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Are you Male or Female?
 
male
 
female
 
 
 
Do you or anyone in your household currently work for or ahave ever worked for any of the follwoing industries?
 
advertising
 
public relations
 
marketing
 
automobile dealership
 
television, radio or cable tv
 
newspaper, magazine or publishing
 
bank or credit union
 
entertainment
 
none of the above
 
 
 
When did you last participate in a focus group survey?
 
never
 
within past 3 months
 
3-6 months ago
 
6-12 months ago
 
over 12 months ago
 
 
 
What age group do you fall into?
 
24 or under
 
25-34
 
35-44
 
45-54
 
55 and older
 
 
 
In what city do you live?
   
 
 
 
What is your race or ethnic background?
 
caucasian/white non-hispanic
 
african american/black
 
hispanic/latino
 
asian
 
other
 
 
 
What is the highest level of education you've completed?
 
some high school
 
high school grad
 
trade or technical school
 
some collegee
 
college grad
 
post grad
 
 
 
Do you consider yourself bilingual in english and spanish?
 
yes
 
no
 
 
 
During a typical week, Monday through Sunday, how many hours would you say you are watching television?
   
 
 
 
Which of the followin statements beste describes your employment status?
 
employed full time
 
employed part time
 
not currently employed
 
 
 
What income category do your HOUSEHOLD income fall into?
 
Under $30,000
 
$30,000 - $49,999
 
$50,000 - $74,999
 
$75,000 - $99,999
 
$100,000 - $149,999
 
$150,000 - $199,999
 
$200,000 and above
 
 
 
What is your name?
   
 
 
 
What is your contact phone number?
   
 
 
 
What is your email address?
   
 
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