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How long have you been purchasing our services?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
Other
 
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
How would you ate your overall level of satisfaction with us?
Completely unsatisfied Somewhat unsatisfied Slightly unsatisfied Neither satisfied nor unsatisfied Slightly satisfied Somewhat satisfied Completely satisfied N/A
 
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
15-24
 
25-34
 
35-44
 
45-54
 
55-64
 
65+
 
 
 
What describes your employment status?
 
Unemployed
 
Self-employed
 
Part-time
 
Full-time
 
Homemaker
 
Student
 
Retired
 
Military
 
 
 
Which of the following categories best describes your annual income?
 
$25
 
$25-34,999
 
$35-49,999
 
$50-74,999
 
$75-99,999
 
$100-149,999
 
$150+
 
 
 
Where do you live?
 
Alabama
 
Alaska
 
Arizona
 
Arkansas
 
California
 
Colorado
 
Connecticut
 
Delaware
 
Florida
 
Georgia
 
Hawaii
 
Idaho
 
Illinois
 
Indiana
 
Iowa
 
Kansas
 
Kentucky
 
Louisiana
 
Maine
 
Maryland
 
Massachusetts
 
Michigan
 
Minnesota
 
Mississippi
 
Missouri
 
Montana
 
Nebraska
 
Nevada
 
New Hampshire
 
New Jersey
 
New Mexico
 
New York
 
North Carolina
 
North Dakota
 
Ohio
 
Oklahoma
 
Oregon
 
Pennsylvania
 
Rhode Island
 
South Carolina
 
South Dakota
 
Tennessee
 
Texas
 
Utah
 
Vermont
 
Virginia
 
Washington
 
Washington, D.C.
 
West Virginia
 
Wisconsin
 
Wyoming
 
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