Web Survey

731 Responses | Created by Disturbedlion | Skip to Results |
  1. 1

    What is your gender?

  2. 2

    What is your current marital status?

    Please select all that apply.

  3. 3

    Please indicate the highest level of education completed.

  4. 4

    What is your age? (completely anonymous)

  5. 5

    Where are you located?

  6. 6

    Are you currently registered to vote in the U.S.?

  7. 7

    Which of the following best describes the area you live in?

  8. 8

    How many children under 16 years old live in your household?

  9. 9

    Please indicate your current household income in U.S. dollars

  10. 10

    How did you find about this site? (Please check all that apply.)

    Please select all that apply.

  11. 11

    How long have you been using the Internet (including using e-mail, gopher, ftp, etc.)?

  12. 12

    How many purchase have you made online over the past 12 months?

  13. 13

    What is your primary computing platform?

    Please select all that apply.

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