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Getting to know YOU

0%
Exit Survey
 
 
What age range do you fit in to?
 
16-25
 
26-35
 
36-45
 
46-55
 
56+
 
 
 
What gender are you? 
 
MALE
 
FEMALE
 
RATHER NOT SAY
 
 
 
What is your line of employment?
   
 
 
 
How many children do you have?
 
0-2
 
3-5
 
6+
 
 
 
What is your annual household income?
 
30,000-40,000
 
40,000-50,000
 
50,000-60,000
 
60,000-70,000
 
75,000+
 
 
 
Are you a property owner?
 
YES
 
NO
 
RATHER NOT SAY
 
 
 
What is your marital status?
 
SINGLE
 
IN A RELATIONSHIP
 
MARRIED
 
SEPARATED
 
DIVORCED
 
 
 
Is your current health status a priority to you? 
 
YES
 
NO
 
RATHER NOT SAY
 
 
 
Do you currently have any health complaints? YES NO RATHER NOT SAY
 
YES
 
NO
 
RATHER NOT SAY
 
 
 
Have you recommended us to a friend? 
 
YES
 
NO
 
RATHER NOT SAY
 
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