于人民币汇率的争执 ······················02 ·· 中美文化差异 ·········································11 ·
中国劳工导致美国工作岗位减少················03 ·· 网络安全 ················································12 ·
中国知识产权保护问题 ·····························04 ··
中国环境污染问题····································05 · 其他【请注明】_________________
中国能源消耗问题····································06 · 只能选出1项【不读出】·························96 ·
中国人合法权利的行使问题 ······················07 ·· 没有任何让我担心的问题【不读出】 ········97 ·
台湾问题 ·················································08 ·· 拒答【不读出】 ······································98 ·
中国军事力量现代化 ································09 · 说不清【不读出】···································99 ·
B7.【不给提示】请问您认为当前中国面临的最严峻的三个问题是什么?
【必选三项,将答案代码填写在下面横线上,如果答案不在所列表格中,则直接在横线处记录受访者答案】
1._______________b701 / 2. _____________b702 / 3. ____________ b703/
下岗就业和经济 ·······································01 ·· 收入不平等·············································15 ·
教育/学校 ················································02 ·· 计划生育/出生性别比失衡 ························16 ·
医疗/保险 ················································03 ·· 社会稳定 ················································17 ·
犯罪/毒品/暴力·········································04 ·· 农民工权益保障 ······································18 ·
恐怖主义 ·················································05 ·· 法制不健全·············································19 ·
国家安全 ·················································06 ·· 脆弱的金融体系 ······································20 ·
社会福利/幼儿保育/流浪人群·····················07 ·· 高房价 ···················································21 ·
社会保障/老龄化/贫困·······························08 · 通货膨胀 ················································22 ·
环境························································09 ··
能源消耗 ·················································10 ·· 其他【请注明】__________________
道德/价值观 ·············································11 · 只能选出1项或两项【不读出】···············96 ·
贪污腐败 ·················································12 ·· 没有任何让我担心的问题【不读出】 ········97 ·
台湾问题 ·················································13 ·· 拒答【不读出】 ······································98 ·
艾滋病和其他传染类疾病··························14 ·· 说不清【不读出】···································99 ·
B8.请问您认为在以下哪两个领域中美两国可以通过合作共同受益? 【必选两项】b801-b802/
【出示卡片】
贸易························································01 ·· 全球金融稳定 ·········································09 ·
环境························································02 ·· 太空探索 ················································10 ·
能源························································03 ·· 教育改革 ················································11 ·
反恐························································04 ·· 其他【请注明】__________________
防止核扩散··············································05 ·· 只能选出1项【不读出】·························96 ·
公共卫生 ·················································06 ·· 没有,中美间不存在共同利益【不读出】 97
亚太地区安全 ··········································07 ·· 拒答【不读出】 ······································98 ·
中国国内稳定 ··········································08 ·· 说不清【不读出】···································99 ·
B9.请问您认为在不远的将来中美两国最可能会在以下哪两个领域存在利益冲突?
【出示卡片】
【必选两项】b901-b902/
美国在亚太地区部署军事力量 ··················01 ·· 美国战略导弹防御系统 ····························09 ·
台海两岸关系 ·········································02 ·· 能源·······················································10 ·
人权·······················································03 ··
西藏问题 ················································04 ·· 其他【请注明】__________________
贸易·······················································05 ·· 只能选出1项【不读出】·························96 ·
知识产权 ················································06 ·· 没有,中美间不可能发生冲突【不读出】 ········97 ·
反恐·······················································07 ·· 拒答【不读出】 ······································98 ·
商业间谍/网络安全 ··································08 · 说不清【不读出】···································99 ·
B10.请问您认为,以下哪一项是对目前台海局势最准确的描述? 【单选】b1001/
【出示卡片】
台湾问题已成僵局··································1 · 以上说法都不准确【不读出】 ···················7
台湾问题正向和平解决的方向发展 ··········2 ·· 拒答【不读出】 ·······································8
台湾问题正向武装冲突的方向发展 ··········3 ·· 说不清【不读出】 ····································9
-3-
2011年中国人眼里的美国意见领袖调查问卷 2011’零点研究咨询集团Horizon Rearch版权所有©
B11.对于台湾问题,以下是我国可以采取的措施。请问您认为哪一项是最适当的? 【单选】b1101/
【出示卡片】
立即使用武力统一台湾 ······························什么都不做 ··············································
1 5
利用经济方面的压力迫使台湾统一 ·············以上措施都不适当【不读出】 ···················
2 7
扩大两岸交流以达到最终的统一·················拒答【不读出】 ·······································
3 8
观望台湾当局的举措 ·································说不清【不读出】 ····································
4 9
B12. 现在有一种观点,认为当前中国新兴中产阶级对社会和政治变迁具有重大影响,请问您是否同意这种观
点,是非常同意、比较同意、不太同意还是完全不同意? 【单选】b1201/
1. 非常同意 2. 比较同意 3. 不太同意 4. 完全不同意 8. 拒答【不读出】 9. 说不清【不读出】
B13. 您认为中国在多大程度上可以信赖美国?完全能够信赖,多少能够信赖,不怎么能够信赖还是完全不能
信赖? 【单选】b1301/
1. 完 全能够信赖 2. 多少能够信赖 3. 不怎么能够信赖 4. 完全不能信赖
8. 拒答 9. 说不清
【不读出】 【不读出】
B14. 为了增加中美之间的信任,您认为中国应该如何做?
____________________________________________________ 【将受访者答案直接记录在横线上】
B15. 为了增加中美之间的信任,您认为美国应该如何做?
____________________________________________________ 【将受访者答案直接记录在横线上】
B16.随着中国成为一个全球性超级大国,您认为中国接下来最应该做什么?
【出示卡片】
【必选两项】 b1601-b1602/
增强军事实力,保护国家利益 ····································································································
01
保持经济稳步增长,提高国民生活质量 ·······················································································
02
通过外交手段提升国际地位,在国际事务上发挥领导作用 ····························································
03
促进社会公平正义,加强法制建设······························································································
04
增加对其他国家的人道和经济援助,以提升国际形象 ···································································
05
其他【请注明】_________________________________________________________
只能选出1项【不读出】 ···········································································································
96
一个都没有【不读出】 ················································································································
97
拒答【不读出】 ························································································································
98
说不清【不读出】 ·····················································································································
99
B17.您认为美国在亚太地区的政治和军事干预会对该地区安全造成怎样的影响呢? 【单选】
【出示卡片】
b1701/
维持亚太地区的安全 ··································· 1 没有实质影响 ··········································4·
造成相关国家关系紧张 ································2 · 拒答【不读出】 ·····································8 ··
既会维持该地区安全,也会造成相关国家
3 说不清【不读出】 ··································9 ··
关系紧张 ·····················································
-4-
2011年中国人眼里的美国意见领袖调查问卷 2011’零点研究咨询集团Horizon Rearch版权所有©
C. 经济和贸易
C1. 下面我会读出一些观点,请您告诉我您是否同意这些看法,是非常同意、比较同意、不太同
【出示卡片】
意还是完全不同意? 【单选】
非常比较不太完全不不知道 说不清
同意 同意 同意 同意 【不读出】 【不读出】
2 3 4 8 9 1. 和美国进行贸易往来有利于中国经济发展 ····1 C101/
2 3 4 8 9 2. 中国制造的产品使美国消费者受益 ···············1 C102/
2 3 4 8 9 3. 中国存在产品安全问题(如玩具) ···············1 C103/
2 3 4 8 9 4. 中国导致美国就业岗位减少 ·························1 C104/
2 3 4 8 9 1 C105/
5. 中国知识产权保护状况对国际投资造成不
利的影响 ··················································
C2. 请问您认为谁应该对中美贸易中的逆差负责,是中国政府还是美国政府? 【单选】c201/
中国政府 ·····················································两国政府都没有责任【不读出】··············
1 4
美国政府 ····················································拒答【不读出】 ·····································
2 8
两国政府都有责任【不读出】 ······················说不清【不读出】··································
3 9
C3. 您认为美国国债是一种安全的投资吗? 【单选】c301/
1. 是 2. 不是 8. 拒答【不读出】 9. 说不清【不读出】
C4. 在未来20年内,您认为哪个国家对全球经济的影响力最大?美国还是中国? 【单选】c401/
1. 美国 2. 中国 8. 拒答【不读出】 9. 说不清【不读出】
D. 环境
D1. 请问您对全球气候变暖的担忧程度,是非常担心、比较担心、不太担心还是一点也不担心? 【单选】d101/
1. 非常担心 2. 比较担心 3. 不太担心 4. 一点也不担心 8. 拒答【不读出】 9. 说不清【不读出】
D2. 请问您如何评价当前美国政府治理环境问题的表现?是表现非常好、比较好、不太好还是一点也不好?
【单选】d201/
1.非常好 2. 比较好 3. 不太好 4. 一点也不好 8. 拒答【不读出】 9. 说不清【不读出】
D3. 请问您如何评价当前中国政府治理环境问题的表现?是表现非常好、比较好、不太好还是一点也不好?
【单选】 d301/
1.非常好 2. 比较好 3. 不太好 4. 一点也不好 8.拒答【不读出】 9.说不清【不读出】
E. 价值观
E1. 您认为中国的青年人在哪个国家生活会获得更多的机会和更好的成长,中国还是美国? 【单选】e101/
1. 中国 2. 美国 3. 哪个国家都一样 8. 拒答【不读出】 9. 说不清【不读出】
-5-
2011年中国人眼里的美国意见领袖调查问卷 2011’零点研究咨询集团Horizon Rearch版权所有©
F. 信息渠道
F1.请问您平时主要从以下哪些渠道获取有关美国的新闻消息? 【多选】f101-f1015/
【出示卡片】
英文电视节目 ···········································中文广播节目 ········································
01 08
中文电视节目 ···········································英文杂志 ···············································
02 09
英文报纸 ··················································中文杂志 ···············································
03 10
中文报纸 ··················································手机短信息············································
04 11
英文互联网···············································其他【请注明】________________
05
中文互联网···············································拒答【不读出】 ·····································
06 98
英文广播节目 ···········································说不清【不读出】··································
07 99
F2. 请问您认为美国媒体是否如实报道了中国的实际情况? 【单选】f201/
1. 是 2. 否 8.拒答【不读出】 9.说不清【不读出】
F3. 请问您认为中国媒体是否如实报道了美国的实际情况? 【单选】f301/
1. 是 2. 否 8.拒答【不读出】 9.说不清【不读出】
F4. 请问您是否去过美国? 【单选】f401/
1. 是 2. 否 8.拒答【不读出】 9.说不清【不读出】
F5.【针对F4题选1的受访者提问】去过美国后,请问您对美国的看法是否有所改变,是变好了、变坏了还
是没有变化? 【单选】f501/
1. 变好了 2. 变坏了 3. 没有变化 8.拒答【不读出】 9.说不清【不读出】
Z. 背景题
为了研究不同群体的人在态度上有没有差别,我还想了解您个人的一些情况。请放心,您的资料我们只做
统计分析使用,不会透露给任何人。
Z1. 性别:【单选】z101/
【请访问员直接记录】
男 ·························································· 女 ··························································
1 2
Z2. 请问您在哪一年出生_______________ 【在横线上直接记录受访者答案】
【9998拒答;9999说不清】
Z3.请问您的文化程度是? 【单选】z301/
【出示卡片】
低于小学水平 ··········································· 大学本科 ··················································
01 06
小学 ························································ 硕士研究生 ···············································
02 07
初中 ························································ 博士研究生 ···············································
03 08
高中/中专/技校 ········································· 拒答【不读出】 ········································
04 98
大专 ························································ 说不清【不读出】 ·····································
05 99
Z4.请问您的民族是? 【单选】z401/
【出示卡片】
汉族 ······················································· 朝鲜族···················································
01 06
维吾尔族 ················································ 壮族 ······················································
02 07
藏族 ······················································· 其他【请注明】_________________
03
满族 ······················································· 拒答【不读出】 ·····································
04 98
蒙古族···················································· 说不清【不读出】 ··································
05 99
Z5.【出示卡片】请问您的宗教信仰是? 【单选】z501/
罗马天主教 ·············································· 道教 ·······················································
01 06
清教徒/其他基督教徒 ································ 其他【请注明】_________________
02
犹太教····················································· 没有宗教信仰··········································
03 97
伊斯兰教 ················································· 拒答【不读出】 ······································
04 98
佛教 ························································ 说不清【不读出】 ···································
05 99
-6-
2011年中国人眼里的美国意见领袖调查问卷 2011’零点研究咨询集团Horizon Rearch版权所有©
Z6.请问您的婚姻状况是? 【单选】z601/
【出示卡片】
已婚 ··························································未婚,同其他人同住 ································
1 5
寡居/鳏居 ···················································
2
离婚/分居 ···················································拒答【不读出】 ······································
3 8
未婚,一个人独住 ·····································说不清【不读出】····································
4 9
Z7. 为了了解不同收入者之间的不同看法,我希望了解一下您家上月收入相当于下面的哪一个档
【出示卡片】
次,这里的收入包括您家里的全部收入,包括工资单上的收入和单位发的没在工资单上的收入及其它的兼职
收入和实际的非固定收入(如出租房屋、利息、亲友补贴等),也包括粮、棉、油、肉、菜、柴等实物收入
的总和)。【单选】z701/
5000元及以下 ········································
01
5001-6000 元 ········································30001-50000 元···································
02 11
6001-7000 元 ········································50001-100000 元 ·································
03 12
7001-8000 元 ········································100001 元及以上 ···································
04 14
8001—9000 元 ········································
05
9001-10000 元 ······································
06
10001-12000 元 ····································
07
12001-15000 元 ····································
08
15001-20000 元 ····································
09
20001-30000 元···································
10
无收入【不读出】 ··································
96
无固定收入【不读出】 ···························
97
说不清【不读出】 ··································
98
拒答【不读出】 ·····································
99
Z8. 请问您是否是中国共产党党员?(包括预备党员) 【单选】z801/
1. 是 2.不是 8.拒答【不读出】 9.说不清【不读出】
Z9. 执行城市代码【单选】 z901/
【请访问员直接记录】
北京 ·························································广州 ····················································
01 03
上海 ························································
02
Z10. 访问过程中使用的语言【单选】 z1001/
【请访问员直接记录】
普通话 ··················································· 四川话 ···················································
01 11
北京话 ····················································湖南话 ···················································
02 12
上海话 ····················································东北话 ···················································
03 13
广东话 ·················································· 甘肃话 ···················································
04 14
浙江话 ··················································· 江西话 ···················································
05 15
湖北话 ····················································云南话 ···················································
06 16
内蒙古话 ············································ 贵州话 ···················································
07 17
江苏话 ····················································
08
河南话 ····················································其它语言【请注明】_____________
09
山东话 ····················································说不清【不读出】 ··································
10 99
Z11. 【单选】z1101/
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第一类学术类(大学、学院的社会科学教授等) ·················································································
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第二类学术类(社会科学学研究机构的学者等) ·············································································
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媒体类(资深记者编辑等) ···············································································································
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NGO组织类(主管、项目经理、资深职员等) ···············································································
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专业人员(会计师、律师、项目经理等) ··························································································
05
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