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What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What is your gender
 
Man
 
Woman
 
Trans
 
Prefer not to Answer
 
 
 
What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
 
Please describe your current residence:
 
Owned by you or someone in household with a mortgage or loan
 
Owned by you or someone in household free and clear (no mortgage or loan)
 
Rented
 
Occupied without payment of rent
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
How many children do you have?
 
No Children
 
1 child
 
2 children
 
3 children
 
More than 3 children
 
 
 
Please select your Hobbies and Interest
 
Auto racing
 
Biking
 
Boating
 
Bowling
 
Camping
 
Crafts
 
Dancing
 
Fine Arts
 
Fishing
 
Gambling
 
Gardening
 
Hiking
 
Hunting
 
Horseback riding
 
Kayaking
 
Martial Arts
 
Music
 
Photography
 
Reading
 
Sports
 
Travel
 
Other

 
 
 
How often do you eat out?
 
Every day
 
Once a week
 
Couple times a week
 
Once a month
 
 
 
What fast food chain have you eaten from in the last 6 months?
 
Subway
 
Wendy's
 
Opa
 
Noodle Box
 
Taco Del Mar
 
Tim Hortons
 
Taco Bell
 
A&W
 
 
 
 
 
What Fast Food have you purchased in the last 6 months?
 
A&W
 
Subway
 
Taco Del mar
 
Tim Horton's
 
Opa
 
Domino's
 
Harvey's
 
Quizno's
 
Pita Pit
 
 
 
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