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Comments/Suggestions:

Name:

How many months have you been at your current residence?

Email Address:

Contact Information

First Name :
Last Name :

Rate the Star

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How satisfied are you with the following:

Very Dissatisfied

Not Satisfied

Neutral

Satisfied

Very Satisfied

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How satisfied are you with the following:

Website

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Customer Service

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Overall

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Thumbs Up / Down

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Matrix - Select 1

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How satisfied are you with the following:

	Spreadsheet
Website

Please rank (1-3) the following in order of interest:

Skiing
Snowboarding
Biking

Please allocate 100 points on how you spend your income:

Essentials (Gas, Grocery etc.)

Entertainment (Movies, Clubs etc.)

Other

0

Please rank (1-3) the following in order of interest:

	Drag your choices here to rank them
Skiing Snowboarding Biking

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Visa

Master Card

American Express

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Visa

Master Card

American Express

Discover

How satisfied are you with the following:

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I Agree

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What is your date of birth?

Month	Day	Year

What is your date of birth?

How often do you conduct surveys?