16%
Back Questions marked with a * are required Exit Survey
 
 
* What is your first name?
   
 
 
 
* What is your Email Address
   
 
 
 
* What Zip-Code do you live in? 
   
 
 
 
* Sex
 
Male
 
Female
 
 
 
* How old are you?
 
Under 18
 
18 - 24
 
25 - 29
 
30 -34
 
35 - 39
 
40 - 44
 
45 or older
 
 
 
* Ethnic Background
 
Caucasian 
 
African American
 
Hispanic/Latino
 
Native American 
 
Asian
 
Bi-Racial
 
 
 
* Your Marital Status
 
Single
 
Married
 
Divorced
 
 
 
* Do you have children?
 
Yes
 
No