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What is your gender?
 
female
 
male
 
 
 
What is your age range
 
20 or younger
 
21-40
 
41-60
 
60 and older
 
 
 
On a weekly basis how often do you compliment someone? 
 
never
 
once a week
 
on a daily basis
 
 
 
Do you feel valued?
 
yes
 
no
 
 
 
Are you encouraged each week by family, friends, peers, and/or coworkers?
 
yes
 
no
 
 
 
On a Friday night do you typically...
 
stay inside
 
go out with friends
 
other
 
 
 
On average, how much do you spend on an outing? 
 
less than $10
 
between $10-$20
 
over $20
 
 
 
Do you enjoy taking time out of your day to participate in random acts of kindness? 
 
yes
 
no
 
 
 
How do you like to be recognized? 
 
phone call
 
personalized gift
 
e-mail
 
letters and/or messages
 
 
 
Do you consider yourself to have a creative mind?
 
yes
 
no