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Please rate the following:
Books
Movies
Music
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Please rank (1-3) the following in order of interest:
Skiing
Snowboarding
Biking
 
 
 
How long have you been at your current residence?
   
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
* First Name : 
* Last Name : 
Address 1 : 
Address 2 : 
City : 
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Zip : 
Phone : 
* Email Address :